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Hi, depends on the duration of illness, comorbidities , etc.

Electroconvulsive Therapy (ECT) is one of the most effective rapid-acting interventions for severe or treatment-resistant Major Depressive Disorder (MDD). Response Rate (Acute Course): Typically between 70% to 90% in patients with severe depression, meaning most experience significant symptom reduction. Remission Rate (Acute Course): Around 50% to 60% achieve complete resolution of depressive symptoms following an acute course. Relapse Rate (Without Maintenance): High—up to 50% to 60% within the first 6 months if no continuation treatment is given. Relapse Rate (With Maintenance ECT + Medication): Significantly lower, dropping to roughly 30% to 40% at 6 months, demonstrating the protective effect of maintenance sessions (M-ECT).