• 목록
• 답변
• 글쓰기
• 게시판 리스트 옵션
  • 수정
  • 삭제

Advanced Depression Treatment

If your post pregnancy depression treatment isn't responding to a first-line antidepressant your doctor may try increasing the dosage or adding another type of medication. They may also suggest psychotherapy.

The newest psychotherapy methods like enhanced depression treatment have scientific support and may help improve depression symptoms. These treatments are aimed at the identification and resolution of specific natural ways to treat depression that depression affects your daily life.

Transcranial Magnetic Stimulation (TMS)

TMS is a noninvasive brain stimulation technique that utilizes magnetic pulses to stimulate the brain's neurons that control mood. It is often recommended to treat depression when medications fail or are not suitable for the individual. It is also used to treat PTSD and is sometimes combined with psychotherapy. TMS is a reliable and safe treatment with no serious side adverse effects.

During the session, a healthcare professional will position an electromagnetic coil on your scalp that is over the brain region that regulates mood. In the case of rTMS, it is the dorsolateral frontal cortex (dLPFC). This is a small region situated in front of your brain. The device will deliver pulses to the brain. You will hear clicking sounds and feel a tingling sensation. The healthcare professional will adjust the settings to stimulate specific areas of the brain.

The healthcare professional will determine the intensity of the pulses by determining the amount of energy needed to elicit an itch in the thumb. This is important as it helps them to know the amount of power they are using and ensures the safety of the patient. In the past, the pulses were delivered at 120% of the motor threshold. Current research is focused on speeding up TMS treatment to reduce treatment duration and improve the rate of response.

Researchers have demonstrated in a randomized controlled trial that TMS can be used to assist people suffering from MDD who are not responding well to antidepressants. The study showed that those who were treated with rTMS saw significant improvements in symptoms like sadness and low mood as well as changes in appetite, the loss of enthusiasm or enjoyment for activities. The study also found that the effects lasted for a long time.

Contrary to other forms of brain stimulation, such as vagus nerve stimulation and electroconvulsive therapy, TMS does not interfere with psychotherapy. It is also safe for women who are pregnant and has a very low risk of seizures. Some people may feel pain or discomfort on their scalps under the magnet during treatment.

TMS treatments typically last about 30 minutes. Your doctor will let you know the duration of the treatment and may stop the treatment to allow the magnet to cool down.

Vagus nerve stimulation (VNS)

VNS (also called Vagus Nerve Stimulation Therapy) is a treatment option that sends precise electrical signals to alter brain wave patterns and decrease depression symptoms. This is a surgically implanted device that employs a tiny pulse generator that is connected to a wire that is placed under the skin and wound around the left vagus nerve inside the neck. FDA approved the procedure for people with treatment-resistant depression who haven't been able to get relief from other treatments like therapy and medications. It's also approved as a seizure treatment for epilepsy sufferers.

Researchers compared the effectiveness of VNS with a sham-device in patients suffering from treatment-resistant unipolar disorder or bipolar depression. Patients in the VNS group received a low, medium or high dose of electrical stimulation during a 22-week "acute phase." The primary end-point was a change in Inventory of Depressive Symptomatology Self-Report (IDS-SR30) score over the course of the study. Patients in the VNS groups improved significantly more than those in the sham group. At the 12-month check-up, the VNS group had an average IDSSR30 of 9.3 while the group of sham scored 4.2.

The VNS treatment was well tolerated. The most common side effects were voice distortion, hoarseness, and a sensation in the chest. Other reported side effects were headache, tingling, fatigue and changes in swallowing or speech. Some of these adverse effects occurred more frequently in higher dose groups whereas others occurred at all doses. The frequency of AEs in this study was similar to previous studies and generally resolved by the end of the acute study period.

