You may want a second opinion regarding the ECT. From personal experience, McLean Hospital is the best location for ECT and has some of the best doctors. Perhaps you could call and ask for a phone consultation? The other very promising option, which has shown to be just as effective or more effective in some cases is ketamine infusions. There is a Dr. Keith Ablow that has a location in Newburyport, MA. You may want to call for a consultation a to a referral to a local doctor in your area. There are also allot of other locations, but it is very promising and done via IV / safe. In addition, Deep Brain rTMS is another alternative to rTMS, but the Ketamine Infusions has helped many as a very fast agent to relieve depress for several days. I hope some of this helps