IntroductionDespite its controversial history, electroconvulsive therapy is generally an effective treatment with few serious side effects. One rare but troublesome side effect of electroconvulsive therapy is mania.Case presentationA 33-year-old Turkish woman developed mania on three separate occasions after receiving electroconvulsive therapy for severe depressive episodes.ConclusionPatients who experience electroconvulsive therapy-related mania should be evaluated for alternative treatments when presenting with severe depression.