That’s a tough one. I know if you are at the point of ECT, which you have been for some time, that your symptoms must be severe. I also appreciate expensive costs as I have a private pay pdoc as well and the $150 a visit can be tough sometimes, especially when payment plans aren’t an option (was it you that told me you were paying $200...sorry but it’s been a while so I don’t recall who that was). I would discuss it in depth with your wife and take her opinion very seriously as it will also effect her. I would likely even toss the idea up with t and the pdoc. Who knows, maybe your t will have some ideas to help you get more out of therapy. All in all, I would say tread lightly. I would always recommend this but sometimes an extra reminder is needed. I don’t think you’re planning to jump into this. You wouldn’t have posted here if that were the case but no matter what, I’d just suggest being very cautious!