Electroconvulsive Therapy and Lithium: Safe and Effective Treatment.

It is often recommended that lithium not be prescribed during electroconvulsive therapy (ECT). The combined use of these treatments has been considered a risk factor for inducing encephalopathy; however, this precaution is controversial. We report the case of a woman who received over 70 outpatient maintenance ECT concurrently with lithium for years without signs of confusion.