Electroconvulsive treatment (ECT) is an effective form of treatment for severe depression, acute mania, and certain schizophrenic syndromes (1). In this report we present a patient in whom ECT instituted for depression resulted in relief not only of the depression but also of coexisting akathisia. A literature survey revealed one other case in which akathisia, in association with parkinsonism and tardive dyskinesia, was relieved by ECT (2).Akathisia develops in ∼20% of patients who receive neuroleptic drugs (3). Because akathisia is often very distressing and drug treatment disappointing, the beneficial effect of ECT on akathisia may be of therapeutic interest.