Electroconvulsive therapy (ECT) is an effective and safe therapeutic modality used in the treatment of various mental disorders. Despite its efficacy for acute episodes of disorders is unquestionable, ECT is frequently discontinued after the acute symptoms have revealed. When a patient has a remission with ECT, the continuation ECT treatments are commonly termed as either Continuation-ECT (C-ECT) or Maintenance-ECT (M-ECT). The differantiation of these two treatment modalities are not clear in the litreture. In this presentation we will discuss mainly the M-ECT procedures and the practice in the world especially in Turkey.