To piggy-back a little bit off what
@JDot said, I think a gratitude journal sounds like a wonderful idea, and a very effective tool, in helping to balance out the negative thoughts and distortions going on in our brains. . . A long time ago, I knew a psychology major who got her degree from Harvard. At that time, I was highly highly suicidal —(& actively thinking of it & such...); but anyway, what she told me to do at the beginning of each morning was something akin to this thing that
@JDot is mentioning, except that it was more of a verbally expressed thing. In other words, I forget if she recommended coming up with like 3-5 positive things to say about yourself before you begin, or start each day. And to repeat them to your self out loud - the bathroom or bedroom. Wherever you may feel most comfortable. Like just a regular journal, you may think (as I did at the time), that it doesn’t sound all that great, maybe even semi tacky, and start to wonder how it could possibly be, or do any good? But low & behold, it was very effective for me, in combating some of the things that normally were present, or accompanying me on my journey as I rolled out of bed - & out the door on the regular! : )
now on ect, yes it is a very personal decision. And not one without controversy. However, as
@may71 was mentioning, it’s not like you see in the movies, nor is it supposed to have profound effects on one’s memory - long term. Almost everyone experiences short term memory loss however, and so that is why you are typically inpatient for two weeks, as an example, while you get maybe apx a treatment a day (perhaps they take the weekends off / or feel if you need a break some where in there, another day off . . .) they conduct memory tests throughout and match those scores or results with your initial (baseline - prior to the beginning of the course of treatments...) so it is very easy to see what kind of an effect it is having each and every day, with each progressive treatment. They’ve found that it is necessary to have this number or sequence of them, for the maximum therapeutic effect (as opposed to fewer). Now once you’re through with that, then you typically would need to either return on much lesser occasion (out patient), for what s known as “maintenance ect,” that might be more like once a week or something, to help prevent a relapse of the worst depression, crisis, suicidal ideation a, etc. Or- in the absence of that - or sometimes in conjunction, an antidepressant (maybe it’ll work better after this?) I don’t have the answers, certainly want to consult your psychiatrist, and hopefully one that knows about this (mine was one of the top docs in town & at the time, one of only two who did it - they now have a bunch). I have not done it - but it was recommended as an option at one point while in patient, given my treatment resistance to the medications (antidepressants), and strong suicidal thoughts, etc.
Yes you are put under for the procedure. They have you keep journals while you’re in the hospital, just so you can remember small things, as I said, it usually effects more short term memory. Meaning it will eventually come back. It can be a lifesaving thing, so I’d say when it gets to that level or place - that you are seriously considering ending your life... then it is most certainly something worth considering. It’s been a while, but when I was considering it, the theory was that the temporal lobe seizures induced by the shocks, are what help to bring the relief from the depression. But don’t let that bother you - all that matters is if it works! : ) so while I have not made the choice to do so, I don’t hold it against anyone who has. And I have met some who have had great success with it. I have also read about others who have not. Again, all the more reason to consult with your doctor, and find out if they are comfortable/qualified in making this assessment, or if they could refer you to someone (specialist) who is... I mean, you could come out and ask them if they themselves administer it (although a lot of times there just in the room observing while someone else does it), but that’s not necessary, and you don’t want to insult them. :^) 😉 good luck ! 🍀 👍