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Role of modified electroconvulsive therapy (MECT) and non-invasive brain stimulation (NIBS) in the management of bipolar disorder MECT is a well-established, effective intervention that is widely available in India.[70,236,237] Among patients with BD, it can be used for all phases (manic, mixed, or depressive) of illness, particularly when episodes are severe, psychotic, catatonic, suicidal, stuporous, or warranting a rapid response

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