“…Especially with an underlying mood disorder, ECT was reported as a very useful technique in many case reports [4,5,7,10,13,[16][17][18][19]21,24,40,42,43,60,61]. In most reports, ECT was followed by a pharmacologic maintenance treatment, usually combination strategies (zuclopenthixol/oxcarbazepine [4], olanzapine/mirtazapine [42], trimipramine/perphenazine [21], mianserine/amisulpride [16], lithium/amisulpride [18], imipramine/haloperidol with addition of biperiden due to oculogyric crisis [60]), but monotherapy also has been reported (nomifensine [24], imipramine [5], isocarboxazide [4], lithium [18,43], risperidone [40], and olanzapine [19]). One report of spontaneous recovery after two grand mal seizures was also reported, illustrating the usefulness of the effect of seizures [62].…”