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By Mayo Clinic staffBefore having your first electroconvulsive therapy treatment, you need a complete physical examination, in addition to a psychiatric evaluation. You may also have a consultation with an anesthesiologist to assess the risks associated with having anesthesia. These exams help make sure that ECT is safe for you.
A pre-ECT evaluation usually includes:
- A medical history
- A physical examination
- Basic blood tests
- An electrocardiogram (ECG) to check for certain types of heart disease
You must also sign informed consent documents authorizing the use of electroconvulsive therapy. Consent means that you understand the procedure and its risks and benefits. If you're unable to provide written consent, state or local laws may allow the appointment of a legal guardian who can approve the procedure on your behalf if deemed medically necessary.