Electroconvulsive therapy is one of the fastest and most effective methods to treat severely depressed, suicidal, psychotic or manic people, and so safe that it is used in pregnant women and elderly people when medications are not feasible.  ECT has gotten a bad reputation, mainly due to Hollywood, but methods have vastly improved over the years and it remains the gold standard for severe depression treatment.  Although Dr. Conway does not provide ECT in office, she can quickly get you referred to a provider.