 If you're struggling with treatment-resistant depression, your journey may seem like a never-ending battle. You might feel like no matter what methods of therapy and self-care you try, nothing helps to relieve the persistent feelings of despair. If you've reached a point where you feel there's nowhere else to turn, there is hope! There are other options for managing your mental health – solutions that could make all the difference in helping you return to a better state of mind and outlook on life. If you're unsure whether it's time to explore beyond traditional therapies for your depression, think over the following signs: You've Been In Therapy For A While With No ImprovementIf you've been going to therapy for several months and you're not seeing any improvement in your symptoms, it may be time to consider other options. While therapy can be beneficial for many people, it's not a one-size-fits- all solution – and sometimes, even the best therapists can't provide the level of care needed to manage some cases of depression. It's Hard To Stick To Your Treatment PlanDepression can make it incredibly challenging to focus and follow through with your treatment plan, whether it involves therapy, medication, or other forms of care. If you find it difficult to stick to your therapy appointments or take your medication as prescribed, it could signify that you need more immediate, effective support. You're Still Experiencing Symptoms Despite TreatmentDespite your best efforts to manage your depression through therapy, you may find that you're still experiencing symptoms. This can be incredibly frustrating and disheartening, but it doesn't mean you're out of options. If your current treatment is inadequate for your needs, it may be time to explore alternative treatments to help manage your depression symptoms. Symptoms Are Getting WorseIf your symptoms are getting worse, or you are having suicidal thoughts, get help immediately. Suicidal thoughts can signify that your depression is severe and that you need more intensive support. While therapy can be incredibly helpful in managing depression, it may not be enough to address the severity of suicidal thoughts. It's essential to prioritize your safety and well-being by seeking additional support. *The 988 Suicide and Crisis Lifeline provides 24/7, free and confidential support for people in distress, prevention and crisis resources for you or your loved ones, and best practices for professionals in the United States.* Explore More Ways To Get Better At Pacific Mind HealthIt's important to remember that seeking additional treatment options does not mean therapy has failed – it does
not mean that you have failed – but rather that it's time to explore other approaches to kickstart your healing. Therapies like transcranial magnetic stimulation (TMS) and Spravato (esketemine) can help. These treatments help alter neural chemistry and activity to alleviate symptoms, giving individuals the support they need to make changes and feel better. At Pacific Mind Health, we understand that every person's journey with depression is unique and how challenging it can be to manage with mere therapy. That's why we offer TMS Therapy and Spravato services to individuals who may benefit from additional support. Our Spravato waitlist is live! If traditional therapy or medication aren't providing the relief you need, our team of experienced professionals is ready to help! With supportive guidance and specialized treatment pathways tailored just for you, we can help you overcome treatment-resistant depression and live your best life.  Imagine you have everything you ever wanted. Imagine you are healthy, successful...finally happy. Sounds too good to be true? Not according to Lucky Girl Syndrome, a trend on social media that promotes the practice of manifestation and positive thinking as a means of achieving one's desires. While this practice can benefit mental health and personal growth, it is important to recognize that it is not a guaranteed way to achieve success or fulfillment in life, especially for those struggling with mental health conditions like depression. The Benefits of Manifestation and Positive Thinking Lucky Girl Syndrome is a trend on social media platforms like TikTok that encourages people to repeat mantras and affirmations to attract things they want, such as luck, money, or love. The practice of manifestation and positive thinking is grounded in the idea that our thoughts and beliefs influence our actions and behaviors. By cultivating positive thoughts and beliefs, individuals can create a more optimistic and proactive mindset, which can help them navigate life challenges more effectively to achieve their desired reality. Additionally, research has shown that positive thinking can benefit mental health, including reduced stress and anxiety levels, improved mood, and better coping mechanisms in difficult situations. Caution of Lucky Girl SyndromeWhile manifesting one's desires through positive thinking can be appealing, it is important to recognize that Lucky Girl Syndrome may promote toxic optimism and delusion. The practice overlooks the role of external factors and systemic barriers, such as socioeconomic status and access to resources, that may hinder an individual's ability to achieve their goals or lead them to overlook or minimize challenges and obstacles in their path. But it's not just about how those born with greater privileges can tap into abundance more easily – the belief that Lucky Girl affirmations are enough to hack into your thoughts and alter your mindset fails to consider the added challenge of those with not just systemic but mental health barriers. Such is the case with depression, a complex condition that often requires professional support and treatment, and it cannot be overcome through positive thinking or manifestation. The notion that an individual's reality is solely a product of their thoughts and beliefs can discount the experiences of those who may struggle with negative thought patterns and feelings of hopelessness, despite their best efforts to think positively. Furthermore, toxic positivity, where individuals are encouraged to ignore negative emotions and focus solely on positive thinking, can harm anyone's mental health. Why Manifestation and Positive Thinking May Not Be EnoughWhile positive thinking and manifestation techniques can benefit mental health and personal growth, it is important to recognize that they are not a substitute for taking consistent action toward one's goals. Cultivating a positive mindset can help individuals navigate challenges and setbacks more effectively, but it is not a guaranteed path to happiness or fulfillment. Instead, aiming for a healthy dose of positive thinking and working toward goals is ideal. By combining positive thinking with consistent action toward one's goals, individuals can create a more balanced approach to achieving their desired outcomes. Get Support Manifesting Your GoalsWhile Lucky Girl Syndrome and the practice of manifestation and positive thinking can be beneficial, it is important to recognize that they may not be enough for everyone. So, if cultivating a positive mindset is your goal for the future, know that it may take more support in the present – and that's okay.
