They view this not as a true disorder but as some kind of weakness of character, and if only they could just pull themselves up by their bootstraps they would be fine,

And for them, asking for help is a sign of weakness. When in fact, they've asked for help many times in their professional careers to solve problems.

They unfortunately depicted ECT in a barbaric, primitive and completely unrealistic view,

So they tend not to take as good care of themselves, both physically and psychologically, and in the end that takes a toll,

ECT works in many patients in which anti-depressants don't work, ... ECT works faster than anti-depressants, and after 40 years we still don't know exactly how it works.

They drive themselves inordinately more than other individuals do.