Thanks everyone. The appointment went okay. He talked to me for about an hour. He is going to recommend first that my pdoc up my thyroid to the point of making me hyperthyroidic for a few months. Sometimes that will kick things in gear. He would like to see me in an IOP program to work on my abuse issues. I don't really agree with that one as I have done much work on this already and really feel most of that is behind me now. He just kind of honed in on that. Third, he is recommending TMS. He thinks there is a good chance insurance might pay for it as I've had ECT in the past and so many hospitalizations. Of course if insurance won't pay, that's a moot point.

I'm not sure what else he recommended. I'll find out more tomorrow when I talk to my therapist (he works in the same office and will have the report). He did ask me several times about ECT and provigil (I've never been on provigil). I'd be willing to do ECT if it wasn't right in the middle of school. I don't see how I can do ECT and work at the same time.

I'm left not feeling terrible hopeful. This pdoc has a very high opinion of my pdoc and trusts his judgement which is nice but leaves me with no earth-shattering possibilities for improvement.

Maybe I'll feel differently after I see my regular pdoc on Monday.