Hello! Welcome to HealthcareMagic!
According to your history, he's suffering from depression
, mostly treatment resistant depression. For that :
1) First of all, we should re-check the diagnosis. So, patient history and complaints should be thoroughly interviewed again.
2) If the diagnosis is correct, then, check the dosing of medications and trail given for each anti-depressant. Normally, we give a trial of 2-3 months to look for medication working or not with enough dose. For example, you said you are presently using tab Lexapro 10mg. Here, the dose trial ought to be at least 20-30 mg for a minimum duration of 3 months. If it fails, we shall switch to another antidepressant mostly SSRI.
3) If switching of drug fails-- we can go for combination of two antidepressants OR combination with adjuvents like Lithium or Thyroxine
OR Electro-convulsive therapy as you said.
4) But, there are other choices like cognitive behavior therapy and relaxation techniques
5) I also recommend that you investigate for thyroid
profile and other organic causes that should ought to be ruled out.
Hope that clarifies your concerns. Thank you for the query.
Dr. Bhagawan Rajana, Psychiatrist