What is depression?

Depression is a common and serious illness that affects a person's everyday life. It can cause extreme sadness and a lack of interest in things that were once enjoyed. Sadness or grief alone can not be termed as depression, though they are some of the symptoms. It affects people differently hence can be difficult to diagnose without professional advice. Fortunately, as depression is a clinical illness it can be treated or managed with the right help.

There are various types of depression, like:

Major depressive disorder (MDD):

MDD is also known as clinical depression. When the symptoms are persevering and can start to constantly affect daily routines it can be categorized as Major Depressive Disorder. The exact cause of MDD is unknown but many factors may be a trigger to the repressed emotions. Extreme drug use, chronic diseases, childhood trauma, or any other trauma can be a trigger for MDD. MDD can be managed with the right medication and therapy.

Bipolar Disorder:

A person suffering from Bipolar Disorder has two extreme levels of emotions. One is low, where they lose all hope, and waves of sadness can hit them. The other where there is a high level of energy which can be a kind of maniac period. The person may not be aware of the two extremes and it can be an overwhelming shift from one to the other. Bipolar disorder is considered to be a lifelong condition but it can be regulated with the right support and treatment. Symptoms can be confusing as it has both extreme levels of emotions at the same time. Unusual talkativeness, change in sleep schedule with little to no sleep, hyperactive or loss of hope, feeling guilty or worthless, thinking or attempting self-harm are some of the symptoms. The exact cause of Bipolar disorder is not known but it can be genetic. Seeking help can be the hardest part as identifying Bipolar Disorder is not easy.

Postpartum depression:

This type of depression occurs in women during pregnancy and or right after they give birth. It is one of the most overlooked types of mental health. It affects a person mentally, physically, and emotionally to an extent that it affects everyday life. The main reason for postpartum is the change in hormones during pregnancy, these hormones rise high during pregnancy and can drop instantly after giving birth. Most women experience "baby blues" after delivery but when these emotions last longer they turn into a depressive stage. It is common to experience mood swings during and after pregnancy but when it leads to lack of sleep, loss of pleasure, or feeling no bond with the baby it can be a signal to consult a professional. Most women do not speak about their issues fearing judgment, which can further worsen the condition. Women must realize it is a common condition and can be managed with proper and professional care.

Psychotic depression:

Psychotic depression is a type that comes under major depression that includes psychosis such as hallucination or delusions. A person suffering from psychotic depression is different from a person suffering from major depression because a psychotic person tends to be detached from reality and might experience situations that do not occur or hear voices that are not there. A person with psychotic depression experiences agitation, hallucination, delusion, insomnia, and constant anxiety. Though the exact reason for psychotic depression is unknown, a difficult childhood, having a traumatic experience or genetics can be some of the reasons. The treatments include antipsychotics, antidepressants, therapy, and constant monitoring of the patient.

Seasonal affective disorder (SAD) :

SAD begins during early winter and may end by the beginning of spring or summer. Most people just consider SAD as " Winter Blues" and do not give much thought to the symptoms. Most people experience mild symptoms like agitation, loss of interest in things that once were enjoyed, oversleeping, etc. at the beginning which could be severe by the end of the season. The lack of sunlight may disturb the internal body clock, which might also affect the drop in serotonin that can trigger depression. Things like living far away from the equator, family history, and having major depression can also increase the chances of SAD.

TMS as a lifesaver:

Depression can be treated with different modalities of treatment like antidepressants, ECT, TMS.

Different people require different approaches to their condition. No person is the same as the other and hence no treatment is the same for everyone. Transcranial Magnetic Stimulation therapy is known to have a positive effect on patients who do not adequately respond to antidepressants alone. TMS has minor side effects and may be easily tolerated by patients when compared to other treatments like ECT. A typical TMS treatment lasts about 4 to 6 weeks, with each session lasting about 30-40 minutes and being closely monitored by a physician.

TMS therapy has been found to be very effective on people who fight depression. Our TMS clinic, TMS for You, takes in each person individually with utmost care. Kindly book an appointment with us to discuss any mental health issues that you have and we can help you decide if TMS is right for you.

What is depression?

Depression is a medical condition which affects our mind and body at the same time. It can affect our ability to function. In most cases, depression causes difficulty with sleeping, eating, presence of mind and thinking. This is a mental health condition which requires proper care and treatment because of its serious effects. If left untreated, depression can worsen over time, sometimes leading to suicidal thoughts. On a positive note, the symptoms of depression can be improved or managed through treatment or therapy.

Sometimes it is difficult for a person to realize if he/she is going through depression or not. Everything might seem very normal on the outside, but there could be changes which we may not notice in the beginning. Given below are 6 major symptoms of depression.

1. Loss of interest: Depression is capable of taking the pleasure out of your life by reducing your interest in doing activities. You no longer feel happy even when you try doing your favorite hobby. Major depression symptoms includes lack of sex drive and even impotence.

2. Unstable emotions: A person suffering from depression can experience quick changes of emotions. One minute it's an outburst of laughter and the next you’re crying uncontrollably. This is because depression can cause mood swings. You do not take time to process thoughts, hence resulting in extreme outbursts of emotions.

3. Hopelessness: This symptom is very common among people suffering from depression. They give up things very easily or not even take a chance to fight for anything because of hopelessness. They have lost hope in their life. This symptom should be given special attention as it could lead a person to commit suicide.

4. Insomnia: Depression and sleep problems are directly linked. Among people suffering from depression, almost 75% of them have trouble falling asleep. A good sleep can reduce the chances of developing depression. Disturbed sleep not only affects your mind, but also leads to depression.

5. Loss of appetite: In this case, it is either eating too much or too little. Loss of appetite can be taken as an early sign of depression and is a common symptom, but in some cases, feeling sad or worthlessness can make some people overeat. A sudden gain or loss in weight should be examined without any delay, as it can be the initial stage of depression.

6. Poor memory and concentration: Thinking over and over again about a bad situation that happened in the past or which might happen in the future may give no space for new events to get registered. One might get lost in a loop of unwanted thoughts which disturbs the presence of mind. As the mind is preoccupied with a lot of unwanted thoughts, it may be impossible for a person to recall or remember events from the past. One may be physically present in the scene, but mentally he/she might be lost in a web of thoughts.

