Abstract: Despite of the debates regarding the procedure and side effects of ECT it is used as an effective and safe treatment of many severe mental disorders (Janicak et al.1997, Weiner 1994, APA 1990) Studies on the clinical efficacy of ECT reported that the clinical efficacy of ECT is affected by many factors such as stigma, Knowledge and attitude towards the efficacy and safety of ECT procedures. (Malcolm, 1989, Johnstone, 1999). There are very few researches on knowledge, attitudes and perceptions of ECT among the patients and their care givers in India. Aim The present study was an attempt to estimate and compare the knowledge, attitude towards ECT among psychiatric patients and their spouses.