there are more ways than that. Prozac is an SSRI. Usually when you fail an SSRI, the next thing to do is to try another SSRI, and/or move on to an SNRI, or try a dopaminerigic agent such as Welbutrin. For even more resistant depressions, there are TCAs and MAOIs that are further down the line a the cost of more side-effects. There are also multiple adjunctive therapies as well. You mentioned lithium and atypical antipsychotics, but AED （antiepileptics）such as lamotrigine are different but also common adjunctive therapies. Furthermore, medications and CBT together work better than either one alone. This field is far more expansive than just what you and even what I just mentioned. ECT is usually the last resort, and I suggest you consider widening your net before you consider resorting to that.
抱抱你，人生不过一场游戏，要以娱乐自己和锻炼自己的心态来活着，活得太过认真，我执太重，会失去游戏的乐趣的。 生活就是jewels hidden in a pile of sh*t, 心情不好的时候，你会只看到sh*t，忘记生活美好的一面。多focus on the jewels in life, 做做meditation，多晒太阳，多接触小动物，去做志愿者帮助有需要的人。 每个人的生命都有自己独特的意义，这个意义也许直到打到游戏通关你才明了，所以在游戏进程里，要好好照顾自己，坚持吃药，坚持心理咨询，坚持self-care。Big bless! +1
ECT is usually the last resort, and I suggest you consider widening your net before you consider resorting to that.
做義工，幫助別人的過程自己才能從shadow中解放出來。
顶这个道理
+1