There are few reported convincing cases of hyperthyroid depressed pati
ents receiving electroconvulsive therapy (ECT). We describe a depresse
d 66-year-old woman with catatonic depression diagnosed with new-onset
hyperthyroidism due to Grave's disease. After commencing propylthiour
acil, her Grave's disease was partially treated, but her depression wa
s no better. She subsequently received a course of seven ECT with reso
lution of her depression and no adverse sequelae.