I've heard of it being used relatively quickly in cases where the patient was extremely despondent or suicidal, but I'd still consider that a last resort. Haven't heard of it being approved based on a patient's request, though, unless the patient would otherwise qualify. Would you be willing to elaborate on those cases?
And yeah, sure hope it doesn't look like the movies...
We offer vacation packages here in Florida to have ECT.
Jackson Memorial: offers both inpatient and outpatient
http://www.jhsmiami.org/body.cfm?id=163
This is the Cleveland Clinic which has a couple of hospitals in Florida now. They of course give all the disclaimers just like bariatric or Lasik surgery. But, if you neighbor had it done and it worked wonders, I'm sure you can get referral.
http://my.clevelandclinic.org/services/electroconvulsive_therapy/hic_Electroconvulsive_Therapy.aspx
We also have the famous Coral Ridge Psychiatric Hospital which is now Atlantic Shores. It catered to many famous clients over the years.