At Pacific Mind Health, we offer TMS Therapy to support individuals in achieving optimal mental well- being because we understand the importance of taking a comprehensive and evidence-based approach to mental health. If you or a loved one is struggling with depression or other mental health conditions, don't hesitate to contact us for compassionate, personalized care to help you achieve your mental health goals and start living a more fulfilling life!  Have you heard about Cost Plus Drug Company? Everyone is buzzing about how they are having better luck with prescription refills—not just with affordability but with increased access. This should be celebrated as everyone should have timely access to affordable medicines. However, sometimes it can be difficult to get a refill on time. At Pacific Mind Health, we recognize this struggle and want to shine a light on the small pharmacies in our area that make prescription refills easier for everyone! Navigating the Prescription Refill ProcessNavigating the process of medication refills can be tricky, especially if you're dealing with a large pharmacy chain or mail-order service. We know that many times, patients of Pacific Mind Health experience problems when trying to get their medications filled through big-box pharmacies. It can sometimes take days or weeks before they hear back from them after submitting a request for a refill—and that doesn't even guarantee that the request will be approved! That's why we recommend smaller Long Beach and Los Angeles pharmacies as alternative options for our clients. The Benefits of Smaller PharmaciesSmall pharmacies often have better success ordering medications or processing prior authorizations and insurance coverage than larger pharmacy chains. Similar to how Cost Plus Drug Pharmacy cuts costs by cutting out the middleman, the lower overhead costs of small pharmacies allow for more patient savings. Between services like same-day delivery and automatic refill programs, many small pharmacies also help save time. Additionally, many small pharmacies offer personalized service and can provide more individualized attention to customers than larger chains would otherwise allow. That means less hassle and fewer headaches when filling your prescription with greater confidence and ease. Smaller Pharmacies...Easier Prescription RefillsSometimes, when it comes to prescription refills, bigger isn't always better! At Pacific Mind Health, we understand this frustration and want to help our clients ensure their prescriptions are handled. If you're having trouble filling your scripts at big-box stores like Walgreens or CVS, consider trying one of these local pharmacies: Ward's Pharmacy in Long Beach; Concierge Pharmacy in Torrance, CA; AHCS Specialty Care in Orange County. These businesses prioritize customer service while offering convenient delivery and competitive prices—making prescription refills as pain-free as possible! Learn More About These Pharmacies Local To Pacific Mind HealthWard's Pharmacy is a family-owned pharmacy located in Long Beach, California that has been providing personalized care and services since 1927. In addition to prescription refills and delivery options within the Long Beach area, you can access several other patient services and resources through their website, RefillRX mobile app, or by stopping by to talk to a knowledgeable team member for help with your healthcare needs.
Concierge Pharmacy is another great option for finding your prescriptions quickly and conveniently. They offer same-day service, prescription delivery, and competitive prices for various products. Their pharmacist-led team offers prior authorization services to ensure patients receive the medication needed with minimal administrative hassle. Advantage Healthcare Services (AHCS) offers medication management and synchronization (refilling your medication regularly) across California locations. As an independent pharmacy group specializing in behavioral health, their knowledgeable pharmacists collaborate closely with providers to discuss treatment modifications as needed. They also provide counseling services to help patients understand their medications (including side effects) more clearly. We don’t have an on-site pharmacy at Pacific Mind Health but our team is always will to help our patients navigate the prescription refill process to the best of our availability. Don’t hesitate to reach out to a member of our team if you have questions.  Did you know that studies show approximately 80% of New Year's resolutions fail, and most fail by February? Even if the optimism (and willpower) of your New Year Resolution fizzles out, there are still ways you can find joy and satisfaction in life. It all starts by prioritizing your mental health. Refining your outlook by setting realistic goals can be a great way to increase positivity in daily life. To help improve your mood this year and beyond, our team at Pacific Mind Health put together these tips that can support wellness and boost your mood. Exercise RegularlyExercise of any kind is beneficial for mental well-being, whether it's something low-intensity like walking or something more active like weight lifting. The key is finding activities you enjoy that will keep you motivated to stay active. To keep up with a goal of regular exercise, start by setting small targets that can be achieved within a reasonable timeframe, such as going out for a walk every day or going to the gym once a week. It also helps to keep track of your progress by writing down specific goals and celebrating each milestone. Practice GratitudePracticing thankfulness can be an immensely beneficial way to develop a healthier mental wellness routine. Being thankful can often change our perspectives on challenges, beautify ordinary moments and sharpen our orientation toward joy. However, practicing gratitude takes practice. It may be helpful to keep a small journal on hand, noting anything that heightens your appreciation for life, even for simple moments and experiences. Another strategy is to meditate daily and bring gratitude into your thoughts. Reflect on