my psychiatrist is running out of ideas - i'm now off most of my meds and will be for 2 weeks, after which i will start on an maoi. i have no hope that it will work... nothing else has. he said that if the maoi doesn't work, ect would normally be the next step - but it didn't really help me before - caused me to have ptsd, gave me memory loss which has not come back in over 6 years, and i flat out refuse to do it again. this left my psychiatrist no choice but to suggest vagus nerve stimulation if the maoi doesn't work. HOLLY CRAP! am i that messed up that the only possibility left is a form of brain surgery?!? i just want to curl up and die! i'm going to explode! i haven't really thought about this since my appointment - it's just sinking in now. for those who don't know, vagus nerve stimulation is when they put a pace maker type control in the chest with an electrode that goes to the brain and sends electric impulses to the brain that some how fights the depression. i know that i'm not describing it well, but that's the general idea. life sucks! i just can't do this any more... i don't WANT to do this any more! this is just too much for me to handle...