Hello, friends! In this episode, I tackle one awesome question from a listener. This person has treatment resistant depression and bipolar. Their mania is well-controlled, but they need a higher level of treatment for the depression. Their psychiatrist suggested either ketamine of electroconvulsive therapy, so in this episode, I break down everything you need to know about these treatments.   As always, you can send me questions to duffthepsych@gmail.com.