7. Irritability: irritability can be seen as a symptom for numerous conditions like depression, stress, post-traumatic stress, bipolar disorder, substance abuse and so on. It is a condition where you get irritated or exhausted very easily. A good mental health improves the overall quality of life, but depression can lead to something like this which might hinder your daily activities.

8. Being less social: Staying away from loved ones or from the society as a whole might be another symptom of depression. A depressed person often chooses to isolate himself/herself. This not only keeps them away from people, but also paves the way to develop negative thoughts. He/she might not like anyone entering their personal space or to get advice from close ones. Staying away from society only worsens the condition. Take courage and seek help.

9. Suicidal thoughts: People suffering from depression for a long time develop suicidal thoughts. This can be controlled or managed if proper therapy is provided.

Depression is quite common but a treatable mental health issue. In most cases, the ones suffering from it do not speak up which can worsen the condition. There are many ways of treating depression. One of the best methods to treat depression is through TMS therapy. Contact us to learn more about TMS therapy. You may also book an appointment with our doctor to explore more about this treatment.

A depressive episode can be explained as a period that is characterized by low mood along with many other depression symptoms such as insomnia, irritability, bad memory, eating disorders and so on which lasts for 2 weeks or more. These symptoms may last for several weeks, months or even a year depending upon the severity of depression.

The patient may show a loss of interest in his/her daily activities or will find it difficult to experience joy or pleasure in things he/she usually enjoyed. Anxiety, worthlessness, emptiness, feeling hopeless, guilt and agitation are few other symptoms that patients experience during this stage. Suffering from depression for a long time without any treatment might result in suicidal thoughts as well. In short, a depressive episode is the time a person suffering from depression experiences various symptoms.

Common symptoms during a depressive episode

A person experiencing a depressive episode may face more extreme symptoms than mood fluctuations. Some of them are:

Anxiety: Unwanted worries about unfavourable events that occurred in the past or events that might happen in future are some of the symptoms of anxiety. This can happen while going through a depressive episode. It can also cause other symptoms like increased heartbeat and sweating.

Frustration: Not being able to cope up with even the smallest of stress begins during this stage.

Feeling Guilty: This symptom dominates over the other elements that come along with depression. Feeling guilty about an act or event which happened in the past can cause disturbance to the mind.

Losing hope: Usually during this period, the patient loses hope in almost everything. They do not engage in new or creative activities because they do not believe that it is going to make a change. Patients are likely to feel sad and helpless. There is also a greater inclination to start developing suicidal thoughts.

Low energy: Low energy can be a common symptom of depression and a person suffering from depression needs to get medical help and proper treatment.

Restlessness: Restlessness can also be a symptom of depression which needs medical help

Inability to concentrate: Inability to concentrate can also be a symptom of depression.

Insomnia: Though sleeplessness could be a symptom of other health issues and not just depression, it is important to rule this out by consulting a mental health practitioner. Changes in sleep patterns can be experienced by patients suffering from depression. Insomnia can have a negative impact on our brain and well as our body. Hence it is very important to make sure that you get a good and proper sleep.

Pain: You may experience aches or pains in some parts of your body even if there is no obvious physical cause.

Managing depressive episodes:

1. Acceptance: You may experience a positive change within once you start accepting that you are suffering from depression. This will motivate you to seek help without any delay. Though talking to your friends and dear ones will make you feel better, the right treatment alone can help you recover from depression.

2. Challenge yourself: This step is to challenge your negative emotions. You become what you think, so changing the thought pattern may do some good. Never think anything negative about yourself. Always say that you are the best. There are therapies like talk therapy which your doctor might recommend. These therapies could help you overcome any fears or unwanted thoughts that disturbs you.

3. Manage insomnia: This may be very difficult in the beginning, but as you practice it might be doable. Try to engage in some mild activities such as reading or listening to soothing music and so on. This can help you relax your rushing thoughts. Maintain a proper sleep and wake-up schedule. This will help in a very positive manner. Seek medical help if you’re unsuccessful in dealing with sleeplessness on your own.

4. Exercise: Daily workouts will make your body stay fit and healthy. Proper and regular exercise can maintain your food habits too.

5. Avoid substance use: Resorting to alcohol and drugs will not help you manage or overcome any health issue. It is best not to over consume alcohol at any point.

Though there might be several other tips that you come across, proper treatment is necessary during any stage of depression. Therapy and medication help in most cases. Contact us to know more about TMS therapy and book an appointment with us.

Teen depression is a mental and emotional disorder that is medically identical to adult depression. However, symptoms in teens may manifest differently than in adults. This could be because teens face a variety of social and developmental challenges, such as peer pressure, changing hormone levels, and developing bodies.

Depression has been linked to high levels of stress, anxiety, and, in the worst-case scenario, suicide. It can also have an impact on the following aspects of a teen's life: personal life, social life, work-life, school life, and family life. This can lead to social separation and other problems.

Depression is not a condition that can be "snapped out of" or "cheered up" from. It is a real medical condition, if not treated properly, can affect a person's life in every way.

Symptoms of teen depression

Children suffering from adolescent depression frequently exhibit a noticeable change in their thinking and behavior. They may lack motivation and even withdraw, closing their bedroom door after school and remaining in their room for hours.

Teen depression may cause kids to sleep excessively, change their eating habits, and even engage in criminal behavior such as shoplifting. Here are some more signs of depression in adolescents, though they may or may not exhibit all of them:

• appearing sad, irritable, or tearful
• changes in appetite or weight
• loss of interest in previously pleasurable activities
• regular boredom
• decrease in energy
• difficulty concentrating
• feelings of guilt, worthlessness, or helplessness
• misuse of alcohol or drugs
• major shifts in sleeping patterns
• Suicide talk or contemplation 
• withdrawal from friends or after-school activities
• weak performance in school

What causes teen depression?

There is no single cause of adolescent depression. Depression may be caused due to a variety of reasons.

Hormonal Imbalance

The brains of adolescents are structurally different from the brains of adults. Teens suffering from depression may also have hormonal imbalances and differing levels of neurotransmitters. Neurotransmitters are brain chemicals that influence how brain cells communicate with one another. They play an important role in mood and behavior regulation.