the difficulties you've overcome, meaningful relationships, and those who enrich your life while practicing thankfulness for all these elements in your life. Be PresentEstablishing and maintaining a mindfulness practice is an effective way to stay present. A key tip for starting is to pick a distraction-free space and time to practice daily. Once you're settled, find your breath and follow its rhythm as it rises and falls. Gently bring the mind back to the breath every time you notice the mind wandering. Regular mindfulness practice can help you cultivate more positive emotions, higher levels of resilience, better focus, and improved relationships with others. So permit yourself to commit to being present for a few moments every day - even if it's just five minutes! Track Your MoodTracking your mood can be a powerful way to boost your well-being and mental health in the long run. To start keeping tabs on your mood, take time to identify how you feel each day - happy, sad, or somewhere in between – and log it in a diary or even as an occasional note on your phone calendar. Making sure to track for two or three weeks will give you an idea of which life events correspond to specific emotional states and help you spot patterns and trends. Then customize self-care habits based on these discoveries so that you already have a plan when those challenging feelings wash over you. Stay ConnectedStaying connected to a friend, support group, or mental health professional is an excellent mental health goal that can positively shape your state of mind! Connecting with others helps us stay motivated and inspired by others 'stories, new perspectives, and different ideas. To maintain this connection on an ongoing basis, it is best to be consistent in setting goals and scheduling time to talk with others throughout the week. Creating regular reminders on your phone or digital calendar can also keep you accountable for staying connected and focused on your mental health goals. Keep Going! We're Here for Support.When life throws us obstacles, they can sometimes stand in the way of our goals. Mental health goals, however, often present unique challenges that make them difficult for a person to tackle on their own. Defeat is a powerful emotion that can amplify those negative feelings, blocking our ability to see brighter days ahead.
If it feels like you've tried everything from self-care strategies to medication with no results, maybe it's time to explore additional options that could work for you. Transcranial Magnetic Stimulation (TMS) therapy has helped many people battle mental disorder symptoms like depression and anxiety. Why not give it a try to take back control over your mental health destiny? Contact us today at Pacific Mind Health to schedule a consultation and see if TMS Therapy is right for you!  Depression causes more disability worldwide than any other illness. That’s a pretty sobering statistic and one that has not improved over the years. Unfortunately, only about a third of people who suffer from depression will find relief with traditional antidepressants. Failed medication after medication can create a self-defeating cycle that can leave you feeling frustrated, alone, and hopeless. If you or someone you love is one of the 17.3 million American adults who face Major depressive disorder each year, know that you are not alone. There are treatments that can provide relief even when medications and therapy have failed. So if you're looking for a way to finally improve your mood and start the new year off on the right foot, TMS therapy may be right for you! TMS Therapy offers a much-needed alternative for those who haven't found success with traditional treatments. Using gentle magnetic pulses, it targets the areas of the brain that regulate mood, providing lasting relief from depression. Here are a few things you should know about TMS Therapy. You Can Use Your Insurance Benefits for TMS Therapy CoverageTMS Therapy is not something reserved for the elite and wealthy. It’s an affordable, insurance- covered treatment that’s available to you at Pacific Mind Health. This is an excellent non-medication treatment option for individuals experiencing severe depression or anxiety, and it has been life- changing for many of our patients. We Can Help Verify InsuranceOur team is here to help you verify your insurance and answer any questions you might have about TMS Therapy. We can help get your treatment started by requesting insurance authorization. Begin today by filling out our TMS Insurance Authorization Request form online. In this brief form, you'll answer a few straightforward questions regarding your condition, insurance carrier, and prior psychiatric medications you have tried. In most cases, authorized patients can start treatment within just one week. It's that easy! TMS Is A Safe & Effective Treatment For DepressionTMS has been cleared by the FDA and is recommended by the American Psychiatric Association for the treatment of major depressive disorder. We’ve been using it in our practice for years and have helped many patients finally beat depression.  Make a New Year's Resolution to Prioritize How You Feel!It's a new year, which means it's time for new beginnings! One way you can set yourself up for success in 2023 is by making a resolution to prioritize your mental health. It’s time to reach out for innovative support beyond medication. You deserve to feel better. When you schedule a free informational session, you take the first step in beating depression. And isn't that what new year's resolutions are all about? Focusing on something you can actually change? At Pacific Mind Health, our team is committed to helping you find the treatment that's right for you. With TMS Therapy, you can finally break the cycle of depression and start living your life again. Contact us today to learn more about this life-changing treatment.  