Cost reduction with maintenance ECT in refractory bipolar disorder

Curley Bonds, Mark A. Frye, Michael F. Coudreaut, Malcom Cunningham, Melissa Spearing, Michael McGuire, Barry Guze

Research output: Contribution to journalArticlepeer-review

27 Scopus citations


A case report of outpatient maintenance electroconvulsive therapy (ECT) is presented in a patient with bipolar disorder type I refractory to conventional medication treatment but responsive to ECT A cost comparison is made showing substantial savings when outpatient maintenance ECT is used in lieu of inpatient hospitalization with ECT A detailed life chart illustrating multiple medication trials that failed to stabilize the patient accompanies the financial summary. This case highlights the advantages of outpatient maintenance ECT for bipolar depression particularly with regard to safety, efficacy, and significant health care cost reduction.

Original languageEnglish (US)
Pages (from-to)36-41
Number of pages6
JournalJournal of ECT
Issue number1
StatePublished - 1998


  • Bipolar depression
  • Life chart
  • Maintenance electroconvulsive therapy

ASJC Scopus subject areas

  • Neuroscience (miscellaneous)
  • Psychiatry and Mental health


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