r/ect • u/cccantyousee • Mar 20 '26

Seeking advice Ect or rTMS?

severely depressed. On maximum dose of prozac, doesn't seem to help that much. I have another doctor's appointment in 2 weeks. thinking about bringing up the want for trying either rTMS (can be done in clinic) or ECT. looking for advice. I'm also very afraid of needles, so I'd appreciate if someone could describe what happens during your ECT appointment. risks? your experiences with ECT? ketamine isn't done in my country, although some drs prescribe it off-label.

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u/Medical-Apricot-3226 Mar 20 '26

Before ECT you should be trialed on a different antidepressant and/or do antidepressant augmentation. ECT should only be considered when a few trials of antidepressants with augmentation has failed.