like most antidepressants, can prec

like most antidepressants,
can precipitate switches from depression into hypomania or
mania, although, in practice, this is uncommon. Bailine et
al2
observed that only 9% of 220 depressed patients (170
unipolar, 50 bipolar) scored in the mild-to-moderate range
on the Clinician-Administered Rating Scale for Mania
Outcome (CARS) at some point during the ECT course, with
only 1 score falling within the moderate range at the end of
the treatment course. Treatment-emergent hypomania can
be treated either by interruption of the ECT course (in which
case, the hypomania may subside spontaneously, or it can be
treated with medications), or by continuation of ECT, the
mood stabilizing effect of which will treat the hypomania