Serotonin, dopamine, and norepinephrine are neurotransmitters that play an important role in determining a person’s mental health.

Shocking early life events

Some kids lack well-developed surviving mechanisms. A shocking event can leave a permanent mark. Loss of a parent, as well as physical, emotional, or sexual abuse, are a few of the examples that can have long-term effects on a child's brain, potentially contributing to depression.

Negative Thoughts

Teens who are regularly exposed to negative thinking, particularly from their parents, are more likely to develop depression. They might be lacking in positive examples of how to overcome obstacles.

How is teen depression diagnosed?

Doctors may use the adult guidelines to screen 18 and 19-year-olds for depression.

A psychological evaluation, in which the teen is asked a series of questions about their moods, behaviors, and thoughts, is recommended for proper treatment. The evaluation should also consider the teen's family history, academic performance, and comfort in social situations. Also, the psychologist/psychiatrist will question the parent or caregiver about the teen's behavior and mood. A physical examination may also be used to rule out other possible causes of their symptoms. Some medical conditions can also play a role in depression.

Which medications are used to treat teen depression?

There is no single treatment that can help everyone who suffers from depression. It may take some time to figure out which one works best for you. Adolescent depression is typically treated with a combination of medication and psychotherapy. A wide range of medications is available to treat the symptoms of depression.

Teens with depression should consult a qualified mental health professional before or at the same time as starting medication therapy. The AAP recommends either Cognitive Behavioral Therapy (CBT) or Interpersonal Therapy (IPT). CBT might help to replace negative thoughts and emotions with positive thoughts. IPT is to reinforce personal relationships by improving communication and problem-solving skills. Parents or caregivers will join in selected sessions. Even though TMS is not FDA-approved under 18, it has shown to be helpful in the treatment of adolescent depression.

Book an appointment with us to talk to our doctor and know if TMS therapy will work for you!

Winter depression, also known as Seasonal Affective Disorder is a mental health condition that occurs with a change in seasonal patterns. After the onset of winter, some people might feel moody more often and irritated throughout the day. These symptoms might be related to SAD (Seasonal Affective Disorder).

Diagnosis:

Seasonal depression symptoms might be similar to the symptoms of non-seasonal depression. What makes SAD different from non-seasonal depression is that symptoms of SAD occur only in particular seasons. While a person with depression will experience depressive symptoms throughout the year, a person with SAD will experience the symptoms during winter and he/she will feel better and normal during the spring and summer.

Anyone needs to experience SAD symptoms for 2 years to be diagnosed with Seasonal Affective Disorder. Though the person will feel happy, better, and completely normal during other seasons, a person with seasonal depression has to undergo effective treatment to prevent the depressive episodes from getting worse over time.

Symptoms:

• Feeling depressed most of the day and every day
• Feeling disturbed or agitated
• Sleeping more hours than usual
• Craving for carbohydrates and more sugar
• Weight gain
• Fatigue
• Losing interest in activities you once enjoyed

Most people with SAD experience major depressive disorder, but around 20 percent of them may have bipolar disorder.

People who are living far away from the equator stand a major chance of getting affected by winter depression. Women are more likely to experience SAD symptoms when compared to men. Few patients show milder symptoms of SAD and they are diagnosed with Subsyndromal Seasonal Affective disorder.

Is it SAD or just winter blues?

When you get less exposure to sunlight, you might feel gloomy or moody. Less exposure to sunlight might affect our mood due to the lower levels of serotonin produced. If you experience the symptoms of SAD every day and if your symptoms occur with changes in the seasons, then you need to consult a doctor. Your doctor will evaluate you based on the symptoms you have and prescribe the right treatment if needed.

Treatment:

Treatment depends on the severity of the symptoms you experience. Also, if you are already diagnosed with bipolar or major depressive disorder, then the treatment options change accordingly. Typically, SAD is treated with antidepressants and light therapy. Light therapy is a way of treating SAD by using artificial light.

Antidepressants may not show positive results or change in some people. Also, long time use of antidepressants may not be recommended. Brain stimulation therapy like TMS (Transcranial Magnetic Stimulation) helps in regulating the mood of patients with depressive symptoms. It is completely non-invasive and safe. Though TMS is not an FDA-approved treatment for treating SAD, it is an FDA-approved method for treating major depressive disorder and treatment-resistant disorders. Talk to your doctor to decide if TMS is right for you.

Few tips for better mental health that you could try during winter:

1. Exercise:

Do any kind of activity or exercise for about 30 minutes every day to stay active. Exercise/activity helps to activate dopamine and serotonin which regulates our mood.

2. Maintain good interpersonal communication:

Talking to someone or listening to others and maintaining a cordial relationship with everyone will help you to stay in a good mood most of the time. Also, reach out to help if you are stressed or having any kind of violent thoughts that affects your daily life.

3. Meditate or take a break:

Meditation, doing light exercise, or taking a break from long hours of work will help you to change your mood and relax. You will also feel less irritated if you take enough time for yourself in between your busy schedule.

4. Avoid unhealthy eating habits:

Refrain from eating junk foods, foods high in carbohydrates, and sugar. Also, avoid fatty or fried food items. Eat a lot of fresh fruits, vegetables, and protein-rich foods to keep you active throughout the day.

5. Get enough sleep:

Quality and quantity of sleep are important. Hence, ensure that you get 6-7 hours of sound sleep every day.

6. Sunlight:

Try to go out and get as much as sunlight you can. Sunlight is important for your body to get the required amount of Vitamin D and improve your immunity.

7. Seek medical attention:

Despite all the tips you follow, some of you might still experience continuous episodes of seasonal depressive symptoms. In case you feel you need help, please reach out to your doctor and discuss your symptoms to start the treatment as soon as possible. SAD is treatable and with the right treatment plan, you can very well get back to your normal self and complete your daily activities without any hassle.

Welcoming a baby is always an exciting phase in a mom and a dad’s life. But it doesn’t seem very exciting and an easy process for some. According to the CDC, 1 in 8 women experience symptoms of depression.

