A 27-year-old woman with major depressive disorder (MDD) was recently admitted voluntarily to an inpatient psychiatric hospital. Upon discharge, she is referred to a psychiatric-mental health nurse practitioner for follow-up. The client says she has tried several medications for MDD, but so far none has worked. The PMHNP recommends electroconvulsive therapy (ECT) as a treatment, explaining that the practice is safe and highly effective for treatment-resistant depression. The client declines, explaining she has heard too many negative things about ECT. Which of the following is the most appropriate response by the PMHNP?