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Cutting-Edge Depression Treatments Many people with depression struggle to find the right treatment in the right dosage to get tangible results. New therapies may offer hope to those who have had difficulty obtaining treatment. They comprise ECT which is a form of repetitive transcranial magnetic stimulation (rTMS) and the nasal spray esketamine or Psilocybin-assisted therapy. These cutting-edge treatments are highly effective for people whose depression symptoms are not improving with medication or talk therapy. Transcranial Magnetic Stimulation TMS is a noninvasive brain stimulation therapy that treats depression by stimulating areas of the brain that regulate mood. This depression therapy is a viable alternative to antidepressant medication and has proven beneficial for those who aren't responding to traditional medications. The TMS device emits electromagnetic pulses that are received by brain cells and activate the prefrontal cortex which is the brain area responsible for depression and mental health problems. The brain is stimulated by the pulses to release neurotransmitters, which improve your mood and increase 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 or other options for treating depression to develop a comprehensive treatment plan. Prior to your first session, your physician will take several measurements to tailor the TMS device for you. They'll place the coil over the front area of your head and administer several short pulses to determine the amount of power needed to stimulate the brain. When the magnetic coil is activated you'll hear sounds of clicking and feel a tapping sensation under the coil. The pulses last about 20 seconds. If the technician is pleased with the intensity of the magnetic pulses, they'll start your treatment. You will remain alert and alert throughout your treatment. It could last up to 30 minutes. Your doctor will use the computer to guide the magnetic coil over your scalp. Each pulse is followed by a pause, which allows the magnet to cool. The pulses will be given daily for a period of six weeks, however your provider may extend the schedule if results are positive. TMS is a relatively new depression treatment. Insurance policies cover it, but only if certain conditions are met. You must, for example have tried at minimum a certain amount of antidepressants, but they didn't work. You'll also have to submit to an examination for physical health and take a few tests. This is to make sure that you're healthy enough for the treatment and that you do not have any medical devices in your body (such as pacemakers or pumps). You should also avoid anesthesia or sedatives prior to the TMS session. Cognitive Behavioral Therapy Cognitive behavioral therapy (CBT) is an extremely effective and popular treatment for depression. A combination of behavioral and cognitive therapies CBT is a problem-focused approach to psychotherapy that takes a more focused look at current challenges. It also is focused on changing thinking patterns to alleviate mood issues and negative behavior. Typically, CBT sessions are held in an office setting but they can also be conducted on the internet or over the phone. The concept was initially developed by Aaron Beck, CBT is based on the belief that mood and thoughts are connected. Untrue and negative thoughts can trigger distress, which can cause unhealthy behavior. CBT helps people recognize the negative patterns they are forming and teach how to replace them with more positive and realistic thoughts. CBT is effective in treating anxiety, depression and phobias, as well as post-traumatic disorder. It has also been utilized to treat eating disorders and insomnia. Some variations of this treatment also concentrate on improving relationships and overall wellbeing. Like other psychological treatments, CBT is based on research-based evidence and empirical data. It also changes as researchers discover new things about human behavior and how the brain works. CBT is a team-based and active process that occurs over a short time. CBT sessions range between five and twenty depending on the condition being addressed. The main benefit of CBT is that it focuses on the issues that the person is facing. Contrary to other types of therapy, it doesn't require a lot of time going through the past or looking into the trauma of events. Instead, depression treatment techniques I Am Psychiatry focuses on addressing the issues that are causing the most distress. A qualified mental health professional will help you identify problematic emotions, beliefs and behavior. They may ask you to keep a diary and encourage you to pay attention to how you respond to stressful or difficult situations. They will help you change negative emotions and thoughts through interactive questions and answers. They will also teach you techniques, such as mindfulness meditation, which will help you notice and challenge your thoughts whenever they become negative. Ketamine Infusions The first time it was approved by the FDA as an anesthetic drug, ketamine has powerful antidepressant properties. It is currently utilized to treat severe and resistant depression. Infusions of ketamine, when administered in a medically monitored setting, can prove life-saving for patients suffering from depression that is resistant to treatment and suicidal thoughts. In one study 85 percent of patients reported remission of their depressive symptoms following a single ketamine injection. Ketamine creates new neural pathways in your brain that allow for positive and healthy thoughts to develop. It's considered a non-invasive, low-risk treatment that can provide immediate relief from depression and suicidal thoughts usually within a matter of hours or days after the first injection. It can sometimes lead to a complete recovery of depression. It's also known as “transformative therapy” because it provides rapid and lasting results. While the majority of clinics offering ketamine are safe, not all of them adhere to federal and state regulations. It is important to choose an accredited, licensed and certified provider who has years of experience and is trained in a hospital-based environment. Also, you must make sure 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 effects are likely to be mild and short-lived. However, in some rare instances patients can experience a more negative experience. On-site psychiatric specialists can assist in managing these rare, but serious incidents. They are typically short and disappear within a few minutes after the infusion has ended. At Lone Peak Psychiatry, we take the safety of our patients very seriously. Before beginning a course of ketamine infusions, we conduct a thorough assessment which includes the baseline urine toxicology screening to make sure that the patient is healthy enough to receive this type of treatment. We will only consult patients who have been referred by their doctors to receive this treatment and have not found improvement after adequate trials of antidepressants, TMS, or ECT. Online Screening Depression is a serious mental health issue that can trigger feelings of sadness and despair. Many people suffering from depression have trouble thinking clearly and are tired and low in mood. They might also find it difficult to live a full life or concentrate, or even consider suicide. However, depression is treatable and there are numerous options available. One of the most effective treatments is cognitive behavior therapy (CBT). CBT provides patients with strategies to deal with depression and sadness that persist. A recent study revealed that online counseling can be a useful treatment for people suffering from depression. This program allows people to connect with a counselor via online chat or video. The counselor will assist the person to identify their symptoms and provide guidance and support to address them. The counselor will also suggest alternative treatment options if the individual requires them. The counselor can also connect the person with other resources for assistance. The study aimed to test the effectiveness, feasibility, and acceptability of a psychodynamic treatment using the internet for depression. It was conducted during the COVID-19 pandemic in the UK and involved 23 teenagers who were suffering from depression. Participants registered their an interest on the study's website, completed a short online questionnaire, and then received a personalized response from a counselor in the program. They then commenced the treatment program and were evaluated at baseline, during sessions 1-9, and post-treatment. Participants were asked to fill out the QIDS A17-SR (Quick Inventory of Depressive Symptomatology in Adolescents) at the beginning of the study as well as at the close of the study. They were also asked about their previous treatment for mental illness and any barriers to accessing treatment. The team of researchers found that internet-based treatment was a safe and acceptable alternative for teenagers suffering from depression-related symptoms. It was equally effective as face-toface psychotherapy for improving the QIDS-A17SR score. The requirement that participants have internet access on smartphones or computers as well as be able to write and read English, limits its accessibility to certain groups of young adults. This is especially true for those living in areas of high levels of poverty.