Electroshock can also be fatal. Estimates of ECT-related death rates vary widely. Professional journals are disinclined to publish reports or studies of ECT-related deaths. Not since 1957 has any journal published a large-scale study of ECT-related deaths (see in the text Impastato’s first entry in 1957).
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Individuals with bipolar disorder often spend many years seeking professional help and may get from three to four diagnoses from doctors before receiving a correct diagnosis. Early diagnosis is important as it can lessen the effects of the disorder on the individual. Individuals with bipolar disorder have an approximately 75-80 percent risk for alcohol and substance abuse. Marital fluctuation, chronic unemployment, and suicide are also prevalent.