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

Innovative Depression Treatments

Many sufferers of depression struggle to find an effective treatment for them. Some sufferers have a low response to medication or suffer from inexplicably negative side effects.

Table 2 shows that the intrinsic health benefits of a scaled-up effective coverage are substantial. The discounted value of these benefits is $399 billion for depression treatment and $169 billion for anxiety disorders.

Transcranial magnetic stimulation (TMS)

TMS utilizes a magnetic field to deliver short pulses of electric current to specific brain areas that are overactive in people with depression. The treatment is non-invasive and doesn't require anesthesia. It is also highly efficient and well-tolerated in comparison to antidepressant medication.

A person receives TMS by sitting in a chair similar to dental chairs. A trained technician puts a small device that has a magnetic coil to the front of the head. The coil's pulses are rapid and the person could be able to feel or hear a click sound on their scalp. Each magnetic pulse is known as"a "pulse" and the frequency of the pulses (measured in hertz or Hz) can vary from low (1 pulse per second) to high (10 pulses per second).

The treatment isn't painful, but the magnetic field is affecting cells located in the cortex's outer layer. It depolarizes cortical neurons, and the resulting transynaptic changes can affect the deeper brain regions that are involved in mood. For example, higher frequency TMS in the left DLPFC can stimulate mesolimbic neurons that regulate emotional responses.

Certain insurance plans provide TMS as an alternative to psychiatric medication. It is important to inquire with your insurance company to find out what benefits your specific plan covers.

In clinical trials, TMS showed significant and continuous improvements in depression symptoms when compared with a placebo. Patients can receive up to 30 TMS sessions over the time span of several weeks. Patients suffering from more severe depression may require more time to complete their treatment.

Certain of the latest TMS treatments employ low-frequency pulses, which is less likely to trigger side effects such as seizures. Although the procedure is still experimental but it's an alternative for patients who don't respond to antidepressants or psychotherapy.

Electroconvulsive therapy (ECT)

ECT aids in restoring the brain's natural chemical balance. It is one of most efficient and safe treatments for depression. It can also be used in other mental health conditions such as schizophrenia.

The ECT procedure takes place in a hospital or outpatient treatment center. It is performed by medical professionals. Prior to the procedure, a general anaesthetic will be administered to ensure you do not feel any discomfort. The ECT team will utilize monitoring equipment to measure your heart rate, blood-pressure, oxygen levels, and brain waves. You will be given a muscle relaxant and a mouthguard to safeguard your teeth. Two discs of metal (bilateral ECT) or a single disc (unilateral ECT) is placed on your head one on each side or in the middle of your forehead. The anaesthetist then gives you an injection of medication that induces sleep.

You will be woken up in the ECT room. A member of the ECT staff will be able to answer any questions that you may have. Before you are treated, you will be asked to fill out a consent form. You may find it difficult to take in all the information that you are told about ECT. It is best to have a relative or friend with you. You should be given at least 24 hours before you are forced to make a choice about the treatment.

During the procedure, you may have brief seizures or fits lasting between 40 seconds and 2 minutes. The ECT doctor will adjust the number of electric pulses you get according to your response. You may experience short sessions of ECT generally 6-12 sessions, two times a week.

There is no one theory of how ECT operates however it appears to cause the release of certain chemicals that help your brain cells communicate with one other. It also appears to alter how brain cells develop.

ECT is effective in treating severe depressions, suicidal feeling, catatonia secondary depression and other psychiatric disorders. Studies show that around half of those who receive ECT improve and remain well for an entire year or more. It is particularly helpful for those whose symptoms aren't responding to medication or other psychosocial treatments.

Deep brain stimulation (DBS)

Deep brain stimulation is a surgical method that involves implantation of electrodes into the brain. The electrodes are connected to a small neurostimulator that delivers electric pulses to the area of the brain that regulates your symptoms. The pulses can ease the symptoms and improve your quality of living. DBS can treat a variety of ailments that include movement disorders such as essential tremor and Parkinson's disease and psychiatric conditions such as depression and obsessive-compulsive disorder. It can also help reduce seizures in people suffering from epilepsy. It is also able to treat the severe pain that comes from brain and nerve conditions.

DBS is a highly effective treatment for many patients suffering from TRD, and it can be used in conjunction with other treatments such as ECT. However it is important to understand that not all patients benefit from DBS. Certain patients may not see any improvement in their symptoms while others may experience a worsening of depression. This non-response may be caused by a combination factors that include patient-related factors, like personality traits or psychiatric co-morbidity, and also clinical factors like an incorrect diagnosis or a suboptimal DBS targets.

The researchers used an algorithm for machine learning to classify changes in LFPs which were observed during intraoperative DBS exposure. The results revealed that a decrease in depression symptoms was linked with changes in beta power. These findings suggest DBS could be used to predict the severity of antidepressant effects. However further research is required to test this hypothesis.

While DBS is an established treatment for movement disorders and a growing array of psychiatric disorders but it is not widely recognized as a successful depression treatment without medication treatment without drugs [website link] treatment. The FDA has approved DBS to decrease seizures in some people with epilepsy that is difficult to treat. Moreover, studies are underway to determine whether DBS can be used to treat depression.

It is recommended to discuss the DBS procedure with a neurologist before you undergo it. The neurologist will examine you and recommends the best treatment for you. They will inform you about the benefits and risks of DBS. In addition, you should ask about any tests or preparations you may need before the procedure. It is likely that you will require a blood-test, imaging and other tests prior to the procedure.

Cognitive behavioral therapy (CBT)

Cognitive behavioral therapy has been proven to be effective in numerous outcome studies. It is usually utilized as a treatment on its own, though it can also be combined with medication in some instances. CBT is a form of psychotherapy that assists you to modify negative thoughts and behaviors that can cause depression. It is based upon the theory that how you see and react to situations is more important than the actual situation. It is an active type of psychotherapy that focuses on solving problems, identifying and changing unhelpful thinking patterns and identifying maladaptive thought patterns.

CBT's goal is to help you become your own therapist by helping you understand and alter the way you think and behave. It uses exercises and home sessions as well as outside of sessions to help you learn new skills. CBT is focused on current issues and problems and not past experiences or the root causes. It is necessary to know some details about your life experience to be able to tackle and address issues that are currently affecting you.

CBT is usually a short-term treatment, lasting between 6-20 sessions. It is an empirically-based therapy and its duration is determined by the extent to which you meet the goals you established at the beginning of the therapy. It is an active therapy and requires a lot of commitment and work on your part.

Other cognitive behavioral treatments could be beneficial to you. These include acceptance and commitment therapy which helps you engage in positive behavior even when you are experiencing negative emotions or thoughts; dialectical behavior therapy, which addresses chronic suicidal thinking and self-injury. Also, interpersonal psychotherapy which is aimed to fix relationship issues that contribute to situational depression treatment.

There are many exciting new treatments that could offer a game-changing solution to people with depression. Certain treatments are available. For example deep brain stimulation. A surgeon places electrodes into your brain to send painless zaps that alter the electrical activity contributing to your symptoms. But many other advances are still in the research phase, such as personalized medicine for depression, which could eventually eliminate the trial-and-error process of determining what's most effective for you.