The holidays are a time when many of us feel an increased sense of stress. The pressure to spend time with family, buy gifts, maintain your routine, and be merry can be too much. You may be especially vulnerable to holiday stress triggers that pop up this time of year if you struggle with your mental health. It's important to remember that you may feel different during the holidays, and that's okay. Likewise, you may need to take extra care of yourself right now, and that's also okay. All said, there are a few things you can do to help make the holidays a little easier on yourself and keep your stress levels at bay. 1. Don't Compare Yourself To OthersThere are a lot of expectations placed on us to be happy and festive this time of year, but that doesn't mean you have to force yourself to feel jolly if you aren't. If the thought of Christmas cheer makes you want to curl up in a ball and hide away until New Year's, that's perfectly understandable. Does this mean it's the best solution for your mental health? No, but it's okay to acknowledge how you're feeling. Plus, you are less alone in feeling this way than you think. And when you need a mantra or reminder: think, more patience, and less pretending. 2. Don't Try To Do Too MuchThere's so much going on this time of year! It seems like we're expected to attend events, get-togethers, and parties – whether or not our mental health hinders us. But you don't have to overextend yourself just because it's the holidays. It's okay to say no when you're feeling overwhelmed. Unrealistic expectations (especially the ones made up on social media) can bring down the best people. Instead, prioritize your time and energy, focus on what matters most, and let the rest go. 3. Take Some Time For YourselfSchedule some downtime daily to relax and recharge if you want to be proactive about managing holiday stress. There may be a hobby or book you've wanted to pick up. Use this time to do something that brings you joy. 4. Set Boundaries For Yourself And With OthersIt's essential to remember that we always have the right to set boundaries, even during the holiday season. For example, if there's an event that you know will be too triggering or stressful, it's okay to say no. The same goes for your loved ones. If certain family members or friends bring about added anxiety, negativity, or stress, then it's okay to set limits on how much time you spend with them. However, if that's not an option, practice saying no gracefully. Don't be afraid to put your mental health first this holiday season. Remember, you deserve to enjoy this time of year and choose where to put your time and energy. 5. Reach Out For SupportTalking about your stress can help to lessen its impact. If you're overwhelmed by holiday stress, reach out for support from family and friends, and lean on your support system for tasks or errands when needed. They'll be happy to pitch in and provide relief.
And remember, there's no shame in admitting that you need extra support to handle holiday stress and feel better this time of year. At Pacific Mind Health, we're here and available to support you through the holiday season and beyond. Our professional psychiatric services (including TMS Therapy) can help you find your own kind of peace and joy this season.  Depression is complex. You’ve probably heard this before if you have Treatment-Resistant Depression. It’s the complexity that makes depression so hard to overcome sometimes. What works for one person might not work for another, which is why innovative treatment plans are essential for relief and healing. Even though depression can look different for everyone, at its core, depression is pain. It is an endless cycle and a constant battle against an invisible enemy. And sometimes, it feels like you're losing. Depression is busy thoughts and negative feelings you wish you could change but lack the motivation and energy to alter them. It's feeling ashamed of yourself for not being able to 'snap out of it'. It's wanting better for yourself but feeling undeserving of it or guilty that you don't feel okay in the first place. Why is depression so hard to overcome? Because it never really goes away. It ebbs and flows, comes and goes, but it always lingers in the background, waiting for the opportunity to pounce again. But despite how difficult it is, many people manage to overcome depression every day. So the opportunity to finally feel well and rested enough to start making positive changes is worth exploring. Depression Is Apathy & FatigueIt's easy to feel like you're stuck in a rut when you're depressed. Everything feels gray and bleak, and it can be hard to muster up the energy to care about anything. Mix apathy with a lack of energy, and you end up with merely a list of changes you wish you could make but seem impossible and useless. It's no wonder that depression is so hard to overcome for some people – when you no longer care about improving your situation, it's hard to take the necessary steps to make changes. Depression Can Be Frustrating & IsolatingThere are many manifestations of depression, each with its symptoms. For some people, it's complete withdrawal and isolation. Some experience changes in eating and sleeping habits, while others may have difficulty concentrating or completing tasks. Not recognizing the wavering signs, combined with the stigma about depression and fear of asking for help, leads to not getting help – or, at least, proper support. So many people suffer from depression in silence because they're afraid to speak up or ask for help. This is one of the reasons why depression is so hard to overcome – because people are dealing with it on their own. Depression can be incredibly isolating, making people feel like they're all alone in their battle. Unfortunately, this isolation only worsens things and makes it even harder to ask for help. Depression Treatments Can VaryDepression is often described as a "trial and error" illness because its causes vary significantly from one person to the next. What works for one person may not work for another, and it can be frustrating to feel like you're constantly trying new things with no success. However, it's important to remember that depression is a complex illness, and the journey to recovery can be a long and frustrating process of trial and error when it comes to medications.
