Sorry to hear that you are not feeling so well. By all means go inpatient if that is what is needed. During my worst depression I was hospitalized and underwent several ECT treatments. It worked better than any med I've been on, but due to the risks involved I only mention it as a last resort. Keeping in mind that ECT is usually for when meds, exercise, meditation, other self-help, etc, has not worked. I imagine you have tried these things and more in the past. Something to consider, if your depression ever affects you to the point of not functioning well.