I seem to spend from usually mid-October through late April depressed (S.A.D.), many,many meds without a stable winter yet. bummer. :(  Usually spring has a 50% or so improvement; with 2 hypomanic & 1 manic phase in 12 years.I spend much time reading on latest meds & therapies. Shrink has been tweaking med cocktail since late March to no avail yet. Why isn't he as FRUSTRATED as I?  Nothing has helped in ages.  I'm starting to give up hope.  I don't feel the need to be hospitalized; just stuck in a deep dark quicksand which used to be an upward staircase.  I wonder if I should ask for ECT?  anyone who reads this with good advice; I'd welcome it.  I'm growing weary.