That makes sense too.

Is it possible to get a 2nd opinion from a pdoc at UM before undergoing ECT or before you have to make that decision? I know that going to a big hospital has opened up some options for me I wouldn't have had otherwise. I just know that if there were one more med or combination option that might not have been considered (and it does sound like your NP has tried really hard to find that out) I'd want to know. Even at the big hospital when things got really bad my pdoc consulted 2 other pdocs to see if they had any ideas before I had to do ECT. Which someone did and while their suggestion didn't work out it led us to clozapine which has worked and I've avoided ECT after all.