Electroconvulsive therapy can induce mania. A recent change in the Diagnostic and Statistical Manuel of Mental Disorders, Fifth Edition classifies electroconvulsive therapy-induced manic episodes as a bipolar type I diagnosis. There are no current established guidelines to treat such condition. The following clinical vignette describes a vignette in which a manic episode occurred following electroconvulsive therapy treatment. This case report examines the potential benefit of prescribing mood stabilizers during the acute episode and for maintenance care.