Hello. Joined here a few days ago. I have treatment-resistant Major Depressive Disorder and Social/General anxiety.
I've been in therapy and tried so many different medications over the past 12 years for depression, but at least once every 3 months, I start feeling severely depressed. I can't get out of bed and I have to miss work.
With my most recent episode, my psychiatrist is wanting to add Rexulti. I'm currently on 20 mg Lexapro, 20 mg Adderall (prescribed off-label for depression and lethargy), and 4 mg Klonopin.
I don't tend to get my hopes up with new medications, because at best I only notice minuscule improvements. I'm trying to decide if I should go ahead with Electroconvulsive Therapy since it seems to be among the treatments with better success rates for depression. It sounds like that would put me out of work for at least 5 weeks, which would be worth it if it was a success, but at the same time makes me really anxious about all the work I'd have to miss. And I worry that it would all be for nothing if it doesn't work.
I've also been considering Transcranial Magnetic Stimulation. It seems like it might not have as great a likelihood of success as Electroconvulsive Therapy, but I'd be able to keep working, just missing a couple of hours a day during the treatment, and I wouldn't need to have someone with me 24/7 for the several weeks of Electroconvulsive Therapy. But if ECT has a better response rate, I don't know that it would be worth going the TMS route in the long run.
Has anyone had a similar background and had success with either Rexulti, TMS, or ECT?