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| ECT | Medications | Energy/charge | Motor/EEG response | Clinical response |
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| 1 | Ziprasidone 60 mg twice daily, lamotrigine 200 mg before bed, and lorazepam 1 mg three times daily | 25% bifrontal
128.9 mc | 1 sec motor/36 sec EEG | Improved verbal response for 30 min and then back to catatonic state. Throughout the day, patient became more verbal and coherent and even expressed humor. |
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| 2 | Identical regimen as time point 1 | 40% bifrontal
204.2 mc | 10 sec motor/40 sec EEG | Less interactive, disoriented, with repetitive movements. |
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| 3 | Identical regimen as time point 1 | 50%/75% bifrontal1
258.7 mc | 1 sec motor/7 sec EEG
5 sec motor/48 sec EEG | Less energetic, increasingly drowsy, minimal interaction, decreased sleep, and pacing hallways. |
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| 4 | Ziprasidone 60 mg twice daily,
lamotrigine 150 mg before bed, and lorazepam 0.5 mg three times daily | 75% bifrontal
377.4 mc | 33 sec motor/56 sec EEG | Very drowsy, psychomotor retardation, decreased sleep, waxy flexibility, and increased speech latency. |
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| 5 | Ziprasidone 80 mg twice daily,
lamotrigine 150 mg before bed, and lorazepam 0.5 mg three times daily | 75% bifrontal
376.1 mc | 21 sec motor/29 sec EEG | Much more engaged, aware, conversational, and oriented to situation. |
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| 6 | Ziprasidone 80 mg twice a day,
lamotrigine 150 mg before bed (held before ECT), and lorazepam 0.5 twice daily | 100% bifrontal
502.4 mc | 19 sec motor/34 sec EEG | Waxing/waning mutism, repetitive movements, and psychomotor retardation. |
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| 7 | Ziprasidone 80 mg twice daily,
lamotrigine 150 mg before bed (held before ECT),
and d/c lorazepam | 100% bifrontal
503.2 mc | 19 sec motor/34 sec EEG | Improved but still with low energy and very drowsy. |
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| 8 | Ziprasidone 40 mg am/80 mg pm, lamotrigine 150 mg before bed | 100% bitemporal
502.9 mc | 11 sec motor/56 sec EEG | Regaining energy, more engaged, with improved affect. |
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