Page 14 - Seniorstoday August-2023 Issue
P. 14

Treatments                                         symptoms is urgent, brain stimulation
         Depression, even the most severe cases, can        therapy may be an option to explore.
         be treated. The earlier treatment begins the
         more effective it is. Depression is usually        Psychotherapies
         treated with medication, psychotherapy, or         Several types of psychotherapy (also called
         a combination of the two.                          talk therapy or counseling) can help people
                                                            with depression by teaching them new
         Medications                                        ways of thinking and behaving and how to
                                                            change habits that contribute to depression.
                                                            Telehealth for mental health services,
                                                            which offers an alternative to in-person
                                                            therapy, has made it easier and more
                                                            convenient for people to access care in some
                                                            cases.
                                                            Brain stimulation therapies
                                                            If medication or psychotherapy does not
                                                            reduce symptoms of depression, brain
                                                            stimulation therapy may be an option...
                                                            There are now several types of brain
         Antidepressants are medications                    stimulation therapy, some of which have
         commonly used to treat depression. They            been authorized by the FDA to treat
         work by changing how the brain produces            depression.
         or uses certain chemicals involved in mood          Although brain stimulation therapies
         or stress. A medication that has helped you        are less frequently used than medication
         or a close family member in the past will          and psychotherapy, they can play an
         often be considered first.                         important role in treating mental disorders
          Antidepressants take time—usually 4–8             in people who do not respond to other
         weeks—to work it is important to give              treatments. These therapies are used for
         a medication a chance to work before               most mental disorders only if medication
         deciding whether it’s the right one for you.       and psychotherapy have either failed or
         If you begin taking an antidepressant,             are acting very slowly. Very often, they are
         do not stop taking it without talking to a         used alongside these treatments.
         health care provider. Sometimes people             Brain stimulation therapies act by
         taking antidepressants feel better and stop        activating or inhibiting the brain with
         taking the medications on their own, and           electricity.
         their depression symptoms return.                   The brain stimulation therapies with the
         Some people may experience treatment-              largest bodies of evidence include:
         resistant depression, which occurs when            Electroconvulsive therapy (ECT)
         a person does not get better after trying          Repetitive transcranial magnetic
         at least two antidepressant medications.           stimulation (RTMS)
         If treatments like medication and                  Vagus nerve stimulation (VNS)
         psychotherapy do not reduce depressive             Magnetic seizure therapy (MST)
         symptoms or the need for rapid relief from         Deep brain stimulation (DBS)


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