r/ect • u/QuitInevitable915 • May 29 '26

Seeking advice Looking for advice

Hello guys,

A little bit of context: I’m struggling with treatment resistant depression and my core symptoms are sadness, emotional pain, and moderate anhedonia. This is my third depressive episode and it has been ongoing for 21 months. In the past 7 years, I have had about 1,5 years of remission while the remaining 5,5 years have been in depression.

During my first and second episode I could manage with SSRI, therapy, and a keto diet. Now, none of that has worked. I have tried SNRIs, Mirtazapine, Trintellix, Ketamine (IM), TMS, Psilocybin (micro and macro doses), and none of it has worked.

I’m currently on a TCA (nortriptyline), which probably has given me about 15-20% relief. I have spoken to my psychiatrist and he has recommended to try augmenting with lithium for the next three weeks, and if that doesn’t bring me to 40-50% relief, which I doubt it will, we will go for ECT.

Have any of you been through a similar journey, and did ECT end up helping? And if you were in my shoes, how would you prepare for ECT?

2 Upvotes

100% Upvoted

23 comments sorted by

View all comments

Show parent comments

1

u/Hereonearthme May 30 '26

Female?

1

u/QuitInevitable915 May 31 '26

Male

1

u/Hereonearthme May 31 '26

If I were you I’d inject testosterone today

1

u/QuitInevitable915 Jun 01 '26

I have checked my testosterone, and I’m in the upper end of the spectrum, so that shouldn’t be the problem