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Innovative Depression Treatments Many people suffering from depression have difficulty to find a treatment they can take. Some experience an inability to respond to medication or experience uncontrollable side effects. Table 2 demonstrates that the intrinsic health benefits of a more effective coverage are huge. The discounted value for depression is $399 billion, and for anxiety disorders, $169 billion. Transcranial magnetic stimulation (TMS) TMS utilizes an electric field to deliver brief bursts of electrical current to specific brain areas that are overactive in people with depression. The therapy is noninvasive and doesn't require anesthesia. It is also highly effective and well-tolerated compared to antidepressant medication. The person who receives TMS is sitting in a chair that resembles a dentist's chair. A trained technician will place an instrument with a coil of magnetic material against the frontal portion of the head. The coil pulses quickly, and a person may hear a sound of clicking or feel a tingling sensation on the scalp. Each magnetic pulse (measured in hertz or Hz) is known as a “pulse(also known as a “pulse”). The frequency of pulses can vary from low (1 pulse every second) to high (10 per second). The treatment isn't painful, but the magnetic field can affect cells located in the brain's outer layer. It depolarizes cortical neurons and the transynaptic effect may affect deeper regions of brain that are involved in mood. For example, higher-frequency TMS over the left dorsolateral prefrontal cortex (DLPFC) can enhance mesolimbic neural circuits that regulate emotional responses. Some insurance plans provide TMS as an alternative to psychiatric medications. It is important to inquire with your insurance company to find out what benefits your specific policy covers. In clinical trials, TMS produced significant and sustained improvements in depression symptoms versus an placebo. During a TMS treatment course, a patient may undergo up to 30 sessions over the course of a few weeks. Patients with severe depression may require a longer duration of treatment. Some newer treatments of TMS utilize a lower frequency pulse that is less likely to cause side effects such as seizures. While the procedure is still considered to be experimental however, it's a promising option for those who aren't responding to antidepressants and psychotherapy. Electroconvulsive Therapy (ECT) ECT helps to restore the brain's natural chemical balance. It is one of the most secure and safest treatments for depression that can be used to treat other mental health conditions such as schizophrenia. The ECT procedure takes place in a hospital or an outpatient treatment center. It is carried out by medical experts. Before the procedure, a general anaesthetic will be administered to ensure you do not feel any discomfort. The ECT team will connect monitoring equipment to keep track of your heart rate, blood pressure, oxygen levels and brain waves. You will receive a muscle relaxant that will keep you calm and a mouth guard to protect your teeth. Two metal discs (bilateral ECT) or a single disc (unilateral ECT) are placed on your head on either side or in the middle of your forehead. The anaesthetist then gives you an injection of medication that puts you to sleep. You will wake up in the ECT suite, and a member of the ECT team will talk to you and answer any questions you might have. Before you can receive the treatment, you will be asked to fill out the consent form. It is a good idea to have a trusted friend or family member with you when you are being told about ECT because it could be difficult to take in all the information in one go. You should have at least 24 hours before being required to make a decision about the treatment. During the procedure you will experience brief fits or seizures lasting between 40 seconds and 2 min. The ECT doctor will adjust the amount of electric pulses you receive depending on the response you show. It is likely that you will receive short sessions of ECT. Usually 6-12 sessions are scheduled twice a week. There is no one theory on how ECT is performed however it appears to cause the release of certain chemicals which help brain cells communicate with one and each other. It also appears to alter the way certain parts of your brain develop. ECT is effective in treating severe depressions, suicidal feelings and catatonia secondary depression as well as other psychiatric issues. Studies show that half of people who have ECT get better and stay well for at least a year. It is particularly helpful for those whose symptoms haven't responded to medications and other psychosocial treatments. Deep brain stimulation (DBS). Deep brain stimulation (DBS) is an operation that involves implanting electrodes in the brain. The electrodes are connected to a small neurostimulator which delivers electric impulses to the region of the brain responsible for your symptoms. The pulses could help reduce your symptoms and increase your quality of life. DBS can treat many conditions including movement disorders such as Parkinson's or essential tremors, as well as psychiatric conditions such as depression and obsessional-compulsive condition. It also helps reduce seizures in people with epilepsy. It can also treat the severe pain that comes from nerve and brain conditions. DBS is an effective treatment for many patients suffering from TRD, and it can be combined with other treatments like ECT. It is important to remember that not all patients will benefit from DBS. Certain patients don't see any improvement in their symptoms, and some may even experience a worsening of their depression. This non-response may be due to a mix of factors including patient-related ones, like personality traits or psychiatric co-morbidity, as well as clinical factors such as an inaccurate diagnosis or a poor DBS target. Researchers used a machine-learning algorithm to classify the changes in LFPs recorded during intraoperative DBS. The results revealed that changes in beta power were related to a decrease in depressive symptoms. These findings suggest DBS could be used as a predictor of antidepressant effects. However further research is required to test this hypothesis. DBS is a well-known treatment for movement disorders and it is also being used to treat a growing number of disorders of the psyche. However, it's not widely used as an option for treating depression. The FDA has approved DBS to decrease seizures in people with difficult-to-treat Epilepsy. Research is currently being conducted to determine whether DBS is effective in treating depression. Before you undergo DBS it is recommended that you discuss your options with a psychiatrist or neurologist. The neurologist will assess you and recommend the most appropriate treatment option for you. The doctor will inform you of the advantages and dangers of DBS. It is also important to inquire about any preparations or tests you might need to take prior to the procedure. You will probably need an imaging test, blood test or other tests prior to the procedure. Cognitive behavioral therapy (CBT) Cognitive behavioral therapy is one of the most common types of psychotherapy that has been proven efficient in a variety of different outcomes studies. It is typically used as a standalone treatment, though it can also be combined with medication in some instances. CBT is a type of psychotherapy that helps you change negative thoughts and behaviors that contribute to depression. It is based on the idea that the way you see and react to situations is more important than the actual situation itself. It is a highly active form of psychotherapy that is focused on solving problems and finding and changing the maladaptive thinking patterns. The purpose of CBT therapy is to help you be your own therapist. It accomplishes this by helping you alter the way you think and act. It employs exercises and home sessions and out of session to help you learn new techniques. CBT is focused on current issues and challenges and not on past experiences or root causes. It does require some information about your past to be able to address and understand problems that are currently affecting you. CBT is usually an in-depth treatment that lasts 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 set at the start of the therapy. depression support groups Iam Psychiatry is an active therapy and requires a high level of commitment and effort on your part. There are a myriad of other types of cognitive behavioral therapies that may be useful for you, including acceptance and commitment therapy, which trains you to take positive actions even when you are experiencing negative thoughts or feelings as well as dialectical behavior therapy, which is designed to address self-injury and suicidal thoughts that are persistent and interpersonal psychotherapy, which aims to resolve relationships that contribute to your depression. There are a variety of exciting new treatments that could offer a game-changing solution to people with depression. There are some treatments that are already available. For instance, deep brain stimulation. A surgeon inserts electrodes into your brain to send pulses that alter the electrical activity contributing to your symptoms. However, many other advancements are still in the development phase, such as personalized medicine for depression that could be able to eliminate the trial and error process of finding what works best for you.