The most important thing is to keep seeking help and working with your doctor to find an individualized treatment plan that works for you. TMS Therapy is an excellent option for those who have not found relief from traditional methods. At Pacific Mind Health, we offer this cutting-edge treatment that has helped countless individuals overcome depression. Depression is a very real illness that deserves more individualized understanding and support. If you are struggling with depression, we encourage you to give us a call today. Our team of experts will work with you to develop a customized treatment plan that meets your unique needs and is covered by most major insurance companies.  Depression over the holidays is a reality for many people struggling with their mental health. For some, the emotional toll of the holiday season can intensify the symptoms of depression, anxiety, and other common mental health disorders. It also doesn't help that the 'holiday season' seems to be inching closer and closer to the end of summer each year adding to the stress. If you are one of the millions suffering from depression and struggling to find joy, it may be tempting just to “'tough it out”' and wait for the holidays to be over. But there is another option. TMS Therapy can bring renewed hope and healing as we head into the holiday season. Here are a few reasons to consider TMS Therapy before the holidays. TMS Therapy Is EffectiveClinical studies show that TMS therapy is an effective treatment for major depressive disorder. We know that 17% of patients respond to treatment and 14% achieve full remission. TMS therapy is a non-invasive, painless treatment. Additionally, because TMS doesn't rely on medication, this treatment option has a lower risk of side effects. The most common is mild headaches or scalp discomfort—but these side effects are typically temporary and diminish within a few days of starting treatment. TMS Therapy Is Covered By InsuranceMost major insurance companies cover TMS therapy, so you may only have to pay a small copay or coinsurance for each session. Begin our convenient insurance verification process today to find out if your insurance company covers TMS therapy. We'll be happy to explore your insurance benefits and answer any questions you may have about treatment. Payment plans are also available to help with out-of-pocket expenses. Why Start TMS Therapy Now?TMS Therapy is performed four to five times per week for roughly 4 to 6 weeks. We know that may seem like an extended treatment duration, and many people are concerned about missing time from work. However, Dr. Flatow and our team will be able to provide the necessary paperwork to ensure you are medically excused from work during your TMS Therapy sessions. Suppose you are looking for something faster than traditional TMS. In that case, we also offer Express TMS Therapy which has been shown to have equal or better efficacy than traditional TMS protocols lasting 30+ minutes. This new treatment protocol minimizes time expenditure and discomfort. Find Joy This Holiday Season and BeyondDon't let depression ruin another holiday season. Our team is here to help! TMS therapy offers a medication-free treatment option that can help you beat depression and bring joy back to your life all year long.
We cannot wait to wish you a happy holidays and mean it because we know that this treatment makes that possible. Contact our team today to set up our complimentary information session.  Forgiveness is sometimes one of the hardest things we extend to others. As our own harshest critics, you can imagine that forgiving ourselves can be even more challenging. It's easy to get bogged down in our own mistakes and feel like we can't move on, stuck in a muddy pit of regret. But when we turn away from the forgiveness and compassion we might not feel we deserve, we forgo the opportunity to free ourselves from the chains of guilt and self-blame. Of course, we know that self-forgiveness is the key, but how do we access it? It's not something we can go looking for anywhere outside of ourselves. No number of apologies to someone we hurt can set us free. Part of the reason is that self-forgiveness isn't about forgetting and letting go but acknowledging and looking inward — before looking forward. If self-compassion is at the root of our efforts to forgive ourselves, we can finally break free from shame, blame, and regret. Self-compassion is the key that opens the possibility of healing. Here are five self-compassionate steps to guide you through the process of self-forgiveness: Acknowledge the PainThe first step is to acknowledge the pain you're in. Be honest about how much pain you're in and allow yourself to sit with those feelings. You can't start healing until you truly feel pain and see the hurt. Turn Toward the PainThe second step is to turn toward the pain rather than away from it. What have you had difficulty forgiving? See if you can pinpoint the pain or sensations in your body when you think about what happened. Connect with your pain with a few deep breaths. With every inhalation, say to yourself, "I'm here" or "This is painful." Then, on each exhalation, release some of the tightness in your body. Turning toward your pain doesn't mean wallowing in it or dwelling on it but simply acknowledging that it's there and that you're ready to face it. It can be helpful to imagine yourself holding the pain like a wounded animal or a small child. Extend Compassion To YourselfThe third step is to give yourself the compassion you deserve. This means being gentle with yourself, speaking kindly to yourself, and treating yourself with care. Just as you would for a friend or loved one, turn toward your pain with gentleness and understanding. Start by cultivating a more compassionate mindset. For example, it might help to imagine what you would say to someone else in your situation or to think about how you would want to be treated. Loving-kindness meditation and soothing rhythmic breathing for calming your nervous system are also helpful ways to arrive in this headspace. If you continue with a breathing exercise, now is an excellent time to create space for yourself, your pain, and your mistakes. With every inhalation, imagine that point in your body expanding – or follow your belly or ribcage. With each exhalation, breathe new oxygen into your entire body. Allow that breath to present itself as whatever you need: strength, patience, gentleness, warmth, gentleness, or peace. Forgive YourselfThe fourth step is to forgive yourself. This doesn't mean forgetting what happened or excusing your behavior but accepting it and letting go of the shame and blame. Again, it's essential to realize that forgiveness is a choice and that it's something you can give to yourself. You might engage in a forgiveness dialogue with yourself, whether aloud or in a journal. For instance, write a letter to yourself in which you express your pain and explain what happened. Then write a response letter in which you forgive yourself. Allow yourself to be vulnerable and honest, without judgment or self-criticism. Move ForwardMoving forward doesn't mean forgetting what happened but rather committing to learning from it and doing better in the future. It might help to set an intention for yourself, such as vowing to be more patient or present. It's important to realize that you are not your mistakes and can choose to live in the present moment. If you're struggling to forgive yourself, it might be helpful to seek professional help. A mental health professional can provide support and guidance as you work through self-forgiveness. You are not alone. Unlock The Compassionate Key To Self-ForgivenessForgiving yourself is not a destination, but it can be an incredibly rewarding, worthwhile journey. And like any journey, it begins with a single step. So, start today by giving yourself the compassion and understanding you deserve.