New moms go through a lot of different emotions right before or after the child both some of them are just baby blues which can last up to 2 to 3 days or up to two weeks after childbirth most of them being, having no interest, feeling sad, crying, anxiety, fatigue, eating disorders or trouble sleeping.

But when the condition prolongs or when the symptoms are much more intense then postpartum depression is diagnosed.

Symptoms of postpartum depression

1. Feeling disinterested with activities that you enjoyed once
2. Unable to connect to the newborn emotionally
3. Trouble breastfeeding the newborn
4. Unable to handle daily activities
5. Difficult to fall asleep or sleeping too much
6. Feeling tired and lethargic most of the time
7. Eating disorders - Not eating at all or eating too much
8. Mood swings
9. Suicidal thoughts
10. Distancing from family members
11. Having trouble in relationship with Your partner

If you notice any of the above symptoms it is advised to consult your doctor as soon as possible. Any new mother diagnosed with postpartum depression has to have ample support from their partner and family members. You must know that postpartum depression is not a character or behavior nor does it mean that you are a bad mother. Postpartum is a clinical condition that can affect a new mother right after childbirth or even as late as one year after the birth of the child.

Causes of postpartum depression:

Irregular levels of hormones during or after childbirth may cause postpartum depression in some women. A woman with a history of depression or a family history of depression runs a risk of getting diagnosed with postpartum depression. Financial instability, issues with partner, unwanted pregnancy are some of the other causes of postpartum depression.

Postpartum depression in men:

Even new fathers can experience postnatal depression symptoms like new moms. around 1 in 10 men experience paternal postpartum depression after the birth of the child.

Increased responsibility, financial issues, and mental health issues like depression in mothers may lead to paternal depression. New fathers may experience difficulty in connecting with the newborn or have thoughts of harming the child. If you are going through similar symptoms, please ensure that the newborn is taken care of by a family member and contact your doctor immediately.

Can postpartum depression be prevented?

Postpartum depression is not a disease that could be avoided but early intervention and continuous monitoring will help doctors to treat PPD.

If you are a person with a risk of getting diagnosed with depression, then you may discuss the same with your doctor. your doctor will then conduct prescreening tests and monitor your mental health throughout the pregnancy period and after delivery.

Postpartum depression treatments:

Antidepression medications, psychotherapies are used in treating postpartum depression. When left untreated, PPD can be difficult to manage or become severe and brain stimulation therapies like ECT. While some treatments are done at the hospital, it can be difficult for a mother to be separated from her baby. Also, some medications interfere with lactations and might not be recommended for breastfeeding mothers.

Treating postpartum depression without medications:

Transcranial Magnetic Stimulation therapy is a safe treatment for postpartum depression. TMS is an FDA approved procedure that makes use of magnetic pulses to stimulate areas of your brain to manage and cure symptoms of postnatal depression. TMS or rTMS is an outpatient procedure and is done at the doctor's office. Hence this is very different from the usual psychotherapies that require you to be separated from your baby. TMS also does not affect lactation and is recommended for breastfeeding mothers as well. Patients who have undergone TMS sessions experienced no major or long-lasting side effects. This treatment is also covered by most insurance. We have more than two decades of experience in treating major depressive disorders. Our clinic is located in Norwood, Massachusetts. Contact us to book an appointment and let us help you.

Depression is a clinical condition that affects the way you feel or carry out your daily activities. You might feel completely cut off from the world and lack a sense of connectivity with your loved ones. Any person has to have symptoms of depression for at least 2 weeks to be diagnosed with depression. Loss of interest, depressed mood, unable to concentrate or think clearly, suicidal thoughts are some of the symptoms of depression. Any form and stage of depression can be treated. Early intervention is the key.

It is estimated that around 7.1% of adults in the US have experienced depression at least once in their life (data as of 2017). According to the CDC, 3.2% of children between the ages of 3-17 have been diagnosed with depression. As you can see, depression is not a rare condition and can affect all age groups and at any time.

What causes depression?

There is no exact reason as to what causes depression. Several factors come into play for a person to be diagnosed with depression. Prolonged stress and pressure related to work or personal life is one common cause. A sudden change in your lifestyle or a recent trauma may lead to depression.

If your family has a history of depression, you might have a higher chance of having it, though it is not always the case. People suffering or managing a chronic disease, people with personality disorders are also at risk. Consumption of alcohol and drugs may lead to depression.

Depression in young ones may be the result of living in an abused environment though it can happen without any underlying reason too. If the child's behavior or habit seems to interfere with his/her daily activities and if they lack social interaction, find it difficult to engage in any activity, then it is always best to consult a doc.

Lack of neurotransmitters

Neurons are the fundamental network in our brain that are responsible for effectively communicating with one another and transmitting information. Neurotransmitters are chemical molecules that are used by the neurons to send signals to other neurons. There are six major types of neurotransmitters - Acetylcholine, Dopamine, Norepinephrine, Serotonin, GABA, and Glutamate. Studies have identified that there might be a connection of low levels of neurotransmitters in some people causing depression (source:health.harvard.edu).

Depression after childbirth

Also known as postpartum depression, many mothers suffer from depression within the first two weeks after delivery.

Seasonal Depression

Seasons with reduced sunlight can cause a sense of lethargy or inactivity in people and it affects the mood too. These come and go every year.

Prolonged depression

Any patient who has been suffering symptoms of depression for more than 2 years is diagnosed with prolonged depression.

Psychotic depression

Hallucinations or complaining of hearing or seeing things that are not present in reality or cannot be observed by other people come under psychotic depression.

Medications for depression:

There are medications for treating depression. Your doctor will initially assess you and prescribe the right way to treat your mental condition. Antidepressant medications or therapies like Cognitive Behavioral Therapy (CBT), supportive therapies may be recommended. Medications take anywhere from 2 weeks to one month to start seeing the desired results. Please do not stop taking your medications once you start seeing improvements. Always consult a doc in case you want to change or alter the dosage of your medicines.

