Abstract: An ElectroConvulsive Therapy (ECT) device for generating a series of electrical therapeutic pulses for delivery to a patient to cause a seizure includes a user interface configured to accept one or more therapy settings from a user, a therapy generator configured to generate the series of electrical therapeutic pulses, and a therapy delivery system structured to apply the series of electrical therapeutic pulses to the patient. The ECT device further includes a power monitor configured to measure average electrical power that is being delivered to the patient through the series of electrical therapeutic pulses in real-time during a treatment session, and to cause the therapy generator to cease operation after a predetermined threshold level of average electrical power has been delivered to the patient. Related methods are also disclosed.