In NSW it is the MHR T that grants or rejects such a request and stipulates when and how many times ECT treatment can be given to that person . This decision is made if ‘after consideringthe clinical condition and history of treatment of, and any appropriate treatment for, the patient, the medical practitioners are of the opinion that electroconvulsive therapy is: (a) a reasonable and proper treatment to be administered to the patient, and (b) necessary or desirable for the safety or welfare of the patient’