There may be times when you need to revisit these steps or start again from the beginning. Be patient and remember that you are not your mistakes - you are so much more than that. You are worthy of forgiveness.  Depression is a condition that impacts millions of adults in the United States. Anyone who suffers from depression knows that it's more than just a bout of sadness. It's a medical condition that should be taken seriously. Thankfully, many people find relief from depression with medication and therapy. But studies show that an estimated one-third of people aren't helped by medication. Furthermore, a case of depression that doesn't respond to two or more antidepressants is generally considered treatment-resistant (TRD). At least, that's what some experts say. Others attest that a person must try at least four treatments and/or therapies before depression can be truly considered treatment-resistant. Different insurance providers also have guidelines on how many medications or therapy sessions a person must undergo before they can be defined as having treatment-resistant depression. Regardless, when you suffer from treatment-resistant depression, the exact definition doesn't matter — but the signs do. If you're experiencing symptoms of depression after treatment (whether one treatment or several), it's a sign you still need help. And the more confident and informed you are about the symptoms of TRD, the more likely you are to seek out other options for relief like TMS Therapy. Watch out for these five signs that may indicate you are suffering from TRD: Your Mood Isn't Improving After Several Weeks On A MedicationIf you're taking medication for depression and it's not helping, that's a sign you may have TRD. However, it’s essential to give your medication a chance to work. Typically, it can take four to eight weeks to see results and ten to twelve to achieve remission. But if you're still not feeling any better after that time, it may be time to explore other options. You Have More Frequent And Severe Depression EpisodesIf you suffer from depressive episodes more frequently, or if your episodes are becoming more severe, this could indicate that you have TRD. How can you tell if your depressive episodes are worsening? One way is to keep track of your symptoms using a daily mood tracker. This can help you and your doctor spot patterns and trends in your mood that may indicate a need for a different treatment approach. You Feel More AnxiousAnxiety is also a symptom for many people with depression, as the two often go hand-in-hand. So if your anxiety is getting worse — or if you're feeling more anxious and depressed — that's a sign your current treatment isn't working as well as it should. The Side Effects Of Medications Are Impacting The Quality Of Your LifeIn some cases, depression medications can, unfortunately, do more harm than good. Side effects from antidepressants often include weight gain, sexual dysfunction, and fatigue. If your medication's side effects make it hard to function in your daily life, overriding any positive changes you may see, it might be time to try another treatment. Your Depressive Episodes Last LongerSome people notice that their depressive episodes are lasting longer than usual despite taking medications for depression. However, if symptoms are still lingering or growing more intense, it's a sign to contact your doctor to review your options. Look Beyond The Next Medication For ReliefThe bottom line is that if you don't notice improvements in your mood or feel worse after taking medication for depression after several weeks, it's worth exploring innovative depression treatment options like TMS Therapy.
At Pacific Mind Health, we offer complimentary TMS Therapy consultations to help you understand more about the benefits of TMS Therapy for treatment-resistant depression. So schedule your consultation today, and we'll walk through the process with you to begin your healing journey.  Have you ever seen a commercial advertising a new medication on TV? You know the one where couples are laughing on the beach as the narrator reads the long list of potential side effects (including death)? The word 'side effect' has a negative connotation for many people. It reminds us of all the things that could go wrong or not work as intended. The more commercials we watch or internet stories we read with seemingly never-ending lists of adverse possibilities, the more the term 'side effect' gets lost in translation. Let’s be clear: understanding the potential side effects of a drug or treatment is essential and should never be dismissed or overlooked. However, it’s important to remember that sometimes side effects can actually be helpful. In the case of TMS Therapy vs. antidepressants, the chart below points out the reduced amount of reported side effects when it comes to TMS Therapy. Side Effects of Antidepressants vs. TMS Therapy As you can see, TMS therapy is without many of the side effects typically experienced with antidepressants, such as weight gain, stomach issues, dry mouth, and sexual dysfunction. For some, TMS Therapy may cause headache or nausea, but you should be able to resume your daily activities right after treatment. While antidepressants work for many people, they don't work for everyone and can have significant side effects that impact your quality of life, including insomnia. Now, as new studies about TMS Therapy continue to emerge, there’s one positive side effect we need to add to the list of TMS benefits...improved sleep! TMS Therapy & Sleep DisordersTranscranial Magnetic Stimulation (TMS) is a treatment that uses magnetic fields to stimulate nerve cells in the brain. It is used to treat various mental health conditions — not only depression but insomnia, restless leg syndrome, and sleep disorders associated with depression. Some sleep disorders and neurological diseases can cause sleep pattern alterations. This can also lead to changes in how responsive your brain is. This is why it is not surprising that rTMS (repetitive transcranial magnetic stimulation) is an effective treatment for sleep disorders and sleep disorders caused by neurological diseases. Furthermore, neuropsychiatric disorders like depression and epilepsy are often associated with sleep problems. But a review article from SciMedCentral notes that after rTMS treatment, these conditions usually improve, and the patient's sleep pattern improves. A recent 2022 study published in the Journal of Clinical Sleep Medicine looked at the effect of rTMS on sleep in a group of patients with major depressive disorder (MDD). The study found that rTMS improved patients' depressive symptoms, mood, and sleep quality! Experience the Positive Effects of TMS at Pacific Mind HealthIf you're struggling with depression and haven't been able to find relief with medication and therapy, TMS may be a good option. It's non-invasive, has few (adverse) side effects, and could help you get your life back on track.
