You have a psychiatrist that followed your treatment through inpatient. It doesn't make any sense to go see someone who doesn't know you or your history. Your psychiatrist may have a very good reason for not putting you on an antidepressant during ECT. I suggest you call him and ask. As far as work is concerned, how much time have your missed? How much leave are you allowed? Do you have an FMLA? If not you should probably get one if you meet work eligibility. It will save your job. At your next psychiatry appointment talk to him about approving an FMLA for you. Have the paper with you. He can do it between sessions. It's a short document. HR will have to read it...FYI.