Hi Daonnachd, In coping with my own bp and anxiety, I have sometimes used the same reasoning as you are using. I have tried it over and over again that I should now be able to cope OK because of what I have learned and try to practice. The problem is that works when I am stable and can cope rationally. But my experience and my self-help and coping skills are overwhelmed or forgotten or not effective when I am overwhelmed or stressed out or off into mania or deep depression. Then I am not able to cope rationally on my own. My therapists and PMHNP's have then been crucial for me. I wish there was a med or a treatment that would help me--but so far, they have either been ineffective or I couldn't tolerate them.

If ECT and your therapist work for you, I hope there is some way you can continue with them.

Sending good thoughts your way!