Ten Latest Depression Treatmentss That Really Improve Your Life > 자유게시판

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

Latest Depression Treatments

If your depression doesn't get better by taking antidepressants or psychotherapy, new drugs that act quickly may be able treat depression that is resistant to treatment.

SSRIs which are also known as selective serotonin reuptake inhibitors, are the most commonly prescribed and well-known antidepressants. They affect the way the brain uses serotonin.

Cognitive behavioral therapy (CBT), also known as cognitive behavioral therapy, assists you in changing negative thoughts and behaviors, such as despair. The NHS offers 8 to 16 sessions.

1. Esketamine

In March 2019, the FDA approved a brand new nasal spray for depression that is called esketamine. (Brand name Spravato). It is created from the anesthetic drug ketamine, which has been shown to be effective in cases of severe of depression. The nasal spray can be used alongside an oral antidepressant to treat depression that has not responded to standard medication. In one study 70 percent of those with treatment-resistant depression who were treated with the drug had a positive response which was a higher response rate than with the use of an oral antidepressant.

Esketamine acts differently than conventional antidepressants. It boosts the levels of naturally occurring chemicals in the brain, referred to as neurotransmitters, that relay messages between brain cells. The effects aren't immediately apparent. Patients usually feel better after a couple of days, but effects last longer than SSRIs and SNRIs.

Researchers believe that esketamine helps reduce depression symptoms by strengthening brain cell connections. In animal studies, esketamine reversed the breakdown of these connections which can be seen in chronic stress and depression. It also seems to promote the development of neurons, which can reduce suicidal feelings and thoughts.

Esketamine is distinct from other antidepressants in that it is delivered by nasal spray. This allows it to enter your bloodstream faster than pill or oral medication. It has been proven to reduce depression symptoms within a matter of hours, and in certain people the effects are nearly immediate.

A recent study that followed patients for 16 weeks revealed that not all patients who started treatment with esketamine were actually in Remission. This is a bit disappointing, but not unexpected, according to Dr. Amit Anand, an expert on ketamine, who was not involved in the study.

Esketamine is available only in private practice or in clinical trials. It isn't considered a first-line treatment option for depression and is typically prescribed only when SSRIs or SNRIs have not worked for a person with treatment-resistant depression. The doctor can determine whether the condition is not responding to treatment, and then determine whether esketamine could be beneficial.

2. TMS

TMS utilizes magnetic fields to stimulate nerve cells in the brain. It is noninvasive, does not require anesthesia or surgery and has been shown to improve depression for people who are not responding to psychotherapy or medication. It has also been used to treat obsessive-compulsive disorder and tinnitus (ringing in the ear).

For depression, TMS therapy is typically given in a series of 36 daily treatments spread over six weeks. The magnetic pulses may be felt as pinpricks on the scalp. It can take time to become accustomed to. After an appointment, patients can return to work or home. Each TMS session lasts between 3.5 minutes and 20 minutes, depending on the stimulation pattern.

Researchers believe that rTMS works by changing the way neurons communicate with one another. This process, also known as neuroplasticity, enables the brain to establish new connections and modify its function.

TMS is FDA approved for treating depression in cases when other treatments like medications and talk therapy have not worked. It has also been proven to aid people suffering from tinnitus, OCD and pain. Researchers are also investigating the possibility of using it to treat Parkinson's and anxiety.

While a variety of studies have proven that TMS can improve depression but not everyone who gets the treatment experiences a benefit. It is crucial to undergo a thorough psychiatric as well as medical evaluation prior to beginning this kind of treatment. If you have any history of seizures or are taking certain medications, TMS might not be suitable for you.

A conversation with your doctor can be beneficial if you are experiencing depression but aren't seeing any benefits from the treatment you are currently receiving. You may be eligible to participate in an TMS trial or other types of neurostimulation. However, you need to first test several antidepressants before your insurance company will cover the cost. Contact us today to set up a consultation to learn more. Our specialists will assist you in the process of deciding whether TMS is the best natural treatment for anxiety and depression choice for you.

