We would like to introduce to you Robert D. McMullen M.D. a psychiatrist in Manhattan, New York with over 35 years of experience. He obtained his degree at Georgetown Medical School while completing his residency at Columbia Presbyterian. After many years, he began to focus on treating patients with medications and nutrients which have been proven through studies. In 2010, he also added TMS, transcranial magnetic stimulation. In the following video, we discuss four different types of treatment for depression.

Behavior and Diet

  • Being alone is deadly: If you’re depressed, you need to make a special effort to make friends, call old friends, and spend time with friends. Having a pet can also provide the same companionship as another person.
  • Act as if you’re not depressed: Forcing yourself to go to social events you don’t want to go to will help you feel less depressed.
  • Regular sleep schedule: You should sleep for 8 hours every night. Oversleeping causes depression while being depressed causes oversleeping. This leads to a bad cycle that is difficult to break from.
  • Reframe the way you view life: Why torture yourself with negative thoughts, bad memories, guilty thoughts when it won’t help you get better. Distracting yourself with activities you enjoy can help you feel better and get better.
  • Exercise: The best amount is an hour of vigorous exercise at least three times a week. If you can’t do vigorous exercise, walk when it is bright outside, especially early in the morning.
  • Your diet: Numerous studies show the more vegan your diet is, the better you will become.
  • Marijuana: While some studies have shown promise, the long-term effects of marijuana are unknown. We recommend avoiding self-treating until the safest strain of this substance is more well known.

Find more information on psycheducation.org by Jim Phelps.

Great Supplements to take are:

  • Fish Oil
  • Amino Acids
  • Inositol (Vitamin B8)
  • Probiotics
  • L-Methylfolate
  • Lithium
  • T-3 Thyroid Hormone
  • SAMe
  • Vitamin D

Psychotherapy Treatment

Find a therapist you connect with and works for you.

  • Cognitive Behavioral Therapy: This type of therapy focuses on changing the way you view the world and interact with it
  • EMDR (Eye movement desensitization and reprocessing): Neutralizing negative thoughts with learned eye movements

Medical Treatment

Depression medication has a wide variety. It is important to find the medication that works for you with the least possible side effects. Begin with a medicine that has a low amount of possible side effects. If you experience side effects, we recommend you either stay on a low dose of the same medicine for awhile or switch to a different medicine.

Combining different antidepressant medications such as a serotonin medication and another medication can be more helpful sometimes than just one. Two lower dose medications attack your depression from different sides. This can prove more effectual. While some people want “exotic” answers, sometimes a simple one works more efficiently and cheaper.

We also like to note that about half of people who struggle with depression have some slight bipolar tendencies. People who struggle with getting antidepressants to work long term may be slightly bipolar. Trying lamotrigine or a low dose of lithium may succeed in helping you where other antidepressants have failed.

Electric Stimulation Treatment

  • Neurosurgery: After implanting needles into the brain, a pacemaker stimulates those areas of the brain.
  • Vagal nerve stimulator: An implanted wire into the vagus nerve and sends electricity every four minutes up through the nerve into the brain.
  • Direct current stimulation: Using a battery, this treatment runs electricity from one side of the brain to the other.
  • Shock treatment: Used since the 1940s, shock treatment involves running a massive amount of electricity through the brain to induce a controlled seizure.
  • Transcranial Magnetic Stimulation: This type of treatment involves giving a homeopathic dose of magnetic fields to the brain to treat depression. We believe at TMS brain care that TMS treatment helps the brain to treat and cure itself.

We hope at TMS brain care that more treatments for depression will continue to emerge. All of the treatments that were mentioned above have scientific studies and evidence to support them. Some of the medicines we mention are not FDA approved for treating depression but have evidence to support that they do. The best way to get better is to find a combination of the treatments above that works for you. If you are struggling with depression, it is possible to get better, even if it doesn’t feel possible. The first step is to ask for help. Call our NYC office (212) 362-9635 or go to https://tmsbraincare.com/ for help today.

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