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[quote=Anonymous][quote=Anonymous]Look into trans cranial magnetic stimulation therapy. It’s not cheap but insurance covers in most circumstances if you have a history of refractory depression and an inability to maintain SSRI therapy due to side effects.

I was profoundly depressed- just as you describe - for a number of years during perimenopause thanks to years of insomnia and health issues which impacted my career and life in general. I went to a psychiatrist who was head of department at a hospital near me and we discussed ECT, which I knew about but was very concerned about the side effects as most people I know who have had it lost a lot of memory. He told me about TMS and referred me to a local facility - he’s trained in the therapy himself but the hospital had not yet launched treatment protocol.

I ended up doing two rounds about a year apart - my brain was really fried so I think I needed extra recharging. But the treatment is very easy to tolerate, no side effects to speak of, and is highly effective in a large % of patients who complete it. It saved my life and my brain is so healthy now (doing all the self care to maintain, sleeping, sunlight/lightbox daily, good diet, exercise, etc.) that it is hard to believe how much I wanted my life to end not so very long ago.

Highly recommend![/quote]

PS - forgot to say that HRT restored my sleep and alleviated a lot of other perimenopausal symptoms that were distressing my life, but by itself it wasn’t enough to kick a profound depression. That’s why I got the TMS. [/quote]

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