What good news and bad news have you heard? I'm curious what makes you leery of it.

Remember, everyone reacts differently to different meds/treatments. What works for one person might not work for another person. For example, some people with bipolar disorder swear by Latuda, but I found that it made me gain weight and made me way too tired. Not to mention it did nothing for my mood, either.

If you're hesitant about Spravato, another medication option for treatment resistant depression is atypical antipsychotics like Rexulti and Abilify. Has your doctor discussed that route with you? Although I have a diagnosis of bipolar I with psychotic features, my psychiatrist told me that he has some people with unipolar depression taking a mood stabilizer to help with depression, and they seem to like it.