Novel approach to managing severely labile blood pressure during maintenance electroconvulsive therapy in a man with psychotic depression and Parkinson disease.

Electroconvulsive therapy cannot proceed safely unless blood pressure is within the reference range. Finding the cause of very high or low blood pressure can be very difficult, time consuming, and expensive. We suggest a more valid and reliable time to check blood pressure. This is highlighted in the case of a man that became riddled with iatrogenic complications and needless treatments.