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Old-school Anti-depressants

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Has anyone had any success on the older anti-depressants, like TCAs or MAOIs? How many newer meds did you try before your doc prescribed them?

I was on Lexapro, then it stopped working (or my stresses overpowered it), added some AAPs, no help, now I'm on Effexor and just added Lithium. Been a week on the Lithium. No help yet. I'm just curious what the doc is gonna do next if (hopefully not) the Lithium doesn't beef up the Effexor (which was doing basically nothing anyway). 

Part of me wants to quit goofing around and go straight to the nuclear option: ECT. Not sure how many more drug trials I can handle with no relief. Thanks :)

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