I'm thinking of taking the step and getting electroconvulsive treatments. The problem is, I know the results are not as rosy as doctors portray them. I know people can have permanent cognitive damage from it. It scares me, but I don't think I have anything left to try. I've suffered from depression most of my 43 years, and have had an absolutely miserable, empty life, and no medication or therapy has worked. Suicide is also an option, of course. People don't understand the concept of not enjoying anything. They say, "What do you really want to do?" or "What do you like doing?" when I say I'm miserable at work. They just don't get it.