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Pathological gambling is a disorder, the prevalence of which has been increasing continuously and it cannot be diagnosed easily. It can also be treatment resistant and restricts the individual's life increasingly. In studies related to pharmacological treatment of pathological gambling, SSRIs, mood stabilizers, antipsychotics and naltrexone have been used. In all these alternatives the response rate is below expectations. In the literature, there is no discussion about the use and results of ECT treatment of pathological gambling. Here, a case that has been diagnosed with pathological gambling and that received ECT treatment will be presented.