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9 Treatments for Treatment-Resistant Depression: Full Transcript

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so when you've tried two or three or six so when you've tried two or three or six so when you've tried two or three or six treatments for your depression anxiety treatments for your depression anxiety treatments for your depression anxiety or PTSD and nothing helps you might feel or PTSD and nothing helps you might feel or PTSD and nothing helps you might feel even more hopeless like a fulfilling even more hopeless like a fulfilling even more hopeless like a fulfilling life is not possible for you but I have life is not possible for you but I have life is not possible for you but I have good news there are literally 500 good news there are literally 500 good news there are literally 500 treatments for depression like we're treatments for depression like we're treatments for depression like we're talking treatments for severe forms of talking treatments for severe forms of talking treatments for severe forms of depression anxiety and PTSD and most of depression anxiety and PTSD and most of depression anxiety and PTSD and most of them are surprisingly effective so let's them are surprisingly effective so let's them are surprisingly effective so let's

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typical approaches when you're treating typical approaches when you're treating depression it's really important that depression it's really important that depression it's really important that you check for untreated underlying you check for untreated underlying you check for untreated underlying medical conditions right you should go medical conditions right you should go medical conditions right you should go to your doctor get basic lab work done to your doctor get basic lab work done to your doctor get basic lab work done many of these things like low thyroid many of these things like low thyroid many of these things like low thyroid anemia diabetes and other vitamin or anemia diabetes and other vitamin or anemia diabetes and other vitamin or hormone deficiencies are pretty easy to hormone deficiencies are pretty easy to hormone deficiencies are pretty easy to test for and rule out my dad used to test for and rule out my dad used to test for and rule out my dad used to experience pretty bad depression but experience pretty bad depression but experience pretty bad depression but when he got treated for low thyroid he

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this skills section for a second this skills section for a second learning new skills right do you need to learning new skills right do you need to learning new skills right do you need to learn more adaptive techniques for learn more adaptive techniques for learn more adaptive techniques for solving problems like maybe Financial solving problems like maybe Financial solving problems like maybe Financial stressors is contributing to your stressors is contributing to your stressors is contributing to your depression maybe you need to learn depression maybe you need to learn depression maybe you need to learn techniques to set a budget or how to get techniques to set a budget or how to get techniques to set a budget or how to get training for a better job or maybe you training for a better job or maybe you training for a better job or maybe you need to learn skills on how to improve need to learn skills on how to improve need to learn skills on how to improve relationships I literally have dozens of relationships I literally have dozens of relationships I literally have dozens of videos to help you grow your mental

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really accurate diagnosis we can try really accurate diagnosis we can try different treatments and medications different treatments and medications different treatments and medications that are more effective for these that are more effective for these that are more effective for these situations and I can give you one situations and I can give you one situations and I can give you one example I was working with a client and example I was working with a client and example I was working with a client and I worked with him for a couple of years I worked with him for a couple of years I worked with him for a couple of years and for the first year I thought I was and for the first year I thought I was and for the first year I thought I was treating I mean he he presented the treating I mean he he presented the treating I mean he he presented the symptoms of depression and some symptoms symptoms of depression and some symptoms symptoms of depression and some symptoms of PTSD but after watching him for a of PTSD but after watching him for a of PTSD but after watching him for a year I saw that twice a year every year

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psychiatrist or your medical care team psychiatrist or your medical care team to do them and I'm just going to tell to do them and I'm just going to tell to do them and I'm just going to tell you about them so that you can be you about them so that you can be you about them so that you can be informed when you talk with your doctor informed when you talk with your doctor informed when you talk with your doctor so let's talk about ECT this is so let's talk about ECT this is so let's talk about ECT this is electroconvulsive therapy it involves electroconvulsive therapy it involves electroconvulsive therapy it involves getting a series of electrical pulses getting a series of electrical pulses getting a series of electrical pulses delivered into your brain while you're delivered into your brain while you're delivered into your brain while you're under general anesthesia these pulses under general anesthesia these pulses under general anesthesia these pulses trigger a controlled seizure which is trigger a controlled seizure which is trigger a controlled seizure which is thought to help reset the brain's neural

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depression up to 50 to 60% of patients depression up to 50 to 60% of patients show Improvement and around a third C show Improvement and around a third C show Improvement and around a third C remission it's less invasive than ECT it remission it's less invasive than ECT it remission it's less invasive than ECT it doesn't require anesthesia and it doesn't require anesthesia and it doesn't require anesthesia and it generally has a lot less side effects generally has a lot less side effects generally has a lot less side effects than ECT you might feel like your scalp than ECT you might feel like your scalp than ECT you might feel like your scalp tingling or you might get a headache so tingling or you might get a headache so tingling or you might get a headache so it has it has less side effects you can it has it has less side effects you can it has it has less side effects you can drive yourself right after like you drive yourself right after like you drive yourself right after like you don't have to have someone take you to don't have to have someone take you to don't have to have someone take you to the hospital you don't have to do