If you're worried about the potential side effects of TMS, remember that sometimes side effects can be positive! And if you have any questions about TMS, we're here to answer them and provide support every step of the way. Begin with our complimentary TMS info session to learn more about the treatment and your insurance coverage options.  Treating depression can sometimes require persistence and ongoing strength. Reaching out for support about how you feel is undoubtedly an essential first step in your healing journey. Initial treatments for depression often include therapy, medication, or a combination of the two. The good news: about 40 to 60 percent of people who took an antidepressant notice an improvement in their symptoms within six to eight weeks. But what do you do if you or someone you love doesn't experience relief from medications or therapy? How do you know it's time to reach out and explore other options for depression relief? Remember, antidepressants can take time to work. Mood improvements don’t happen right away; it takes time for medications to take effect. For example, many depression medications, such as selective serotonin reuptake inhibitors (SSRIs) and serotonin-norepinephrine reuptake inhibitors (SNRIs), can take about 2 to 8 weeks to work. Generally speaking, if your mood doesn't improve after eight weeks and you've tried previous medications, it could signify treatment-resistant depression. Unfortunately, patients who suffer from treatment-resistant depression (TRD) can get caught in an endless cycle of trying medication after medication. TMS Therapy can break that cycle and help you move forward in relief. If you are currently taking antidepressants and are considering whether or not they are right for you, here are three signs it’s time to look beyond medication for relief: The Side Effects Are Too MuchSide effects of depression medication can range from mild to severe and typically include weight gain, sexual dysfunction, fatigue, and headaches. For some people, the side effects of medication can impact their quality of life and weigh them down. If you are troubled by unwanted side effects, talk to your doctor to review your options. Your Symptoms Keep Getting WorseEveryone responds to medication differently. Sometimes, your symptoms might get worse before they get better. This is why it's essential to communicate openly about your symptoms with your care team. Let your doctor know about all medications and supplements you are taking along with your antidepressants for optimal outcomes. You've Tried Medications & Therapy BeforeAntidepressants are an effective depression treatment for many people, but they are not the answer for everyone. If you have tried four or more different medications along with therapy and been unsuccessful, TMS Therapy might be the answer! Many insurance companies require failed medication use and consistent therapy before they provide coverage. Our care team can help you understand your coverage for TMS during a complimentary information session. TMS Therapy at Pacific Mind Health: Finding the Right Solution for DepressionTMTranscranial magnetic stimulation (TMS) is a noninvasive procedure that stimulates nerve cells in the brain to treat individuals diagnosed with severe depression or anxiety. TMS is a promising treatment for depression, as it is quick and effective, with immediate and long-lasting effects - positive ones. In comparison, medications used to manage depression can take weeks or months to work and may eventually stop working altogether.
