What must be obtained each time before a patient receives ECT?

The requirement for obtaining the patient's consent before administering Electroconvulsive Therapy (ECT) is rooted in the principles of informed consent and patient autonomy. Informed consent means that a patient has been provided with adequate information regarding the treatment, including its potential risks, benefits, and alternatives, and has willingly agreed to proceed with the treatment.

In the context of ECT, which is a significant medical procedure often associated with various side effects, it is crucial that the patient comprehends what the treatment entails and is comfortable with the decision to undergo it. This process not only respects the patient's rights but also fosters trust between the patient and healthcare provider.

While other options might involve considerations in the treatment process – such as insurance which impacts financial aspects, family input for supportive decisions, or a doctor's recommendation that may guide medical practice – the core ethical requirement focuses on the patient's personal consent. Consent ensures that the patient is an active participant in their care, which is fundamental in medical ethics and legal guidelines.