Just wanted to add a positive perspective on ECT - I don't recommend it to people who have not tried many medications, but you definitely have. I have had ECT done as a last resort treatment for depression only, but I would not be surprised if it helps with mixed symptoms as well.

There are a couple of negative side effects that I noticed:

1. Temporary memory loss and the permanent loss of a few things (nothing major).
2. Temporary inability to remember what I read (I would need to read the same line a few times)

But aside from that, it pulled me out of a depressive episode where I was in bed all day, hardly eating, and not taking care of myself. I would do it again in a heartbeat if I ever went so low again, but as a last resort only due to the side effects. If you have tried most of the meds, I say definitely discuss it with your doctor and consider it as an option. If you do get ECT, be sure to write down important passwords and stuff in case you forget temporarily. Good luck!