I have read in several places that ketamine is a miracle drug for some people with treatment resistant depression. If I could find a nearby place to try it, I would do so. Just my opinion. But if ECT didn't last and changing drugs is a crap shoot and involves day treatment I think I would not give those another chance. But again, that's me. I've tried so many drugs that haven't worked...

What would they do if you were inpatient? In my experience they just change up all your meds and send you home without the meds having had a chance to work. But maybe that is just my location/MI/insurance.