The article you requested is
Choosing a Dosing Strategy for Electrical Stimulation in ECT
J Clin Psychiatry 1996;57:488 [letter]
Copyright 1996 Physicians Postgraduate Press, Inc.
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Letter to the Editor
Sir: We are writing to address some issues raised by Shapira
et al., (January 1996 issue). The authors report the variability
and the relation of seizure threshold estimates to the efficacy of
electroconvulsive therapy (ECT) with bilateral electrode placement.
They state that the “initial seizure threshold for pulse bilateral
ECT is highly variable and not yet amenable to accurate
prediction” and recommend the stimulus titration method as it
“allows threshold to be determined on an individual basis and
dosage for subsequent treatments to be defined.”