Thank you Alpha. "Life is easily accessible but a good life is hard-won". Yes.
I think ECT is a good option for those who are open to it, and whose depression 'does not respond' to Rx/Tx. I was one of the One Flew Over The Cuckoo's Nest influenced. But at the same, I knew people (family) and patients while I was hospitalized with who underwent it, and benefitted. It just seemed to take a very long time to get cognition back. I was not willing to risk that.
I reached a point during a fifth depressive episode when I told my long-term Doc that it was so bad I wanted ECT. She was willing, but asked if I would try one more AD first. From the age of 17 until age 35, no AD had worked for me. Psych meds were limited at that time. Fortunately, the suggested AD (P A M E L O R) worked for me for about 5 years, when it pooped out. Prozac replaced it, and it has served me reasonably well. A 2 years ago hospitalization included a switch back to P A M E L O R, which resulted in toxicity. Back on Prozac, with Lamotrigine (Lamictal) added.
It annoys me when some people espouse that mental illnesses are merely imaginary figments. And that if they were real, Rx meds/Tx should resolve them.
There is no med, therapy, or vaccine to overcome and eradicate them.
Agree with you that ETC is neither crude nor dangerous. Mental illnesses tend to reoccur. ECT can alleviate some of the suffering of depression.
Again, I was aghast that a new doc would suggest ECT within the first few minutes of meeting me. It seemed dismissive. And felt shitty.