Electroconvulsive therapy, or ECT, is an effective treatment for severe, persistent neuropsychiatric disorders, including mood disorders, acute suicidality, catatonia, neuroleptic malignant syndrome, and, to a lesser extent, schizophrenia. ECT is generally reserved for adults, but adolescents with “treatment‐resistant” conditions, defined as failure of two or more adequate medication trials, also benefit. Studies show that the majority of child and adolescent psychiatrists lack the necessary training to administer ECT. What's more, ECT is often represented inaccurately and negatively in popular media, resulting in controversial public opinion and increased stigmatization. Despite nearly 70 years of evidence supporting the efficacy and safety of ECT, including 2004 American Academy of Child and Adolescent Psychiatry (AACAP) guidelines for ECT use in adolescents and an ethical review of this intervention, ECT continues to be underutilized. The aim of this article is to dispel myths about ECT by providing evidence‐based psychoeducation, a review of the indications and when providers should consider a referral.