3. Deep stimulation of the brain

For those suffering from treatment-resistant depression, a non-invasive treatment that rewires brain circuits can be effective within as little as one week. Researchers have developed new techniques that allow them how to treat anxiety and depression without medication deliver high-dose magnetic pulses to the brain in a shorter period of time and on a schedule that is more adaptable for patients.

Stanford neuromodulation therapy (SNT) SNT, which is now offered at the UC Davis Department of Psychiatry and Behavioral Sciences' Advanced Psychiatric Therapeutics Clinic utilizes MRI imaging to direct electrodes that transmit magnetic pulses to targeted brain regions. In a recent study, Mitra and Raichle discovered that in three-quarters of people with depression, the usual flow of neural activity from the anterior cingulate cortex to the anterior insula was interrupted. With SNT the flow of neural activity returned to normal within a week, coinciding with the lifting of their depression.

A more invasive technique called deep brain stimulation (DBS) can yield similar results for some patients. After several tests to determine the best place for the implant, neurosurgeons can insert one or more wires, referred to as leads, inside the brain. The leads are connected to a nerve stimulator implanted under the collarbone, which looks like a heart pacemaker. The device delivers an ongoing electric current through the leads. This alters the brain's natural circuitry, reducing moderate depression treatment symptoms.

Some psychotherapy treatments may also help relieve depression symptoms, including cognitive behavior therapy and interpersonal therapy. Psychotherapy can be conducted in groups or in one-on-one sessions with an experienced mental health professional. Therapists may also offer the option of telehealth services.

Antidepressants are the mainstay of treatment for depression. In recent times, however, there have been significant improvements in the speed at which they can alleviate depressive symptoms. Newer drugs, such as gepirone (Exxua), esketamine (Spravato), brexanolone (Zulresso) and dextromethorphan-bupropion (Auvelity), all have been shown to work faster than older antidepressants.

Other therapies, such as electroconvulsive treatment (ECT) or repetitive transcranial magnet stimulation (rTMS), use electric or magnetic stimuli to stimulate the brain. These are more complex procedures that need to be performed under the supervision of a physician. In certain instances they may cause seizures or other serious adverse effects.

4. Light therapy

Bright light therapy involves sitting or standing in front of an artificially bright light source. This treatment has been utilized for many years to treat seasonal depression as well as major depressive disorder (SAD). Research has shown that bright light therapy can reduce symptoms such as sadness and fatigue by boosting mood and regulating the circadian rhythms. It can also help those who suffer from depression that is intermittent.

Light therapy mimics sunlight, which is a major element of a biological clock known as suprachiasmatic (SCN). The SCN is connected to mood and light therapy may alter the circadian rhythms that can contribute to depression. Light can also reduce melatonin and restore the function of neurotransmitters.

Some doctors are also using light therapy to treat a less severe type of depression referred to as winter blues. It's similar to SAD but is less common and is only seen in months when there is less daylight. For the Best treatment for severe depression results, they recommend that you lie in the light therapy box for 30 minutes each morning while awake. Contrary to antidepressants, which may take weeks to begin working and can often cause side effects like weight gain or nausea light therapy can provide results within a week. It is also suitable for pregnant women and older adults.

Researchers warn against using light therapy without the supervision of an expert in mental health or psychiatrist, since it could trigger manic episodes for people with bipolar disorders. Some people may experience fatigue during the first week, as light therapy can alter their sleep-wake pattern.

PCPs must be aware of the latest treatments approved by the FDA. However, they shouldn't ignore the tried-and-true techniques like antidepressants or cognitive behavioral therapy. "The pursuit of more effective and innovative treatments is exciting, but we must keep focusing on the most effective treatments," Dr. Hellerstein informs Healio. He suggests PCPs should educate their patients on the benefits of new treatments and help them stick with their treatment plans. This can include providing transportation to the doctor's office or setting reminders for patients to take their medication and attend therapy sessions.