For me the reality is that ECT cannot be worse than medications. I will remain medicated regardless but I have been on enough meds and so many doses of most of them and have had severe, dangerous reactions to a lot of them. I am grateful that I have made gains from meds and that meds have done what they have for me (not that much but better than nothing). But meds are not easy for me and I'm simply running out of options. So while I know that ECT has problems they just aren't worse than any I've faced otherwise. It's another in a long list of things to try and if it causes problems it is no different than all these meds. At this point I feel I can keep trying the meds that are left over and over but I will continue to have severe side effects. So I'm ready to try it and consider it no different than trying another of the remaining highly likely to cause major problems medications left on my list.