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Cutting-Edge Depression Treatments Many people suffering from depression struggle to find the correct medication at the right dose to see tangible results. New therapies may offer hope to those who have resisted treatment. These include ECT as well as repetitive Transcranial Magnetic Stimulation (rTMS), Psilocybin nasal spray or esketamine assisted therapy. These cutting-edge treatments have proven positive results in patients who suffer from depression and don't see improvement with medications or talk therapy. Transcranial Magnetic Stimulation (TMS) TMS is a noninvasive brain stimulation therapy that treats depression by stimulating regions of the brain that regulate mood. This depression treatment is an alternative to antidepressant medication and has been proven effective for patients who have not been able to respond to conventional medications. The TMS device emits electromagnetic signals that are absorbed by brain cells, and then activate the prefrontal cortex which is the brain region responsible for depression and mental health issues. The brain is stimulated by the pulses to release neurotransmitters, which lift your mood and boost energy levels. This helps relieve depression. It does not affect your ability to function or interact with others, as opposed to medications. TMS can also be utilized in conjunction with psychotherapy and other depression treatment options to create a comprehensive care plan. Your doctor will take several measurements prior to your first visit to customize the TMS device. The physician will place the coil on top of your head, and then administer an array of short pulses in order to determine how much power to use to stimulate your brain. You'll hear a clicking sound and feel a thumping under the coil when the magnet is switched on. The pulses last for about 20 seconds. If the technician is pleased with the strength of the magnetic pulses they'll start your treatment. You will remain awake and alert throughout the treatment. It can last up to 30 minutes. Your doctor will use the computer to guide the magnetic coil across your scalp. Each pulse will be followed by a pause that allows the magnet to cool. The pulses will be administered daily for six week, but your provider can extend the schedule if results are positive. TMS is a relatively recent depression treatment. It is covered by insurance policies however only after certain conditions are met. For instance, you have to have tried a minimum of antidepressants, but they're not helping. You'll also need to submit to a physical examination and accept a few tests. This is to make sure you're safe for the treatment and that you do not have any medical devices implanted in your body (such as pacemakers or medication pumps). Also, you should avoid anesthesia or sedatives prior to an TMS session. Cognitive Behavioral Therapy Cognitive behavioral therapy is a common and highly effective treatment for depression. A combination of cognitive and behavioral therapies, CBT is a problem-oriented method of psychotherapy that focuses on a more focused look at current challenges. It also focuses on changing thought patterns to reduce the effects of mood disorders and negative behavior. CBT sessions are typically conducted in a work environment, but could also be conducted on the internet or via phone. CBT was created by Aaron Beck. It is built on the belief that the mood and thoughts of a person are closely connected. Negative or inaccurate thoughts can lead to feelings of distress and, can in turn result in unhealthy behaviors. CBT helps people identify these negative patterns and teach how to replace them with more realistic and positive thoughts. In addition to treating depression, CBT has been shown to be effective in treating anxiety, phobias, post-traumatic stress disorder and substance use disorders. It's also used to treat insomnia and eating disorders. Some versions of the treatment also focus on improving relationships as well as overall well-being. As with other psychological therapies, CBT is based on research-based evidence and empirical data. It is also changing as researchers discover new information on human behavior and how the brain functions. CBT is a team-based and active process that is carried out in a short amount of time. Based on the condition being treated, CBT can last between five and 20 sessions. The main benefit of CBT is that it focuses specifically on the issues people face. It doesn't dwell contemplating the past or looking into traumatizing experiences, as opposed to other types. Instead, it concentrates on working through the issues that are causing the most distress. A qualified mental health professional will assist you to identify problematic emotions, beliefs and behavior. They may ask you keep a journal or encourage you to pay close attention to your reactions to stressful or challenging situations. They will then teach you how to change negative thoughts and emotions through interactive question and answer sessions. They will also teach techniques like mindfulness meditation that will help you to recognize and overcome negative thoughts. Ketamine Infusions Ketamine, initially approved by the FDA to treat anesthetic issues it has powerful antidepressant properties and is now used as a treatment option for severe and resistant depression. Ketamine infusions given under medical supervision can save the lives of those suffering from suicidal thoughts or depression that is resistant to treatment. In one study, 85 percent of patients reported remission of their depressive symptoms following a single ketamine injection. Ketamine creates new neural pathways within your brain that permit positive and healthy thoughts to emerge. It is considered to be a low-risk non-invasive treatment that is able to offer immediate relief from depression, suicidal thoughts and anxiety. This often happens within hours or even days after the initial injection. It can lead to a complete remission of depression. It's been referred to as “transformative therapy” because it provides rapid and lasting results. While the majority of ketamine treatment clinics are safe, they might not follow all state and federal regulations. It is essential to choose an accredited, licensed and certified provider who has had years of training and experience in a hospital setting. Additionally, you should ensure that the clinic has a psychiatrist who oversees the administration of the medication and helps deal with any adverse side effects. Common side effects include feeling that time is speeding up or slowing down, and changes in perception like experiencing things in a different way. These symptoms tend to be brief and mild. However, in rare instances patients can experience a more unpleasant experience. On-site psychiatrists can help manage these rare but serious situations. They are typically quick and can be resolved within 10 to 15 minutes after the infusion has ended. We consider the safety and well-being of our patients extremely seriously at Lone Peak Psychiatry. Prior to beginning the infusion of ketamine, we conduct a thorough examination that includes a baseline urine toxicology screen to determine if the patient is healthy enough to receive this kind of treatment. We only treat patients who have been referred to us by their doctors and have not seen improvement after trying various antidepressants, TMS or ECT. Online Screening Depression is a serious mental illness that can lead to feelings of despair and sadness. Often, people with depression struggle to think clearly and feel exhausted and depressed. They might also have difficulty to be happy and may have trouble concentrating or even think about suicide. But depression is treatable, and there are numerous options available. One of the most effective treatments is cognitive therapy (CBT). CBT teaches patients how to overcome persistent sadness and low spirits. Recent research has shown that online counseling can be a beneficial treatment for depression. This program allows users to communicate with a counselor via video or chat online. The counselor will assist the user in identifying their problems and provide advice and support in dealing with these. The counselor can offer other treatment options if the individual requires them. The counselor can also connect the person with other resources for assistance. The purpose of the study was to test the acceptability, efficacy and viability of an internet-based psychodynamic depression treatment. It was conducted during the COVID-19 pandemic in the UK, and involved 23 young people who had depressive symptoms. Participants registered their interest on the study website, completed a short online questionnaire, and received a personalized response from a program counselor. The participants then started the treatment program and were evaluated at baseline, and during sessions 1-9. Participants were asked to complete the QIDS-A17-SR (Quick Inventory of Depressive Symptomatology for Adolescents) at the start of the study and at the conclusion of the trial. They were also asked about their previous treatment for mental illness and any barriers to accessing treatment. The research team concluded that online therapy was a safe and a suitable alternative for teenagers suffering from depressive symptoms, and it appeared to be equally effective as face-toface psychotherapy for improving the QIDS-A17SR score. However, the requirement for participants to have internet access through smartphones or computers and be able to read and write English restricts its use for certain categories of young people. This is especially relevant for those living in areas of extreme poverty.