My psychiatrist is at a loss of what to do with me as we’ve exhausted not only the first and second line medications but the fourth. The alternative treatments being considered are rTMS and ketamine therapy. I didn’t want to do ECT. I’ve seen it (nursing student) and it’s not up my alley. I’ve tried ketamine prior and I found it helped a LOT with my depressive symptoms and impulsivity. Just wondering if others have experience?