Indications for ECT are all except

The indications for electroconvulsive therapy are: 1. Major severe depression i. With suicidal risk (This is the first and most impoant indication for ECT) ii. With stupor iii. With the poor intake of food and fluids. With melancholia v. With psychotic features vi. With unsatisfactory response to drug therapy vii. Where drugs are contraindicated or have serious side effects viii. Where speedier recovery is needed. 2. Severe catatonia (non-organic) i. With stupor ii. With a poor intake of food and fluids iii. With unsatisfactory response to drug therapy iv. Where drugs are contraindicated or have serious side-effects. v. Where speedier recovery is needed. 3. Severe psychosis ( schizophrenia or mania) i. With the risk of suicide, homicide or danger of physical assault ii. With unsatisfactory response to drug therapy iii. Where drugs are contraindicated or have serious side effects iv. With very prominent depressive features (e.g.schizo-affective disorder). The use of ECT in mania and schizophrenia is not a treatment of the first choice and is employed only in the above-mentioned conditions. Ref: A Sho Textbook of Psychiatry, Niraj Ahuja, 7th Edition, pg. no. 199