<prompt> Which is true statement?Depression with suicidal tendencies require ECTChronic depression will require ECTReactive depression responds to ECT betterECT is the treatment of choice for atypical depression  <response>: Ref: Synopsis of Psychiatry. Kaplan Sadock, 10th edition. Diagnostic and Statistical Manual, IVth edition.Expanation:Electro-convulsive treatment ECTIt is one of the physical methods used to treat major depression.Other methods to treat major depression are Vagal Nerve Stimulation VNS, Deep Brain Stimulation DBS, repetitive Transcranial Magnetic Stimulation rTMSThe onset of action, hence the resolution of symptoms is rapid when compared to other modalities like anti-depressants and psychotherapy.ECT is also used to treat catatonia of any cause, intractable OCD and unmanageable mania.ECT is useful in severe depression with high suicidal riski neglect of food intakepsychotic symptoms.Resistant depression where symptoms persist in spite of at least two adequate drug trials, not chronic depression which might be untreated or associated with organic conditionssocial stressors is the indication for ECTEndogenous depression is the one which occurs without any reasonable external stress and have strong genetic component.Reactive depression, as the name i ndicates occurs after a stress and usually subsides once the stressor is removed. It responds well to psychotherapy not to ECT.Typical symptoms of depressionPersistent all the time andPervasive across any situation sad mood.Decreased appetite with weight loss andInsomnia.Atypical depression is characterized bySad but reactive mood with positive stimuli one feels betterIncreased appetite weight gain,Hypersomnia andIncreased interpersonal rejection sensitivity hypersensitive to remarkscriticisms.It is usual 1 y seen in adolescent females, often associated with thyroid dysfunction.SSRIs, MAOIs Mono Amine Oxidase Inhibitors work better hut not TCAs Tri Cyclic Antidepressants. 