ECT carries risks associated with anesthesia, seizures, and interactions with medications. Common side effects include cognitive changes, cardiovascular issues, and general complaints. While no absolute contraindications exist, conditions with increased intracranial pressure pose higher risks. Mortality from ECT is extremely low at 0.0001%. Successful ECT may improve cognition compared to untreated depression. Treatment courses typically involve 6-12 sessions over 3-4 weeks, with options for continuation medication or maintenance ECT to prevent relapse.