The FDA is a cautious regulatory body, and they need to be cautious.

Electroconvulsive therapy is not considered for garden-variety depression. If it's more refractory, if other treatments have failed or it's suicidal depression, and you don't have time to wait around to see if a medication is going to work, it's considered the gold standard of treatment.

ECT is not considered for garden-variety depression. If it's more refractory, if other treatments have failed or it's suicidal depression and you don't have time to wait around to see if a medication is going to work, it's considered the gold standard of treatment.