Posted by jono_in_adelaide on January 17, 2013, at 0:27:45
Dont worry, I'm not stalking you!
After reading what treatments have and havent worked for you in the past, it seems as though you have had some sucsess with Zoloft, so, before going down the path of ECT, could i suggest that you
- Go back on Zoloft, and push the dose above the "usual" 50mg to 100-200mg/day
- Augment the Zoloft with either Nortriptyline or Welbutrin, both of these hot noradrenalin, which is especialy indicated in endrogenous depression. Nortriptyline helps anxiety to some extent as well, because of its activity at the 5HT2A receptor. Welbutrin might be more "activating" and give you kick start if you need it.
I would definatly urge you to try either of these stratergies before having ECT (or try both, pick one and give it a decent trial, if that doesnt work, trial the other)