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A 71-year-old woman is receiving right unilateral electroconvulsive therapy three times a week for melancholic depression. After the fifth treatment she is eating again, is visibly less retarded and says her mood has lifted. However, she is now disoriented for several hours after each treatment, and her husband reports she cannot recall a family visit that took place three days ago. She is medically well, and takes no benzodiazepine, lithium or antiepileptic. Which one of the following adjustments to her electroconvulsive therapy is most appropriate?
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