Hi , thank u paranoid android , I am considering parnate myself as I heard it's working good for the very deep depression types witch I have , well unfortunately ketamine is not availible in the country where I live ( Sweden ) otherwise It would be my first treatment of choise Cuz I am really tired of trying diffrent meds with no benefit at all ! Anly worsen ! I have gave a shot to most treatment you mention here Like antipsycotic and SSRI and Snri's wellbutrin ,The stimulants (vyvanse . Ritalin , conserta ) , no need to mention that my case is a very complex one and it's perfectionist narssicism related along with PTSD witch made it a louded gun , but TCA and MAOI are the types that I haven't tried yet , I don't think I would ever try TCA's Cuz to me they sound very much like ssri or Snri's . So will see , please Let me know if you had any other idea , Have a good one !