I would avoid ECT but that is my personal position. The negatives out weighed the positives for me. I was one of the lucky ones that had memory problems for over a year. I have done IV ketamine and that had some positive effects. There is also TMS that I have not tried yet. Instead I decided to try clozapine as a last resort. The weekly blood tests are a pain but it has worked better then anything else I have tried in 6 years however then think I am having side effects and might have to stop it. It is not easy going alone.