acute instances, relief can be hastened by applying ECT on three or four successive days, a course described as "ECT en bloc"(Stromgren, LS.,1997). ECT is also an effective anti-manic agent. It relieves not only the catatonic features, but the manic episode as well. For continuation treatment, antipsychotic medicines should be avoided. Continuation ECT is a safer effective option. Dr. Andrade's...