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being used off label so your insurance being used off label so your insurance might not cover the more effective form might not cover the more effective form might not cover the more effective form of treatment I know this is a like the of treatment I know this is a like the of treatment I know this is a like the US Healthcare System is a mess we can US Healthcare System is a mess we can US Healthcare System is a mess we can just leave it at that so with ECT TMS just leave it at that so with ECT TMS just leave it at that so with ECT TMS and ketamine these treatments seem to be and ketamine these treatments seem to be and ketamine these treatments seem to be like resetting the brain they help erase like resetting the brain they help erase like resetting the brain they help erase old rigid neural Pathways one of the old rigid neural Pathways one of the old rigid neural Pathways one of the ways I've had this described to me is ways I've had this described to me is ways I've had this described to me is it's like if you have a ski slope and it's like if you have a ski slope and it's like if you have a ski slope and people have skied the same path the

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risks and some side effects sometimes risks and some side effects sometimes people's voice might change or their people's voice might change or their people's voice might change or their throat might have some discomfort BNS is throat might have some discomfort BNS is throat might have some discomfort BNS is usually just considered when other usually just considered when other usually just considered when other treatments haven't worked it is FDA treatments haven't worked it is FDA treatments haven't worked it is FDA approved for the treatment of epilepsy approved for the treatment of epilepsy approved for the treatment of epilepsy and for treatment resistant depression and for treatment resistant depression and for treatment resistant depression okay so those are four intensive medical okay so those are four intensive medical okay so those are four intensive medical interventions that are FDA approved now interventions that are FDA approved now interventions that are FDA approved now we're going to move down into we're going to move down into we're going to move down into alternative treatments these have

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its risks this is not FDA approved but its risks this is not FDA approved but it has been given the Breakthrough it has been given the Breakthrough it has been given the Breakthrough therapy designation to allow for more therapy designation to allow for more therapy designation to allow for more research so there's a few states that research so there's a few states that research so there's a few states that are doing active legal research and you are doing active legal research and you are doing active legal research and you can get treatment legally there but it's can get treatment legally there but it's can get treatment legally there but it's illegal in Most states in the United illegal in Most states in the United illegal in Most states in the United States you can see that we're moving States you can see that we're moving States you can see that we're moving away from FDA approved treatments toward away from FDA approved treatments toward away from FDA approved treatments toward more experimental treatments so let's more experimental treatments so let's more experimental treatments so let's talk about getting a labotomy okay just

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tract your stomach and your brain is tract your stomach and your brain is really important it plays a crucial role really important it plays a crucial role really important it plays a crucial role in mental health and fecal transplants in mental health and fecal transplants in mental health and fecal transplants May influence this axis by altering gut May influence this axis by altering gut May influence this axis by altering gut microbiota composition this might help microbiota composition this might help microbiota composition this might help with neurotransmitter production immune with neurotransmitter production immune with neurotransmitter production immune function and inflammation all of these function and inflammation all of these function and inflammation all of these are connected to your mental health are connected to your mental health are connected to your mental health emerging research suggests but does not emerging research suggests but does not emerging research suggests but does not we don't have enough evidence as usual we don't have enough evidence as usual we don't have enough evidence as usual that fmt may have potential benefits for

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woman with major depressive disorder woman with major depressive disorder experienced significant Improvement experienced significant Improvement experienced significant Improvement after regular Cold Water Swimming after regular Cold Water Swimming after regular Cold Water Swimming sessions and she eventually got off all sessions and she eventually got off all sessions and she eventually got off all her meds and was symptom free a year her meds and was symptom free a year her meds and was symptom free a year later how does it work research suggests later how does it work research suggests later how does it work research suggests that cold exposure increases levels of that cold exposure increases levels of that cold exposure increases levels of neurotransmitters like norpine phrine neurotransmitters like norpine phrine neurotransmitters like norpine phrine and dopamine and these are associated and dopamine and these are associated and dopamine and these are associated with improved mood and reduced anxiety with improved mood and reduced anxiety with improved mood and reduced anxiety regular exposure to cold water might

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ion therapy and earthing or grounding ion therapy and earthing or grounding and now I'm not saying that these don't and now I'm not saying that these don't and now I'm not saying that these don't work I'm saying there's not evidence work I'm saying there's not evidence work I'm saying there's not evidence that these work so I would not recommend that these work so I would not recommend that these work so I would not recommend that you spend a lot of money on these that you spend a lot of money on these that you spend a lot of money on these treatments okay so if you have treatment treatments okay so if you have treatment treatments okay so if you have treatment resistant depression there are a lot of resistant depression there are a lot of resistant depression there are a lot of options for you to try so don't give up options for you to try so don't give up options for you to try so don't give up if you haven't found what works for you if you haven't found what works for you if you haven't found what works for you a beautiful life where you feel a beautiful life where you feel a beautiful life where you feel empowered to pursue your goals and your