Other treatments for Depression are available but are usually unnecessary. They should be taken only under the close supervision of a Psychiatrist. MonoAmine Oxidase Inhibitors fall into this category. Lithium Carbonate has great value underspecifically defined conditions. Phenothiazines and other major tranquilizers are good for treatment of psychosis, but if yours is the usual MSer's Depression, you do not need tranquilizers.
Electroshock therapy is used by psychiatrists.
Since depressed MSers respond so well to Elavil, these other treatments are usually unnecessary. When compared to Elavil, the talking treatment and simple reassurance are ineffective. MS Depression is not caused by disordered life experiences. It is primarily the result of MS plaques somewhere in the depths of the Brain. The biochemical pathology of Depression is becomming better understood.