Abstract
Stimulus parameters in electroconvulsive therapy (ECT) are believed to have unique neurobiological effects and affect its clinical outcomes such as efficacy, seizure threshold, and cognitive impairment. The author argued the significance of optimizing stimulus parameters including pulse width in electroconvulsive therapy and overviewed recent findings regarding right unilateral ultrabrief pulse ECT. The author also proposed that adjustment of pulse width can be an augmentation strategy in case of missed or inadequate seizures.