A 70-year-old man with severe MDD with psychotic features has lost 20 pounds in the past month due to food refusal, believing his food is poisoned. He is severely dehydrated and medically compromised. He has failed adequate trials of venlafaxine combined with olanzapine and sertraline combined with aripiprazole. His family is asking about electroconvulsive therapy. What is the most appropriate recommendation regarding ECT?