Depression and psychosis came out of the blue for Berlinda, who found herself in A&E after trying to kill herself with various means. She is lucky to be alive, probably due to the excellent reflexes of a driver whose car should have driven into her. Admission to hospital was proving impossible due to lack of beds. Recollections from the hospital stay are patchy and are supplemented by the accounts of friends and relatives. More self-inflicted injuries followed, and the situation was getting out of control. When ECT was mentioned after a long time, Berlinda was sceptical of it as she thought that nothing would help her. And then everybody noticed an almost immediate relief of her symptoms. Berlinda has remained completely well since and started taking part in inspections of ECT clinics for the ECT Accreditation Service.