Forced normalization's converse as nature's model for use of ECT in the management of psychosis: An observational case series

Though electroconvulsive therapy (ECT) has long been utilized to treat mood disorders, it was originally developed to treat psychosis. Our two case reports demonstrate that for patients who experience the converse of forced normalization, ECT may be a logical therapy for their psychosis. Patient 1, a 14-year-old male, and patient 2, a 27-year-old female, each experienced debilitating psychosis, which largely cleared following one seizure and two events thought to be clinical seizures, respectively. We would argue that ECT, as a medically controlled seizure, continues to be underutilized to treat psychosis, particularly in cases of forced normalization and its converse.