Brain Stimulation:

For patients where the above-said treatments do not work or are suffering from a major depressive disorder, may consider other modalities of brain stimulation therapies like ECT (Electroconvulsive Therapy) and VNS (Vagus Nerve Stimulation) or TMS. ECT makes use of electrical signals passed on to the patient's scalp to relieve depressive symptoms. There might be brief seizures during the treatment but the patient will not be aware of the procedure since the treatment is administered under anesthesia. Short term side effects include memory loss, lightheadedness after the treatment, and in rare cases, seizures. ECT is generally recommended for patients having extreme symptoms of depression.

VNS is a surgical treatment where a small device is implanted that stimulates the nerve using electric signals.

TMS:

For patients with little to no effect from antidepressants or psychotherapies, a noninvasive brain stimulation therapy like TMS is an alternative treatment. Transcranial Magnetic Stimulation is a noninvasive type of brain stimulation that makes use of a magnetic field to generate electrical signals to stimulate nerve cells in particular areas of the brain. Repetitive magnetic pulses are sent, hence rTMS of repetitive TMS is another term that is used for TMS.

How is TMS done?

The procedure and the devices used in TMS therapy is done outside the body. This affects the central nervous system and sends out magnetic pulses to the nerves that are recognized to be associated with depression.

Prior to the treatment begins, the technician will analyze and find out the exact stimulation intensity and also the anatomical target by utilizing a region in the brain called the motor cortex. The motor cortex is an area on our brain that is involved in planning, control, and execution of voluntary activities. The motor cortex would aid the technician to know the intensity of the magnetic pulses to be sent in order to generate the required stimulation. This will differ from one person to another. The acquired calculations are then applied to the primate dorsolateral prefrontal cortex (DLPFC), which is in charge of cognitive features, memory, and reactions.

Can TMS be recommended to all?

You will be first evaluated by your doctor to confirm if TMS will be an effective treatment for your condition. Patients with surgical implants, taking medications for any chronic diseases, diagnosed with any other mental disorders, having a history of epilepsy, needs to discuss with your doctor before undergoing the TMS treatment.

An electromagnetic coil placed against your forehead will send in magnetic pulses to stimulate the nerves on your brain that is responsible for regulating moods and depression. This is a completely painless process that takes around 20 to 40 minutes.

Advantages of TMS over other brain stimulation therapies:

1. TMS does not require any surgical procedure like VNS
2. There are minimal side effects if you are treated by TMS
3. TMS is done as an outpatient procedure, so you could fix an appointment in between your work and get back to your workplace after the procedure.
4. No anesthesia or sedatives are required

Are there any clinics practicing TMS?

TMS is approved by the FDA in the US. This procedure has been successful with patients having treatment-resistant depression. There are many private clinics in the US practicing TMS. For more than 20 years, we have been helping patients overcome different mental health issues. TMS is now in Norwood!! You don't have to wait or drive long for your TMS appointment. Just fill in a form for a phone consultation with our team.

What is the brain stimulation method?

The brain is a very important part of our body. It coordinates the entire functioning of our system. There are neurons that communicate with one another to help in this coordination. Sometimes, due to the lack of neurotransmitters, we experience changes in mood and thoughts that can hinder daily activities. The term depression is used when a person’s way of feeling and mood impacts his/her tasks in the long run. There are several treatments for depression like talk therapy, medications, and brain stimulation therapies. Out of these, brain stimulation therapies prove to provide much better and faster relief for people with severe depression.

The brain stimulation method makes use of electrical and magnetic pulses to stimulate certain parts of the brain that are responsible for causing depression or other mental health illnesses. The different types of brain stimulation therapies are Electroconvulsive Therapy (ECT), Vagus Nerve Stimulation (VNS), and Repetitive Transcranial Magnetic Stimulation (rTMS). ECT and rTMS are widely used for treating depression. We will discuss each of them here.

What part of the brain does TMS stimulate?

TMS (Transcranial Magnetic Stimulation) therapy usually focuses on the left dorsolateral prefrontal cortex (DLPFC). The dorsolateral prefrontal cortex is responsible for decision making, memory, actions, and mood. Stimulating this part of the brain by sending in magnetic pulses improves the symptoms of depression. The treatment involves placing a coil on the patient’s head and sending magnetic signals to stimulate and improve brain activity. The procedure is painless and takes around 20 minutes to complete. A common side effect is a headache after the session. This mostly disappears after a few sessions.

How successful is TMS

Around 50 to 60 percent of the patients who didn’t see a positive effect using antidepressants, experienced relief from depressive symptoms after undergoing TMS treatment. One-third of the patients experienced full remission, though subsequent treatment sessions are recommended (source:health.harvard).

ECT and its side effects

Electrical stimulation like ECT (Electroconvulsive therapy) might be recommended for patients with severe depression, mania, or for those who didn’t have any relief from other treatment options. ECT makes use of electrical signals to stimulate and improve brain activity.

Though ECT is a lot safer now, it still comes with few side effects and can be major when compared to TMS. There will be induced seizures during the ECT treatment.

Memory loss, dissociation, or confused behavior are some of the side effects of ECT.

Difference between TMS and ECT

ECT is done in a hospital and done after giving anesthesia. The patient is unconscious during the procedure. You may have side effects like muscle ache, headache, memory loss, confusion. TMS, on the other hand, is done as an outpatient procedure and does not require anesthesia. The patient is fully awake during the session. You can resume your daily activities after the session. There are minimal side effects, unlike ECT.

What are the general methods used to treat depression?

Other than brain stimulation therapy, there are treatment options like talk therapy, counseling, antidepressants, and Esketamine (Spravato) used for treating depression. Each of the treatment options is opted for and recommended by the doctor after the evaluation of the patient, severity of the symptoms, and other illnesses. Please try to get help if you are experiencing symptoms that affect your daily life. Contact us to know more about the different treatment options that we offer and let us help you fight depression with TMS For You!

Depression is considered to be a common mental disorder with serious consequences. Over the past few years, it has affected millions of people around the world irrespective of their age and gender. There is a need for a proper and reliable mode of treatment to overcome depression. There are so many myths spreading about depression. ‘Depression passes away with time’ is one among those. The fact is, depression advances to a more serious state if left untreated. Most people are not comfortable sharing their problems as they consider this as their weak spot. It is normal to have mental health issues and what it takes is the right step towards seeking help. But most of us are confused about the right choice of treatment.

