The historical context of electroconvulsive therapy (ECT) continues to impact present day mental health laws and clinical care. This case-based presentation will explore how ongoing stigma towards ECT and clinician discomfort with treatment over objection can present significant risks to vulnerable individuals who lack capacity and refuse psychiatric care. It concludes by proposing a path forward, one where enhanced collaboration between psychiatry and ethics may serve to promote standard of care clinical practice while alleviating clinician moral distress. 

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TRANSCRIPT
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