How about playing with the meds before ect? Will your doc allow you to add a new antidepressant? And get rid of lamictal? Wellbutrin never works for me. And lamictal made me so down (until I had an allergic rx to it and had to stop it). You should try an SNRI, like cymbalta. I know that when I am on just antidepressants and no mood stabilizers or antipsychotics it brings me out of depression fast. I do still use xanax during that time to sleep and keep the panic attacks manageable, but if I keep the dose under 1 mg it doesn't make me depressed. If none of this works then go for the ect- people say it is a miracle. Don't be scared! You are so brave to consider it- you can get through this! Best of luck to you.