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The way this is presented in the article could be dangerous. ECT with its potentially life-altering horrendous side effects is not an alternative to Ketamine with almost non existent negative long term side effects. Both treatments are recommended as the last resort (at least on paper Ketamine is recommended if anti-depressants do not work), with ECT being far more dangerous.

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The cited paper does a much clearer job, but the article does make an attempt:

> Most people diagnosed with depression are offered an oral antidepressant (in combination with psychotherapy) as a first-line treatment option. But _if oral antidepressants don’t help_, or _if the person is at imminent risk of hurting themselves_, there are other, more rapid treatment options: ECT, and more recently ketamine or esketamine.

> “ECT is consistently more successful than ketamine” at helping _patients with serious depression_

> “We need to improve public awareness of ECT for _treatment-resistant depression_.”

(emphasis mine)

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