Let me comment on ECT. I have had two rounds of ECT and it worked very well for me. However, some people to have serious long-term issues with memory and cognitive problems as a result of ECT. It really is a bit of a crap shoot. No one can predict how any person will respond to ECT. Would I do it again? Yes. Because for me it has shown to be helpful for me. I just think you really have to do your research on it before you consider ECT as an option.
I had my ECT because I was hospitalized with severe suicidal depression that was not responding to medication quickly enough. Long-term hospitalization was being considered, and that just wasn't an option for me or my family. The ECT improved my mood and made it safe for me to return home in a matter of days instead of being in a hospital for possibly months. Personally, that is the only circumstance under which I would consider ECT.
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