Cutting-Edge Depression Treatments
Many sufferers of depression struggle to find the right medication in the right dosage to see tangible results. Those who are treatment-resistant may be able to find a solution in the new treatments now available.
These include ECT or repetitive Transcranial Magnetic Stimulation (rTMS), the nasal spray esketamine or psilocybin, or assisted therapy. These cutting-edge treatments are highly effective for people who suffer from depression and are not improving by taking medication or talking therapy.
Transcranial Magnetic Stimulation
TMS is a noninvasive brain stimulation therapy that treats depression by stimulating regions of the brain that regulate mood. This therapy for depression is an alternative to antidepressant medication and has proven effective in people who haven’t responded to conventional medications. The TMS device emits magnetic pulses that are absorbed by the brain and stimulate nerve cells in the prefrontal cortex, the area responsible for depression and other mental health conditions.
The pulses trigger the brain to release natural neurotransmitters that boost your mood and energy levels, thereby providing relief from depression. It doesn’t affect your ability to perform or interact with others, as opposed to medications. TMS can also be utilized in conjunction with psychotherapy or other depression treatment options to develop a comprehensive treatment plan.
Before your first session your doctor will take several measurements to tailor the TMS device specifically for you. The doctor will put the coil over the front of your head, and then administer several short pulses in order to determine the amount of power is needed to stimulate the brain. When the magnet is on you’ll hear sounds of clicking and feel a thumping sensation beneath the coil. The pulses last about 20 seconds. The technician will begin your treatment after they are satisfied with the strength and duration of the magnetic pulses.
You’ll be alert and awake throughout the treatment, which can last up to a half-hour. Your provider will use computers to control the TMS machine and guide the magnetic coil around your scalp. Each pulse is followed by a pause which allows the magnet to cool. The pulses are administered daily for six weeks, although your doctor may extend the duration if you’re seeing good results.
TMS is a relatively new depression treatment. Insurance policies provide coverage but only if certain conditions are satisfied. For instance, you must have tried at minimum a certain amount of antidepressants but they did not help. You’ll also need to take a physical exam and agree to a few other tests. This is to ensure you’re safe for the treatment and that you do not have any medical devices within your body. You also should avoid sedatives or anesthesia before a TMS session.
Cognitive Behavioral Therapy (CBT)
Cognitive behavioral therapy (CBT) is an extremely efficient and widely used treatment for depression. CBT is a mix of behavior and cognitive therapy which focus on current issues. It also focuses on changing thinking patterns to reduce mood problems and negative behavior. CBT sessions are usually conducted in an office however, they could also be conducted on the internet or via phone.
The concept was initially developed by Aaron Beck, CBT is based on the notion that mood and thoughts are linked. Untrue and negative thoughts can lead to stress, which could cause unhealthy behavior. CBT helps people recognize these negative patterns and teaches how to replace them with more positive and realistic thoughts.
In addition to treating depression, CBT has been shown to be effective in treating anxiety as well as post-traumatic stress disorder, phobias and substance use disorders. It’s also been used to address insomnia and eating disorders. Certain versions of this treatment also focus on improving relationships and overall well-being.
Like other psychological treatments, CBT is based on scientific research and empirical evidence. It also changes as researchers discover new things about human behavior and the way the brain works.
CBT is a dynamic and collaborative process that usually occurs over a brief period of time. Depending on the condition that is being treated, CBT can run between five and 20 sessions.
The main benefit of CBT is that it concentrates on the issues that a person has. It doesn’t focus too much looking back at the past or analyzing traumatic experiences, unlike some other kinds of. It focuses on the issues that cause you the most stress.
A trained mental health professional will help you identify problematic emotions, beliefs and behaviors. They may suggest that you keep a diary or ask you to pay close focus on your reactions to stressful or challenging situations. They will teach you how to change negative thoughts and emotions by engaging in interactive questions and answers. They will also teach you techniques like mindfulness meditation that will help you to recognize and confront negative thoughts.
Ketamine Infusions
Ketamine, which was initially approved by the FDA for anesthetic purposes, has powerful antidepressant qualities and is used today as a treatment for severe and treatment resistant depression. Ketamine infusions administered under medical supervision can save the lives of those suffering from electric shock treatment for depression-resistant depression or suicidal thoughts. In one study the study found that 85% of patients experienced a reduction in their depressive symptoms after receiving a single ketamine injection.
Ketamine creates new neural pathways in the brain, which allow for more positive and healthy thought patterns to emerge. It is regarded as a non-invasive, low-risk treatment, and is able to provide immediate relief from suicidal thoughts and depression, often within hours or days of the first injection. In certain instances it may bring about a complete remission of depression, and is often referred to as a “transformative” therapy due to its ability to provide quick, long-lasting results.
While the majority of ketamine clinics are safe but not all follow state and federal regulations. It is important to choose a licensed, accredited provider with years of experience and has been trained in a hospital-based setting. Additionally, you should ensure that the clinic has a psychiatrist who supervises the administration of the drug and can help combat any adverse side effects.
Common side effects include feeling that time is speeding up or slowing down, as well as changes in perception, such as experiencing things in a different way. These symptoms tend to be mild and short-lived. In rare instances, however, patients may have a more severe reaction. On-site psychiatrists can help manage these rare, but serious incidents. They are typically quick and can be resolved within 10 to 15 minutes of the infusion ending.
We take the safety and health of our patients very seriously at Lone Peak Psychiatry. Prior to beginning a course of ketamine infusions we conduct a thorough evaluation which includes the baseline urine toxicology screening to make sure that the patient is healthy enough to receive this type of treatment. We will only see patients who have been referred by their doctors to receive this treatment centre for depression and have failed to find improvement with adequate trials of different antidepressants, TMS, or ECT.
Online Screening
Depression is an illness of the mind that can trigger feelings of sadness and despair. People suffering from depression typically struggle to think clearly, and often feel exhausted and in a low mood. They may also have trouble finding joy in their lives or have trouble concentrating and may even think about suicide or self-harm. There are a variety of treatment options for depression. Cognitive behavioral therapy (CBT) is one of the most effective treatments. CBT can help patients deal with persistent sadness and low spirits.
Recent research has revealed that online counseling can be an effective treatment for depression. This program allows users to connect with a counselor through video or chat online. The counselor will assist the client identify their issues and provide guidance and support to manage them. The counselor may also suggest alternative treatments for the person if they require them. The counselor will also connect the person to other resources for assistance.
The study aimed to test the effectiveness, feasibility, and acceptability of a psychodynamic best treatment for depression using the internet for depression treatment centers. The study was conducted in the UK during the COVID-19 outbreak and involved 23 teens suffering from depression. Participants expressed their interest on the study’s website, then filled out an online survey and received a personal response from a program counsellor. They then commenced the treatment program and were screened at baseline, sessions 1-9, and post-treatment.
Participants were asked to complete the QIDS A17-SR (Quick Inventory of Depressive Symptomatology in Adolescents) both at the beginning of the study and at the end. They were also asked to provide details about their previous mental health treatment and any obstacles they encountered when seeking treatment.
The research team found that online-based therapy was a safe and a suitable option for adolescents suffering from depression symptoms. It also was as effective as face-to-face psychotherapy in improving the QIDS A17-SR score. The fact that patients must have internet access on smartphones or computers as well as be able to write and read English, limits its accessibility to certain groups of young adults. This is particularly relevant for those living in areas of extreme poverty.