Medication along with psychotherapy is the first-line treatment for depression. Medication usually takes 4-6 weeks to show improvements. In a few cases, the medication further extends for several weeks or months depending on the severity of the issue. Oral antidepressants may have side effects.

Below mentioned are a few side effects of antidepressants:

• Increased anxiety Insomnia: You either sleep a lot or find it difficult to sleep
• Nausea and dizziness
• Exhaustion
• Decreased sexual drives
• Weight gain

How to deal with this? Are there other ways to treat depression without medication? Yes, we have other reliable options for treating depression. TMS therapy comes into the picture here.

What is TMS therapy?

Transcranial Magnetic Stimulation is a kind of brain stimulation treatment. To explain it shortly, TMS therapy uses electromagnetic pulses to energize nerve cells and increases the neurotransmitters in the brain which helps in the treatment of depression

Can TMS therapy cure depression?

This can be seen as one of the frequently asked questions. TMS therapy is absolutely helpful in treating depression. People who did not show any improvement under medication and psychotherapy indicated a positive response after TMS therapy. It not only treats depression but also anxiety disorders.

Here are few commonly asked questions about TMS:

What are the pros and cons of TMS therapy?

Let us look at the advantages of TMS therapy:

1. It is Non-invasive:

TMS therapy makes use of magnetic pulses to stimulate specific areas of the brain. This is a non-invasive type of treatment and done at the doctor’s office as an outpatient procedure.

2. Minimal side effects:

When compared to the side effects of other depression treatments, TMS therapy has very minimal side effects. There is no risk of dry mouth, weight gain, and reduced sexual drive. It is a reliable mode of treatment.

3. Can be handled independently:

Does not require the assistance of someone to take you up and down the clinic for TMS treatment. As there is no usage of anesthesia or sedation, one can drive back from the clinic and carry on with their daily routine.

4. Effective:

Let us consider this as the most valuable point.TMS therapy is very effective in the treatment of depression. On the other hand, TMS therapy has exhibited positive results in curing depression.

5. Approved by FDA:

The US Food and Drug Administration (FDA) approved TMS therapy for treating major depressive disorder. It was approved back in October 2008.

Is TMS therapy expensive?

TMS treatment is covered by most insurance. To know the cost of TMS treatment and if TMS is the right treatment for you, book an appointment with us.

TMS therapy is one of the safest options for depression. For further queries, please contact us.

Depression is a serious mental health disorder, with more than 264 million people affected worldwide. It mainly disturbs the way you think, feel, interact with people, and handle daily life. Almost everyone goes through some bad stages in their life, most of it turning into severe depression without one’s knowledge. Anyone can be affected by depression, and it can happen irrespective of age. Often people suffering from depression stay away from their loved ones or away from society, which can delay helping them get proper treatment.

The early stages of depression symptoms may be improved by talk therapy or counseling. When proper help or treatment is not given, the situation may become worse. Depression which lasts for 2 weeks or more needs special attention and proper treatment.

How good are the treatment methods?

The positive aspect of depression is that it is treatable. Studies and surveys show that a good amount of people suffering from depression respond positively to various treatment methods. The main reason behind this is that, as days pass by, there is an improvement in treatment methods, be it medications or psychotherapy, or the combination of both. The first step to improving this condition is to find a good therapist to work with and find the underlying causes of depression. In a few cases medications are prescribed as a part of the treatment. However antidepressants come along with a number of side effects such as sexual dysfunction, drowsiness, dizziness, weight gain, dry mouth, to name a few. Patients who do not see a positive effect on their mental health after taking antidepressants might be a good candidate for undergoing TMS therapy. Please discuss with your doctor if you would like to opt for TMS therapy.

Cognitive Behaviour Therapy:

CBT is done during the stages of counselling which focuses mainly on present thoughts, feelings and behaviours and how they are affecting the patient’s current life. Using CBT, the counsellor can improve the way you think, removing most of the negative elements. This involves the patient taking an active role during the sessions. The drawback of this treatment is that it is a short-term therapy which works only on mild to moderate cases of depression which may not require long-term treatment.

What is TMS therapy?

TMS therapy is a type of brain stimulation therapy that is safe, FDA-approved and well-tolerated method of treatment. It is a non-invasive treatment that uses electromagnetic pulses to stimulate nerve cells. This method is mainly used to treat depression. One of the best parts about TMS therapy is that it has only minimal side effects such as mild headaches which go away after the initial stages of treatment. TMS therapy does not use anaesthesia, so the patient can carry on with his/her daily activities. There is no need for anyone to accompany you and you’re free to resume your daily activities or go back to work after the session.

Transcranial Magnetic Stimulation therapy has been approved by the FDA. A standard TMS therapy takes around 4 to 6 weeks of time, around 30-40 minutes treatment per session, which will be completely monitored by the physician.TMS therapy helps patients suffering from depression in a very positive manner. Delayed treatment for depression only increases its severity. Do not wait until it's too late. Right method of treatment is what you require. Contact us to know more about TMS therapy. You may also book an appointment with our doctor to explore more about this treatment.

Introduction

In a world where medical advancements continue to redefine the landscape of mental health treatment, Transcranial Magnetic Stimulation (TMS) has emerged as a ray of hope for individuals battling major depression. Backed by FDA approval, TMS is revolutionizing the way we address this debilitating condition. Unlike traditional medication approaches, TMS employs magnetic energy to stimulate specific regions of the brain, triggering the release of neurotransmitters closely linked to depression. In this blog, we delve into the science behind TMS, its benefits over conventional treatments, and the newfound optimism it brings to both patients and mental health professionals.

The Science Behind TMS

Transcranial Magnetic Stimulation operates on a simple yet profound principle: by using focused magnetic pulses, it can influence neural activity in the brain. The treatment involves placing an electromagnetic coil against the scalp, precisely targeting the prefrontal cortex – a region associated with mood regulation and emotional control. Through these magnetic pulses, TMS stimulates brain cells, prompting the release of neurotransmitters like serotonin, dopamine, and norepinephrine. These chemicals play pivotal roles in regulating mood and emotions, often found to be imbalanced in individuals suffering from major depression.

