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

Advanced Depression Treatment

If you don't see any improvement from a first-line antidepressant your doctor might increase the dosage or prescribe another type of medication. They may also suggest psychotherapy.

The newest psychotherapy methods like enhanced depression treatment have scientific support and can help reduce depression symptoms. These therapies are focused on finding and resolving specific ways in which depression affects your daily life.

Transcranial magnetic stimulation (TMS)

TMS is a non-invasive brain stimulation technique that utilizes magnetic pulses to influence neurons that are responsible for mood. It is usually advised to treat depression if medications have failed or are not suitable for the individual. It is used to treat PTSD, and is sometimes combined with psychotherapy. TMS is an effective and safe treatment with no adverse negative side negative effects.

During the session, a medical professional will place an electromagnetic coil on your scalp that is over the region of the brain that controls your mood. In the case of rTMS, it is called the dorsolateral frontal cortex (dLPFC). It is a tiny area that is located in front of your head. The device will deliver signals to the brain. You will hear clicking sounds and feel tapping sensations. The healthcare professional will alter the settings to stimulate the desired areas of your brain.

The healthcare professional will assess the amount of energy required to cause a thumb blink. This is important as it helps them know how much power they're using and to ensure the security of the patient. In the past, pulses were delivered 120% of the motor threshold. The current research focuses on speeding up TMS treatment to decrease time to treatment options for depression and increase response rates.

Researchers have proven in a randomized controlled trial that TMS can aid people suffering from MDD who are not responding well to antidepressants. The study found that patients treated with rTMS saw significant improvement in symptoms like Depression Treatment Medicine and sadness, as well as changes in appetite, and decreased enjoyment or enthusiasm for activities. The study also showed that the improvement was long-lasting.

Contrary to other forms of brain stimulation like vagus nerve stimulation and electroconvulsive therapy, TMS does not interfere with psychotherapy. It is safe for pregnant women and has a low risk of seizure. Some people might experience pain or discomfort on their scalp beneath the magnet while they are receiving treatment.

Typical TMS treatments last for about half an hour. The doctor will inform you of the duration of the treatment and may pause pulses to allow the magnet to cool down.

Vagus Nerve Stimulation (VNS)

VNS (also known as Vagus Nerve Stimulation Therapy) is an option for treatment that sends periodic electrical signals to alter brain wave patterns and reduce depression symptoms. This is a surgically implanted device that uses a small pulse generator that connects to a wire which is wrapped beneath the skin and wound around the left vagus nerve in the neck. The procedure has been approved by the FDA for treating depression that is resistant to treatment in patients who have not received relief from other treatments like psychotherapy or medications. It's also approved as a seizure treatment for those suffering from epilepsy and depression treatment.

Researchers compared the effectiveness of VNS with a sham-device for patients with bipolar disorder that is resistant to treatment or depression. Patients in the VNS group received a moderate, low or high dose of electrical stimulation during a 22-week "acute phase." The primary endpoint was the change in the Inventory of Depressive Symptomatology (IDS-SR30). Patients in the VNS groups had significantly better results than patients in the sham group. At the end of a 12-month period participants in the VNS group had an average IDS-SR30 score of 9.3 points, whereas those in the group of sham scored 4.2 points.

The VNS treatment was well-tolerated with the most common adverse effects being voice changes or hoarseness and a feeling of weight on the chest. Other reported side effects included headaches, tingling, tiredness, and changes in speech or swallowing. Certain of these were more often in the higher dose groups, and others occurred at all doses. The rate of AEs in this study was comparable to previous studies and usually resolved by the end the acute study time.

The psychiatrists at Ohio State Wexner Medical Center regularly participate in national discussions about the best antidepressant for treatment resistant depression methods to treat depression and other mood disorders. Our experts contribute to shaping national standards of care and are currently a site for the Centers for Medicare and Medicaid Services RECOVER multicenter clinical trial to further investigate VNS as a treatment for treatment-resistant depression. This is a crucial research endeavor, since the evidence available suggests that VNS can offer improving benefit and hope for this difficult-to-treat chronic patient.

Electroconvulsive therapy (ECT)

ECT is a potent treatment for depression that doesn't improve with medication. It is especially helpful for those who are suicidal, or can't wait for their medication take effect.

During the ECT procedure, doctors send small electric currents to the brain to intentionally cause an instant seizure. This appears to alter brain chemical structure and improve symptoms of some mental health problems. ECT has been around since the 1930s. Despite the stigma attached to the treatment, it has helped many people.

To be given ECT the doctor will require a thorough psychiatric assessment. Then they will review your medical history and conduct various tests which include an electrocardiogram (EKG) as well as blood tests, and perhaps an X-ray of your chest. They will also ask you what you think about the possibility of having ECT and take into consideration any opinions from friends, family, or other advocates who are either supporting or speaking for you.

The ECT treatment is given while you sleep under general anesthesia, so you will not feel anything during the procedure. A mouth guard is used to protect your teeth, and masks protect your face to allow oxygen. An anesthesiologist injects a local anesthetic into your vein with a needle. When you're asleep, electrodes will be placed on both sides of your head (depending on whether you have bilateral or unilateral ECT). These electrical pulses send small impulses to the brain, causing an instant seizure. It lasts only 20 to 60 second and you will be awake within a few minutes after.

It is important to keep in mind that you can revoke your consent to ECT at anytime, even prior to the first treatment. You have the right to revoke your consent under the Care Quality Commission (CQC) and your doctor must always take your preferences into consideration when deciding whether or not to make use of ECT.

Some people find that ECT is a viable alternative after having tried other treatments but haven't seen any improvements, but it can also be used for mild depression or severe psychosis or if you're at risk to yourself or others and can't wait for medication to take effect. In most instances, you'll have to take several ECT sessions over the course of three to six weeks.

Light therapy

Light therapy compensates the lack of sunlight. This is a factor which may cause seasonal affective disorder (formerly known as major depressive disorder). It is utilized as a stand-alone treatment or as an addition to other treatments, like psychotherapy or medication. During light treatment you sit in front of the light box, which emits white light with bright colors. The light intensity is typically between 2,500 and 10,000 lux. Each time you undergo a treatment you will sit for around 30 minutes in front of the light. The light could aid in improving your mood and alleviate other symptoms of SAD like being tired most of the time and sleeping too much.

Although researchers aren't sure how light therapy works to treat SAD however, they do know that it has a direct effect on circadian rhythms. Circadian rhythms affect sleep patterns, hormones, and other functions. Light therapy can alter your internal clock by altering the release of melatonin an ingredient that regulates the sleep-wake cycle. It also affects neurotransmitter functions by altering the production of serotonin, which is a chemical that improves your mood.

Numerous studies have demonstrated that light therapy can improve depression symptoms and increases the effectiveness of antidepressant drugs. A number of studies have also proven that light therapy can be used to treat bipolar disorder. These findings are encouraging and suggest light therapy might be an option for people with bipolar and depression disorder.

Consult your physician or a mental health professional prior to you begin using light therapy. They can assist you in selecting the appropriate device and provide instructions on how to use it. They can also tell whether it interferes with other medications you are taking.

Light therapy is a secure treatment that doesn't cause any serious side negative effects. It is recommended to only use it if your doctor prescribes. It is crucial to seek treatment as quickly as you can if suffering from severe depression. Depression is a serious illness and it can result in serious consequences for your physical and mental well-being. In severe cases, depression may cause suicidal thoughts. If you are experiencing suicidal thoughts, seek assistance immediately from an expert in mental health.