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

• 페이스북 공유
• 트위터 공유

Advanced Depression Treatment

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

The latest psychotherapy techniques, such as augmented depression treatment offer empirical evidence-based support and could help alleviate depression symptoms. These treatments focus on identifying and resolving the specific alternative ways to treat depression depression affects your daily life.

Transcranial magnetic stimulation (TMS)

TMS is a noninvasive brain stimulation that uses magnetic pulses to influence the brain's neurons that control mood. It is frequently advised to treat depression if medication has failed or is not suitable for a person. It is used to treat PTSD and, in some cases, combined with psychotherapy. TMS is a safe and effective treatment that doesn't cause serious side effects.

During the session, a medical professional will install an electromagnetic coil over the area of your brain which controls mood. In the case of rTMS it is the dorsolateral prefrontal cortex (dLPFC). This is a small area located at the front of your brain. The device sends electrical impulses to your brain. You will hear clicking sounds and feel a tingling sensation. The healthcare expert will alter the settings to stimulate the specific areas of your brain.

The healthcare professional will assess the amount of energy needed to cause the thumb to blink. This is important, as it lets them know the amount of power they are using to ensure patient safety. In the past, pulses were given at 120% of the motor threshold. But, current research is focusing on speeding up TMS treatment to decrease the time required to treat and improve the rate of response.

In a randomized control trial researchers have demonstrated that TMS can benefit people suffering from major depressive disorder (MDD) who don't respond to antidepressants. The study found that those treated with rTMS experienced significant improvements in symptoms such as low mood and sadness as well as changes in appetite and loss of enthusiasm or enjoyment for activities. The study also found that the effects lasted for a long time.

TMS is different from other forms of brain stimulation like vagus nerve stimulator. It does not interfere with psychotherapy. It is also safe for women who are pregnant, and it has a very low risk of seizures. However, some patients may suffer from discomfort or pain on the scalp underneath the magnet during treatment.

The majority of TMS treatments last around half an hour. Your doctor will let you know the length of the treatment and may also pause the pulses to allow the magnet to cool.

Vagus nerve stimulation (VNS)

VNS (also called Vagus Nerve Stimulation) is an approach that utilizes controlled electrical signals that are timed to alter brainwave patterns and reduce depression symptoms. This is a surgically implanted device that utilizes a small pulse generator that connects to a wire that's placed under the skin and wrapped around the left vagus nerve inside the neck. The procedure has been FDA-approved for treating depression that is resistant to treatment in patients who have not received relief from other treatments, such as psychotherapy or medication. It's also approved for seizure control in certain epileptic patients.

In the largest clinical study of VNS, researchers compared its effectiveness against the use of a sham device among patients who suffered from treatment-resistant unipolar or depressed-phase bipolar disorder. Patients in the VNS group received a moderate, low or high dose of electrical stimulation during an 22-week "acute phase." The primary goal was change in the Inventory of Depressive Symptomatology (IDS-SR30). Patients in the VNS groups improved significantly more than those in the sham group. At the 12-month check-up the VNS group scored an average IDSSR30 score of 9.3 while the sham group scored 4.2.

The VNS treatment was well tolerated. The most frequent side effects were voice distortion, hoarseness, and a sensation in the chest. Other reported side effects were tingling, headache, fatigue and changes in speech or swallowing. Certain of these were more often in the higher dose groups, whereas others were seen at all doses. The rate of AEs in this study was similar to other studies and they generally resolved by the end of the study period of acute.

Psychiatrists from Ohio State Wexner Medical Center regularly participate in national conversations on the best ways to treat depression and other mood disorders. Our experts are helping to establish national standards for health care. We are also a site for a multicenter clinical trial called RECOVER which is being conducted by the Centers for Medicare & Medicaid Services. The aim of this study is to evaluate VNS for treatment for depression-resistant depression. This is a very important research project, as the available evidence suggests that VNS could provide a better treatment for patients suffering from chronic illness.

Electroconvulsive therapy (ECT)

ECT is a highly effective treatment for psychotic depression treatment that is advanced and suitable for people who don't get better on their medications. It is particularly beneficial for people who are suicidal or who are unable to wait for their medication take effect.

During ECT doctors use small electrical currents to the head to deliberately cause a brief seizure. The brain is reportedly altered by this chemistry and rapidly improve symptoms of certain mental health disorders. ECT has been around since the 1930s. Despite the stigma associated with the treatment, it has helped many people.

Your psychiatrist will first need to conduct a thorough psychiatric examination before suggesting ECT. They will review your medical records and run various tests, including an electrocardiogram, blood tests, and possibly the chest X-ray. They will ask you how you feel about ECT and take into account any opinions of family members, friends, or advocates representing you.

The ECT treatment is given while you sleep under general anesthesia, so you won't feel anything during the procedure. A mouth guard is used to protect your teeth, while masks cover your face to allow oxygen. An anesthesiologist injects an esthetic into your vein by using a needle. When you are asleep, electrodes are placed on either one or both sides of your head depending on whether you're receiving bilateral or unilateral ECT. These electrical pulses send small impulses to the brain, which triggers a short seizure. It lasts for 20 to 60 seconds and you'll wake up soon after.

You can withdraw your consent to ECT at any time, even before the first treatment. You have the right to revoke your consent under the Care Quality Commission (CQC) and your doctor must always consider your wishes when deciding whether or not to utilize ECT.

ECT can be a beneficial treatment option for those who tried other treatments but have failed to notice any improvement. It can also be helpful with mild depression, severe psychosis, or when you're a risk to yourself or others and you are unable to wait for the effects of medication to begin. In most instances, you'll have to undergo several ECT sessions over three to six weeks.

Light therapy

Light therapy is a way to compensate for the lack of sunlight, which may contribute to major depressive disorder that has seasonal patterns (formerly known as seasonal affective disorder). It can be used as a standalone treatment or in conjunction with other treatments, such as psychotherapy and medications. During light treatment of depression, you sit next to an illuminated box that emits white light with bright colors. The light is usually between 10,000 and 2,500 in lux. Each time you undergo a treatment you are seated for approximately 30 minutes in front of the light. The light can improve your mood and ease symptoms of SAD like feeling exhausted all the time and sleeping too much.

Researchers don't yet know how light therapy treats SAD. However they do know that it has an effect on the circadian rhythms. Circadian rhythms influence sleep patterns, hormones, and other functions. Light therapy can reset your internal clock by influencing the release of melatonin, an ingredient that regulates the sleep-wake cycle. It can also affect neurotransmitter functions by altering the serotonin production.

A number of studies have proven that light therapy improves depression symptoms and enhances the effectiveness of antidepressant medications. Numerous studies have also demonstrated that light therapy can be used to treat bipolar disorder. These results are encouraging and suggest that light therapy could be a viable option for people with depression and bipolar disorder.

Before you begin using light therapy, speak to your physician or mental health professional about it. They can help you choose the appropriate device for your needs and provide guidance on how to make use of it. They can also inform you if it interacts with other medications you are taking.

Light therapy is a successful treatment that is safe and does not cause negative side effects. However, you should only use it as prescribed by your physician. It is essential to seek treatment as soon as you can if suffering from depression that is severe. Depression is a serious disease that can have a significant impact on your physical and mental well-being. In severe cases, depression may lead to suicidal thoughts. If you are having suicidal thoughts, seek assistance immediately from an expert in mental health.