Texas (population approximately 25 million) is one of the few states in the US that collects and publishes statistics on the use of electroconvulsive therapy. The latest statistics (for the year 2009-10) can be seen on the Texas Department of State Health Services website. There were
2,002 2,202 reports of ECT in 2009-10, a report being a course of ECT or someone undergoing maintenance ECT. As the statistics are collected quarterly, and some people have more than one course of ECT in a year, the actual number of people is somewhat lower.
Texas has been collecting statistics on ECT use since 1993. In the first 19 months of reporting there were 2,583 reports (about 1,632 a year). The number of annual reports remained fairly stable over the following decade ( 1,559 in 2002-3). The latest figures show an increase, even allowing for the fact that the population of Texas has increased by 18.8 per cent in the past decade according to the US census. The increase in ECT use is entirely accounted for by younger people, that is those aged under 65. In 1993-5, nearly 50 per cent of ECT was given to people aged over 65. According to the latest figures (2009-10), only 19 per cent were over the age of 65. There has actually been a decrease in ECT use on older people in Texas, whilst its use on people aged under 65 has risen.