I've been depressed since I can remember. Looking back, I was depressed as a small child. I've been on various antidepressants for over 10 years, have a vegal nerve stimulator implant, have been in therapy for the better part of 25 years. I've read many books about depression, have been hospitalized. I have so much I am grateful for in life, I practice CBT, etc. I am being considered for ECT. I try not to feel hopeless, but I am experiencing the worst depressive episode with no specific trigger.... no breakup, death, etc. I have been in an outpatient program for the last two weeks, and have started an MAOI. It is frighteninng to realize how fragile I was. I'd been doing well for several years and have reached a low I never thought I would see again.

Anyone with decades of similiar experience? Have you tried ECT?