It is well established that transcranial magnetic stimulation (TMS) has a positive therapeutic effect on patients with treatment-resistant depression (TRD). However, patients who have responded to TMS are often unsure how to proceed post-treatment. Is it okay to stop TMS completely? To answer this question, let’s look at the research on maintenance treatment. Maintenance treatment…
Complex regional pain syndrome (CRPS) is a painful debilitating neurological condition that accounts for approximately 1.2% of the adult chronic pain population. Patients with CRPS have pain, impairment of motor function, limitations in range of motion, and an exaggerated response to painful stimuli. Most cases of CRPS develop after a traumatic injury, such as a…
When considering ketamine as a treatment for your depression, it is important to note that best results are achieved when multiple approaches are taken to your mental health care. A combination therapy approach will maximize the results of the ketamine infusions and significantly decrease your depression symptoms. Some treatment options that should be considered include…
Ketamine Maintenance: So you’ve completed your initial ketamine treatment – what now? You’re feeling much better now, but will it last? Should you schedule more infusions? And if so, when? How many? These are all very common questions that patients have throughout their treatment course. Once you complete your initial “loading dose” of ketamine treatments…
Transcranial magnetic stimulation (TMS) therapy can be used as an alternative treatment method for those who have failed to tolerate or respond to various classes of antidepressants, or it can be used to augment the effects of medication. The clinical research trials on TMS have included studies where participants discontinued antidepressants as well as studies…
May 18, 2018 In 2008, use of repetitive TMS for the treatment of major depressive disorder was approved by the FDA. The “standard” MDD protocol involves 36 sessions, treating at the left dorsolateral prefrontal cortex daily. What has not been discussed as much is what is known as the “Anxiety Protocol,” which often is used…
We know that ketamine is becoming an increasingly accepted treatment for depression in the psychiatric community, but what about other mood disorders, such as anxiety? Can a medication with such pronounced effects on depression have similar effects on anxiety? Turns out, it can! While still in the most preliminary of studies, there has been scientific…
IV vs. Oral vs. Intramuscular vs. Intranasal Ketamine: Why Route Matters Estelle Autissier, RN At Principium Psychiatry, we offer our patients cutting-edge treatment options for their depression, and one of our main stars is IV (intravenous) ketamine. But why does it have to be IV? “I don’t like needles, why can’t I just take this…
Transcranial magnetic stimulation (TMS) for treatment of major depression involves placing the coil to target a portion of the brain located just above and behind the left temple, called the dorsolateral prefrontal cortex (DLPFC). This region of the brain is associated with abstract reasoning, attentional control, and working memory. The prefrontal cortex is uniquely developed in humans.…
Before going to your first ketamine infusion appointment, you might feel a little nervous. You might worry about the IV needle, whether or not it will work, and how you will feel during the infusion. While there is no alternative for the needle prick, we can help you understand how you will likely feel during…