I just posted a thread titled ketamine but I thought this might catch more attention to answer my question. Since there is no test to measure the degree of someone's pain and suffering and misery of depression, how do doctors determine if someone is depressed "enough" to get certain medications and treatments (ketamine, ECT). For instance just because I have a job and can function how can someone tell me I am not as depressed as someone else? I have an extremely difficult time functioning and am in a great deal of misery and feel like my meds are not effective. I really just want to try a ketamine injection to get some immediate relief as I just went through a trail of abilify and had a horrible reaction. Thanks for reading, I hope this makes sense my mind is kind of jumbled.