In this engaging conversation, Dr. Christina Miller, an expert in anesthesia for Electroconvulsive Therapy (ECT), dives into the historical evolution of ECT and its effectiveness in treating severe depression. She discusses essential anesthetic strategies and protocols, emphasizing the importance of patient safety during the procedure. The interplay of hyperventilation and recovery is also explored, alongside the role of adjunct medications for optimal outcomes. Through her insights, Dr. Miller highlights the critical collaboration between anesthesiologists and psychiatrists in managing complex patient needs.