> You have to weigh the risk of memory loss (which is not that severe) compared to living almost like a human vegetable. Forget a month of your life and move on like a normal person or stay a non-functioning, melancholic person living in a delusional world?
Well when you put the issue like that the choice is obvious
The issues are: Is the memory loss really not that severe? Are we fairly sure that people don't suffer from more pervasive memory loss? I'm talking about a more perminent disruption to abilities such as categorisation and language processing.
How bad are the majority of people before ECT is considered as a viable option? How long are they depressed for (depression tends to pass even if untreated)? For the clinicians making a lot of $$$ doing ECT procedures would their threshold on severity be lower by any chance? If they are NEVER going to get better then of course the choice is obvious. But who gets to make that decision?
How many people who have a course of ECT have a course of ECT at some later point in time? It might be that ECT is a quick fix solution that doesn't do much to prevent later episodes (whereas if the person had therapy or similar they would come to understand what kinds of things triggered their episodes and how to better manage their triggers in order to prevent relapse).
I do think it is important not to disintegrate into polarities of it 'always' or 'never' being justified. I just worry that it isn't justified as much as it is performed. Especially when clinicians stand to earn big bucks in doing the procedure.