Safer than Medications

One of the most remarkable advantages of TMS over conventional depression treatments lies in its safety profile. Traditional antidepressant medications often come with a range of side effects, from nausea and weight gain to sexual dysfunction and even increased suicidal thoughts in some cases. TMS, on the other hand, boasts a significantly lower risk of adverse effects. Since the treatment is non-invasive and localized, it doesn't impact the entire body's chemistry, mitigating the risk of systemic side effects. This makes TMS an appealing choice for those who have struggled with medication side effects or found little relief from them.

Personalizing Treatment

Another noteworthy aspect of TMS is its potential for personalization. Each patient's brain responds uniquely to treatment, and TMS allows for customization based on individual needs. By adjusting the frequency, intensity, and location of the magnetic pulses, healthcare professionals can fine-tune the therapy to match a patient's specific brain activity. This individualized approach increases the likelihood of positive outcomes and provides a more tailored solution compared to the one-size-fits-all nature of some medications.

Renewed Hope

For individuals grappling with the weight of depression, TMS offers more than just a treatment option – it brings renewed hope. The prospect of a treatment that doesn't involve a cocktail of medications or the risks associated with them can be incredibly uplifting. The gradual alleviation of symptoms as neurotransmitter balance is restored can provide patients with a tangible sense of progress, fostering a positive mindset and motivating them to actively engage in their recovery journey.

Conclusion

Transcranial Magnetic Stimulation is reshaping the landscape of depression treatment. With its ability to harness the power of magnetic energy to stimulate brain cells and restore neurotransmitter balance, TMS offers a safer and more personalized alternative to traditional medications. As the mental health field continues to evolve, TMS stands as a testament to the remarkable progress we've made in understanding the intricacies of the human brain. With its potential to alleviate the burden of depression and rekindle hope, TMS is undeniably a beacon of light for individuals seeking a path towards emotional well-being.

Transcranial Magnetic Stimulation (TMS) is a non-invasive medical procedure used to treat various neurological and psychiatric conditions, including depression. It involves the use of electromagnetic coils to generate focused magnetic pulses that stimulate specific regions of the brain.

Here are some key points about TMS for depression:

1. Treatment Target: TMS is primarily used for individuals who have not responded well to traditional treatments for depression, such as medications or psychotherapy. It is often considered when other options have proven ineffective or have caused intolerable side effects.

2. Mechanism of Action: The exact mechanism of how TMS works to alleviate depression is not fully understood. However, it is believed that the magnetic pulses stimulate neural activity in the prefrontal cortex, which is an area of the brain associated with mood regulation.

3. Procedure: During a TMS session, the patient sits in a comfortable chair, and an electromagnetic coil is placed on their scalp near the forehead. The coil generates magnetic pulses that induce electrical currents in the brain tissue beneath it. These pulses are typically administered in a repetitive pattern, known as repetitive TMS (rTMS).

4. Frequency and Duration: The frequency and duration of TMS treatments can vary depending on the specific protocol and the patient's individual needs. Typically, a course of TMS treatment involves daily sessions over several weeks, with each session lasting approximately 20-40 minutes.

5. Side Effects: TMS is generally considered safe and well-tolerated. Common side effects are usually mild and may include scalp discomfort or headache at the treatment site. These side effects tend to be temporary and diminish over time.

6. Efficacy: TMS has been shown to be effective in reducing depressive symptoms in some individuals, particularly those with treatment-resistant depression. However, its effectiveness can vary from person to person. It is essential to discuss the potential benefits and risks with a healthcare provider.

7. Maintenance and Relapse: After an initial course of TMS, some individuals may require maintenance sessions to sustain the therapeutic effects. Depression can be a recurrent condition, and ongoing management may be necessary.

8. Cost and Accessibility: TMS is a specialized treatment and may not be available at all healthcare facilities. The cost of TMS can vary depending on factors such as location and insurance coverage. Most of the insurance companies cover TMS services. It is important to check with your healthcare provider and insurance company for specific information regarding costs and accessibility.

9. Consultation: If you are interested in TMS as a treatment option for depression, it is essential to consult with a qualified mental health professional who can assess your individual situation and determine whether TMS is an appropriate treatment choice for you.

Keep in mind that while TMS can be beneficial for some individuals with depression, it is not a one-size-fits-all solution, and its effectiveness may vary from person to person. It is crucial to work closely with healthcare professionals to explore all available treatment options and develop a personalized treatment plan for depression.

Transcranial Magnetic Stimulation therapy is a proven and a safe treatment modality for people suffering from MDD (Major Depressive Disorders) and TRD(Treatment Resistant Depression). Your doctor will help you choose the right treatment option that will work the best for you. Here are a few points about TMS that will help you know more about this type of therapy.

Transcranial Magnetic Stimulation (TMS)

Transcranial Magnetic Stimulation (TMS) is a non-invasive technique that uses magnetic pulses to activate certain areas of the brain. It is promising as a treatment for certain neuropsychiatric conditions, especially TRD (Treatment-Resistant Depression) and MDD (Major Depressive Disorder). Different types of TMS are deep transcranial magnetic stimulation(dTMS), repetitive transcranial magnetic stimulation(rTMS), accelerated transcranial magnetic stimulation, and intermittent theta-burst stimulation. Depression is a condition that can be treated, but for some patients, the standard treatment like medications or talk therapy might not work. In this case, repetitive TMS therapy may be the best option.

TMS therapy procedure

TMS therapy is done at the doctor’s office. You will be allowed to sit on a chair with earplugs on while the TMS specialist will evaluate the treatment site and calculate how much magnetic pulses will benefit you the most. The coil is placed on your head which will send the magnetic pulses to the brain. You will hear a clicking noise and a tap on your head throughout the session.

Patients with metal implants on the brain, seizure disorders, or taking certain medications may discuss with your doctor prior to TMS therapy. However, TMS is a safe option for pregnant women.

How long should you be treated?

TMS therapy sessions range from 4 to 6 weeks. This may vary according to the patient’s response to the treatment. Each TMS session lasts up to 20-40 minutes.

What are the side effects and cost of TMS therapy?

