The Psychology of Depression and Anxiety - Dr. Scott Eilers

Alternate Treatments for Severe Depression and Anxiety (TMS, Ketamine, ECT, Microdosing)

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Sep 25, 2024
Mainstream mental health treatments often leave many struggling. Alternative therapies like Transcranial Magnetic Stimulation (TMS) and ketamine therapy are emerging as effective options. Learn how these treatments work and their potential side effects. The podcast also explores electroconvulsive therapy (ECT) and the promising research on psychedelics for mental health. Discover the need for innovative solutions in the fight against treatment-resistant depression and anxiety.
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INSIGHT

Mainstream Treatments Fail Many People

  • Conventional therapy and medications succeed for roughly half of people seeking help, leaving ~33% with treatment-resistant depression despite multiple interventions.
  • This treatment gap motivates exploring TMS, ketamine, ECT, and psychedelics as alternative options.
INSIGHT

TMS Stimulates Pleasure Circuits For Anhedonia

  • Transcranial Magnetic Stimulation (TMS) targets underactive neurons to normalize emotional and decision-making circuits linked to depression.
  • Sessions last 5–20 minutes, done 3–5 days/week for weeks, with 50–60% response and ~30% long-lasting remission.
ADVICE

Do Not Use TMS With Bipolar Depression

  • Avoid TMS if your depression is part of bipolar disorder because magnetic stimulation can trigger manic episodes.
  • Confirm bipolar diagnosis before TMS to reduce risk of treatment-induced mania.
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