In reading the Rudorfer overview the effectiveness of the treatment is repeatedly mentioned especially if the treatment is individualized for the patient and the treatment is used for specific disorders where it has been shown to be effective eg an acute episodic case of depression In some instances ETC should be the first line of treatment when the patient is an immediate danger to themselves eg suicide What can be regarded as the intro s only mention of the effectiveness of the treatment would be the line but it has maintained an important place in psychiatry Changes should be made any objections