The study will be a prospective, randomized, double-blinded placebo-controlled clinical trial. The subject population will consist of patients undergoing first time electroconvulsive therapy, ranging in age from 18 to 80 years. Subjects will be given a Mini-Mental State Examination at the time of their presentation for ECT to assess their cognitive ability. If the patient consents and fits the inclusion criteria, patients will be randomized to one treatment modality, which they will receive for the first three treatment sessions. The subject and the person collecting the data will both be blinded as to what treatment modality the subject belongs to. The patients will be divided into two groups, Group 1 and Group 2. Group 1 will be treated with IV ibuprofen 800mg/8ml given over 30 minutes, prior to induction for ECT; while Group 2 will receive an identically appearing placebo dose, also administered IV, over that same time period. Both groups will receive a standardized anesthetic consisting of methohexital at 1 mg/kg IV for induction and succinylcholine 1 mg/kg IV for muscle paralysis. Other medications (eg. anticholinergic or antihypertensive drugs) will be administered at the discretion of the anesthesiologist. ECT will be administered by the psychiatrist in order to achieve a seizure with a motor component of > 15 second duration. Patients will be transported to the recovery room for post-anesthesia care. Rescue analgesics (Tylenol 500mg PO, Tylenol with codeine 300/30mg PO, Fentanyl 25 mcg IV) will be available to any patient with complaints of myalgia or headache pain of VAS >4.