The observation that patients who responded to ECT were less frequently previously treated with aqequate trials of an SRI and less frequently provided CBT supports the earlier interpretation that ECT was more likely to treat OCD that would be otherwise treatable by conventional antiobsessional treatments,if they were prescribed . Although this finding indicates that clinicians may be misinformed about adequate treatment of OCD,It couldstill be argued that ECT may be used in situations in which SRIs and CBT is potentially problemtatic or not feasible , such as in the presence of bipolar depression asso