When compared to depression medication, TMS therapy has very minimal side effects. This mode of treatment is well-tolerated and safe. There is a possibility of having a mild headache after the therapy, but it will recede over time. Since anesthesia is not used, the patient can drive back home after the session and engage in daily activities. Your doctor will discuss with you any existing medical conditions and also the medications that you take regularly. This will help your doctor to decide if TMS therapy is right for you.

Most insurance companies cover TMS. TMS therapy starts from $300 per session on average. The total cost of TMS can vary from $6,000 to $12,000.

TMS therapy is one of the safest treatment options for depression. You can talk to our doctor and book an appointment with us. For further queries, please contact us.

Depression has become one of the most common mental illnesses, particularly amid the pandemic. It is found that around 20% of the population is affected or was affected by any of the depressive symptoms.

Click here to know more about depression and its symptoms.

If you suffer from depression, contact your doctor for a diagnosis. Once diagnosed with depression the next step you will need to take is to choose the right treatment plan. It is necessary to continue the treatment plan that the doctor chooses for you. When it comes to deciding on the treatment plan for depressive symptoms, your doctor might evaluate you on the basis of the severity, duration, or symptoms that you experience. The different types of treatment that are used effectively for treating depression are psychotherapy, antidepressants, TMS, ECT, and Esketamine.

Psychotherapy and antidepressants are the first lines of depression treatment. Brain stimulation therapies like TMS and ECT are more effective for people who do not see any positive response to psychotherapy or oral antidepressants.

How to know if you are getting better?

Normal daily functioning

Depression may interfere in the daily activities of a person and make it difficult to function normally. After starting your treatment or medications, if you notice that you are improving when it comes to handling daily activities, then it is a sign that your condition is improving.

Reduced mood swings

Mood swing is a common symptom of depression. The right treatment plan will reduce the mood swings that you experience on a daily basis.

Reduced episodes of depression

A positive effect of your treatment will result in decreased or delayed intervals between the episodes of depression that you experience.

Better relationships

People suffering from depression tend to have relationship problems. They might have difficulty in personal and professional relationships. Treating depression will change the way you feel about yourself and also about others. This will in turn help you in becoming a better person when it comes to maintaining relationships.

Untreated depression:

Never ignore the symptoms of depression and think that your body will adjust naturally. Like any other disease, depression has to be treated and if left untreated may cause serious consequences including difficulty in daily activities, relationship issues, and even suicide. Hence, keep a track of any symptoms that you experience and get help if needed.

What to do if you do not see any changes after treatment?

While it is not possible to see sudden changes right after the first session or within few days after having antidepressants, you may still keep a track of the symptoms to check if you are getting better or not. It is good to keep a journal to keep notes of the symptoms or feelings that you experience every day. You need to discuss with your doctor if you note that the symptoms are getting worse or not having any change. For example, people who do not experience improvements in depressive symptoms after taking antidepressants may get better when they undergo brain stimulation therapy like TMS. Hence it is essential that you keep track of the symptoms and discuss it with your doctor.

It is also very important that you do not stop or delay the treatment for depression. It is vital that you follow your doctor's instructions and cooperate to complete the course of your treatment. This would ensure that your mental health condition improves over time and you can start enjoying your normal life.

Medications alone aren’t always effective when it comes to treating depression. As many as one-third get no relief from antidepressants.

Drug-free treatment modalities and lifestyle changes have also been shown to improve the symptoms of depression. Depending on the severity of the depression, any of them could be used instead of/ in addition to medication.

What is Depression?

Depression is a mental health issue with people exhibiting a range of symptoms. Physical symptoms such as weight loss, disturbance in sleep, fatigue, aches, and pains can accompany symptoms including sadness, hopelessness, despair, and reduced mental functioning. Depression puts people at a higher risk for a variety of other illnesses, such as anxiety, addiction, and even suicidal thoughts.

People suffering from depression find it difficult to carry on with their daily activities without any hassle and this could also contribute to issues at home and work. Depression is a serious mental health condition that can worsen if not treated properly. Those who seek treatment often notice improvements in their symptoms within a few weeks or months.

Depression symptoms

The symptoms of depression can include:

• Feeling sad
• Loss of interest
• Decrease in sexual desire
• Eating disorder
• Weight gain/loss
• Sleeping disorder
• Feeling irritated
• Fatigue
• Having trouble thinking, concentrating, or making decisions
• Suicidal thoughts

Treatments for depression

Living with depression can be difficult, but treatment can help you improve your quality of life. Discuss with your healthcare provider about possible options. You may be able to manage symptoms with just one type of treatment, or you may discover that a combination of treatments works best.

Medications

Antidepressants may aid in the treatment of moderate to severe depression. Each medication acts on a different or combination of neurotransmitters. A person should only take medications as prescribed by their doctor. Some drugs may take a longer time to bring positive/noticeable results for a patient. Patients often tend to discontinue medication after their symptoms improve, but this can result in a relapse.

Psychotherapy

Speaking with a therapist, family, or group therapy sessions may also be beneficial to improve the symptoms of a depressive disorder.

Light therapy

Light therapy is frequently used in the treatment of seasonal affective disorder (SAD), which is now known as the major depressive disorder with seasonal patterns. This therapy is usually done once you are diagnosed with SAD.

Avoid alcohol and drugs

People tend to engage in drinking alcohol or drugs to may make themselves feel better. However, in the long run, substance abuse can worsen depression and anxiety symptoms.

Exercise

Exercise increases endorphin levels and stimulates the neurotransmitter norepinephrine, which has been linked to mood. This may aid in managing the symptoms of mild depression.

rTMS

TMS therapy is a well-known treatment for depression without medications. It makes use of magnetic pulses to restore the activities of the brain to normal. It is widely chosen by many patients who do not see any positive impact on their mental health after taking anti-depressants. Since this is non-invasive, TMS is a huge relief for pregnant women and people who are allergic to medications. Book an appointment with TMSForYou to discuss your symptoms with our doctor and also to know if TMS is the right treatment for you.

Take care of yourself

You can also manage some of the depression symptoms by taking care of yourself. This includes getting enough sleep, eating a nutritious diet, avoiding negative thoughts, and engaging in enjoyable activities. Self-care is as important as any other treatment you choose.