Psychiatrists from Ohio State Wexner Medical Center are regularly invited to take part in national discussions about the best approach to treat depression and mood disorders. Our experts are helping shape national standards of health treatment. We are also a site for an international clinical trial, called RECOVER which is being conducted by the Centers for Medicare & Medicaid Services. The goal of this study is to examine VNS for treatment-resistant depression. This is a significant research endeavor, since the evidence available suggests that VNS can offer improving benefit and hope to this difficult-to-treat chronic patient.

Electroconvulsive therapy (ECT)

ECT is an effective advanced depression treatment for those who can't get better on their medications. It is particularly beneficial for people who are suicidal or are unable to wait until their medication to take effect.

During the ECT procedure doctors transmit tiny electrical currents through the brain to intentionally trigger an instant seizure. This is believed to alter brain chemical processes, and may help alleviate symptoms of certain mental health issues. ECT has been in use since the 1930s and despite the stigma that is associated with the treatment, many people have successfully benefited from it.

In order to be prescribed ECT your doctor will need to do an exhaustive psychiatric assessment. Then, they will review your medical history and perform several tests which include an electrocardiogram (EKG) as well as blood tests, and perhaps an X-ray of your chest. They will ask you to describe how you think about ECT and will take into account any opinions of family members, friends, or advocates representing you.

The ECT treatment is performed while you sleep under general anesthesia, which means you won't feel anything during the procedure. A mouth guard is put on to protect your teeth and a mask is put over your face to allow oxygen. An anesthesiologist injects an esthetic into your vein by using a needle. After you are asleep, electrodes will be placed on one or both sides of your head (depending on whether you have bilateral or unilateral ECT). These electrical pulses send tiny impulses to the brain, causing an instant seizure. It lasts between 20 and 60 second and you will wake up soon after.

You can withdraw your consent to ECT at any time, even before the first treatment. You have the right to withdraw your consent in accordance with the Care Quality Commission (CQC) and your doctor should always consider your wishes when deciding whether or not to use ECT.

Certain people find ECT is a good option for them after they've tried other treatments and haven't seen any improvement, but it can also be used for mild depression treatment without drugs or severe psychosis, or when you pose at risk to yourself or others and are unable to wait for treatment to begin working. The majority of patients will require several ECT sessions over three to six weeks.

Light therapy

Light therapy can compensate for the lack of sunlight. This is a factor which may cause seasonal affective disorder (formerly known as major depression). It can be used as a standalone treatment or to complement other treatments, such as psychotherapy and medications. When you undergo the treatment, you sit close to a light box lamp that emits bright light typically in the range of 2,500 to 10,000 lux. In each session, you'll sit for 30 minutes in front of the lamp. The light can help improve your mood and alleviate symptoms of SAD like feeling constantly tired and sleeping too much.

Although researchers aren't sure how light therapy works to treat SAD, they do know that it has a direct effect on circadian rhythms. Circadian rhythms are biological cycles that affect the pattern of sleep hormone levels, as well as other vital functions. Light therapy can alter your internal clock by influencing the release of melatonin a chemical that regulates the sleep-wake cycle. It also impacts neurotransmitter function through affecting the production of serotonin an ingredient that boosts your mood.

Numerous studies have demonstrated that light therapy improves depression treatment elderly symptoms and enhances the effectiveness of antidepressant medications. Numerous studies have also demonstrated that light therapy can be used to treat bipolar disorder. These findings are encouraging and suggest light therapy may be an option for people with bipolar and depression disorder.

Talk to your doctor or a mental health professional before you start using light therapy. They can help you find the best device for your needs and offer guidelines on how to utilize it. They can also tell you whether it interacts with other medications you are taking.

Light therapy is a successful treatment that does not cause any serious side adverse effects. However, it is important to use it according to the instructions of your physician. It is important to seek treatment as soon as you can if you're suffering from depression that is severe. Depression is a serious illness that can cause serious consequences on your mental and physical well-being. In severe cases, it could cause thoughts of suicide. If you are having suicidal thoughts, seek help immediately from an expert in mental health.