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

Depression Treatment Advancements

While effective treatments for depression are available however, researchers are developing new and more effective ways to treat the disorder. This special Research in Context feature will examine some of these depression treatment plan cbt treatment advancements.

Psychotherapy helps alleviate depression symptoms by teaching people how to deal with negative thoughts and emotions. Talk therapy can be performed in a one-on-one session with a mental health professional or in a group setting.

Precision mental healthcare

The term "precision" refers to bringing greater precision or accuracy to diagnosis, prevention and treatment methods. For mental health, this can mean various approaches ranging including psychotherapy and medications. A lot of these strategies concentrate on the symptoms of the disorder instead of the root cause. This can result in treatments that do nothing more than relieve symptoms, without addressing the underlying causes of mental illness.

Precision mental healthcare is rapidly improving. It's similar to the method that why is cbt used in the treatment of Depression used in other areas that include continuous monitoring of key indicators (e.g. fever or blood pressure) into the clinical practice. It also includes combining multiple sources of data and applying machine learning to aid doctors better understand a patient's unique needs and develop more effective treatment plans.

One example of precision psychiatry is using EEG to monitor brain activity and assist doctors determine whether a patient is able to participate in cognitive behavioral therapy. Another example is a brand new class of drugs called NMDA receptor antagonists, which can prevent the neurotransmitter glutamate from reaching certain brain cells and decrease symptoms associated with depression. Another potential advance is the use of pharmacogenetic testing to detect drug-gene interactions and prevent undesirable side effects.

Additionally, a variety of companies are exploring digital precision psychiatry. This is a method that uses objective digital technology to monitor patients remotely and collect real-time data that helps guide the treatment they receive. One example is that a company is leveraging artificial intelligence to monitor compliance and optimize dosages for their patients suffering from depression. These solutions have the possibility of improving accessibility and effectiveness in mental healthcare as well as enhancing adherence to treatment.

Digital precision psychiatry, in particular, can help people with mental illness overcome the barriers to treatment, especially those who are working. Johnson & Johnson, for example, is partnering with organizations in Singapore to help facilitate the reintegration of workers recovering from depression back into their workplaces. This can help them maintain their jobs, which is crucial to recovery from mental illness.

Medication

Many people suffering from depression discover that medication eases their symptoms. This is particularly when the symptoms are severe or incapacitating. Antidepressants restore the balance of neurotransmitters in the brain which are chemical messengers that regulate mood and emotional state. The majority of antidepressants today focus on one of these neurotransmitters through increasing levels of serotonin. Selective serotonin reuptake inhibits (SSRIs) such as Prozac and Zoloft increase the amount of serotonin chemical within the brain. The SNRIs like Cymbalta, Effexor and Cymbalta target both dopamine and norepinephrine. Monoamine Oxase inhibitors such as Wellbutrin focus on only dopamine and norepinephrine.

Most doctors prescribe antidepressants in order to treat depression as a first treatment, as well as talk therapy. Some of these therapies are cognitive behavioral therapy (CBT) which can help improve the quality of your thoughts and feelings by teaching specific skills, or interpersonal psychotherapy (which focuses on improving relationships). Other therapies, such as electroconvulsive therapy (ECT) and transcranial magnetic stimulation (TMS), have also been proved to be effective in treating depression.

Unfortunately, some people don't respond to the first medications prescribed by doctors. A third of patients suffering from depression treatment centers don't get any relief from their initial medication and around 40 percent of those who start taking antidepressants stop them within three months. Recent research has allowed doctors to predict which medications is most effective for a person through blood or MRI testing to determine which receptors are most affected by depression.

In recent years, the treatment has improved with better options and doses to minimize side effects. Newer antidepressants like esketamine, brexanolone, and nefazodone work to quickly alleviate depression symptoms.

Other medications are currently in clinical trials that could alter the way they're used. A drug called vorapaxar which is currently being tested in humans, targets a different part of the brain that's associated with depression, by blocking NMDA receptors. It's expected to be available by 2024. Another drug that has shown potential is a combination of bupropion and ketamine. This may be more effective in treating depression resistant to treatment.

Psychotherapy

Psychologists have discovered certain elements that can cause depression. These include imbalances in the neurotransmitters serotonin and norepinephrine. These chemicals play a vital role in regulating mood, emotions and brain function in general. Medications such as selective serotonin reuptake inhibitors (SSRIs) and serotonin-norepinephrine reuptake inhibitors are the main treatment options. They can alleviate many symptoms of depression such as depressed mood, fatigue and sleep issues. However, they do have adverse effects that can make them unsuitable for certain people.

Psychotherapy can address root causes and help individuals overcome depression. Several types of therapy have been proven to decrease symptoms, including cognitive behavior therapy and ketamine infusion therapy. Psychotherapy can also help people to develop a healthier way of coping and better manage stressors. Cost, scheduling limitations, and a shortage in mental health providers can limit access to psychotherapy. The recent rise of the telehealth industry has increased access for some people.

Finding the right treatment combination is key to overcoming depression. It can take up to 12 weeks to determine whether your medication is effective. The use of medication alone may not be enough to relieve all of your symptoms. There are many nonpharmacologic therapies available like transcranial magnetic stimulation and vagus nerve stimulation. These therapies use electromagnetic fields to improve mood and increase the brain's chemistry.

It's important to collaborate closely with your provider, whether you're interested trying medication or therapy. Discuss your feelings and thoughts, and the risks and side effects that come with each choice. If you have a hard to establish a trusting relationship with your doctor or therapist Try to find the right person to meet your needs. A clinic that provides a trial period free of charge is also a good option, as it offers you the opportunity to try different methods before making a commitment. You'll eventually find the treatment that is most effective for you and helps you feel at your best.

Brain stimulation

In the span of just a few years scientists have found new methods to target specific brain areas and change their function quickly. These methods can be used to treat depression and other mental disorders and also for some physical ailments.

One approach is called rTMS, which employs electromagnetic pulses to stimulate the brain. It's similar to magnetic pulses that are used in MRIs, but is not sufficient to trigger seizures. The technique works by stimulating a specific region of the brain using the use of a non-painful magnetic. The pulses alter the way your brain communicates and make it easier to feel better. The treatment could take as little as 3.5 minutes and doesn't interfere with your everyday activities. There may be a slight headache following the treatment.

Another treatment involves implanting electrodes into the brain to send painless electrical zaps. This procedure is also referred to as deep transcranial magnetic stimulation (deep TMS) and is used for OCD and to stop smoking. It's still being researched for depression, but early studies suggest that it could reduce depressive symptoms in some people. It's not known what the effect of this treatment is, however, it seems to alter the balance of certain neurotransmitters.

Other types of noninvasive brain stimulation are also advancing as well. For instance the results of a recent study revealed that patients suffering from severe depression who were not tolerant to antidepressants, responded to the treatment with magnetic pulses called SAINT. It is customized for each patient's brain anatomy, and uses high-dose magnetic pulse patterns. The treatment for depression and anxiety can be delivered in a few hours, whereas previous treatments required daily sessions for weeks or months.

The researchers utilized FMRI to identify the exact area of the brain that was being stimulated in every patient. They also examined the small differences in how treat anxiety and depression the brain's various regions were activated, which helped them discern the direction of signals. They found that in patients suffering from depression treatment without meds, the brain's anterior cingulate cortex sent signals to an area called the subgenual cingulate cortex. But these messages were often misdirected and the more severe the depression, the more of these incorrect signals were.