TMS is a safe and effective option for treating depression with a high success rate but without the drawbacks of conventional depression medications. For these reasons, TMS is an increasingly popular treatment option for those suffering from treatment-resistant depression. If you are experiencing any of these three signs that your depression medication isn't working, book a complimentary TMS information session with our team. We're ready to work with you to help you beat depression with a treatment plan that's tailored to your specific needs and goals.  Do you often find yourself caught up in the pain and suffering of others? It's not just that you recognize another person's feelings – you feel them! To a certain extent, this level of empathy has made you a better person. For example, when you listen to a loved one talk about their problems, you share in their distress, enabling you to offer genuine support. Likewise, when you read about the death of a hometown hero, it moves you to want to reach out to their family, do something for your community, or be a constant, compassionate presence in an otherwise chaotic world. Yet, in a world where every day seems to bring new disasters, war, heartbreaks, and difficulties, there comes a time when you start to feel the opposite. It's not that you've stopped caring, but you've lost the energy to keep caring so much. Empathy extends beyond cultivating perspective and compassion for sensitive beings like you. Instead, your empathy leaves you feeling burned out and withdrawn, wondering how you've gone from big-hearted to cold-hearted - feeling even more confused because you know this isn't who you are. It's important to understand that while empathy - the ability to share feelings of another - is a beautiful quality, it can also be emotionally draining if you don't know how to share and process your feelings. Here are a few expert tips from our therapists at Pacific Mind Health that will allow you to remain compassionate and supportive to others without reaching the point of emotional exhaustion: Improve Your Emotional Regulation SkillsAs a sensitive person or empath, you need strong emotional regulation skills. This means being able to effectively manage and process your emotions so that you don't get overwhelmed by the emotions of others. There are many ways to improve emotional regulation skills, such as mindfulness meditation, yoga, breathing exercises, and therapy.  Set Healthy BoundariesEmpathy is a beautiful quality, but everyone has their limits. When you care so deeply about others that it threatens your well-being, it can make you feel inauthentic, isolated, and emotionally exhausted. Setting and maintaining emotional boundaries will help you control the extent of the emotions you take on. This doesn't mean that you become cold or callous. Instead, it could mean knowing when to take a break from engaging in specific conversations or watching the news. Practice AcceptanceEmotional acceptance means accepting your feelings, even the difficult ones. When you accept your feelings, you're less likely to judge yourself or try to push them away. This can be a complicated practice, but it can help you manage empathy fatigue. Focus On Self-CareIf you're constantly putting yourself in other people's shoes and not giving yourself time to recover, you'll quickly become overwhelmed. So, when you're feeling drained or notice yourself getting agitated, it's a sign that you need to take some time for yourself. To minimize the impact of emotional vulnerability and fatigue, ensure you get enough sleep, eat healthy foods, and spend time doing things you enjoy. Talk To Someone Who UnderstandsTherapy is a powerful tool! Simply talking about your experiences and feelings with a professional can help lighten the load. If you ever feel emotionally overwhelmed, know that it's okay to take a step back. You don't have to detach from who you are to separate from what drains you. Let’s Sort Through Your Emotions In TherapyThe average person has over 6,000 thoughts per day - that's a lot to process! But, you shouldn't have to sort through your feelings alone. Our therapists will blend various therapeutic approaches to create a multi-faceted approach that suits your needs. Therapy can help you learn how to process your emotions without experiencing emotional fatigue, anxiety, or general overwhelm.
If you or someone you love is looking for therapy in Long Beach, CA, our compassionate team is here to help! We offer a variety of therapeutic approaches, and we’ll put together a customized care plan based on your history, challenges, and goals. Reach out for support today!  You've heard the saying before, "We all have the same 24 hours in a day." On the surface, it's true because none of us have 25-hour days. But this quote has a more profound message about time management and priorities. Many of us have daily routines that create a consistent framework for our day. For example, we go to work, maybe hit the gym, make dinner, wash, rinse, and repeat until the weekend or your next day off. But, of course, many other things happen during those hours that make life rewarding, fulfilling, and sometimes stressful. Like the edge pieces of a jigsaw puzzle, those consistent parts of our daily routine help create a border to keep us on track and a foundation to build upon and grow. How you spend each day matters, but not every day will be perfect...or consistent! Life happens. And, when it does, it's essential to be intentional about where you put your time, energy, and focus. These five healthy habits will help you make the most of any day regardless of what life throws your way. Get Enough SleepQuality sleep is integral to your overall health and wellness. Poor sleep can have a negative impact on your daily activities, relationships, and family life. This is because there’s a direct correlation between lack of sleep, cognition, and the way you feel. Sleep is a basic human need essential for your physical and mental health. Your body goes through different phases of sleep throughout the night and usually works on a 24-hour circadian rhythm that helps you know when it’s time to sleep. If you struggle with the timing, quality, and amount of sleep, it could signify a sleep disorder that requires treatment. Be MindfulDon't get stuck on autopilot! Think about how much time you spend going through the motions each day. When we fall into this mindset, we lose track of our intentions, and what matters. Living life on autopilot can be distracting and make it hard to focus or spark creativity. On the other hand, practicing mindfulness allows you to refocus your attention and be present in the current moment. When you're mindful, you can cultivate a centered and non-judgmental mental headspace that will enable you to make empowered decisions with clarity. So be mindful of your time and energy, even on your busiest days. Prioritize Self-CareWe often think we don't have time for self-care or that it's selfish, but the opposite is true. When we don't take care of ourselves, we're less effective in everything else we do personally and professionally. So, carve out a little time each day to focus on activities that recharge you physically and emotionally. Remember that self-care doesn't have to be expensive or take up hours of your day. Self-care can be as simple as reading a book, listening to your favorite song, calling a friend, or going for a walk during your lunch break. Nurture Meaningful RelationshipsHealthy relationships are vital for a happy life. They provide us with love, support, and connection - three crucial things for our well-being. Even if it’s not realistic to see your loved ones every day, there are still many ways to stay connected. Relationships are built on trust, effective communication, and mutual appreciation. In healthy relationships, both parties are active participants. Take a moment to reflect on all of the relationships in your life to ensure that both parties are committed in meaningful ways. Then, only spend your time, energy, and effort nurturing the relationships worthy of your love and attention. Build Resilience Through PositivityYou don't always have to be positive or have a good day. On the tough days, focus on building your resilience. You can learn a lot from your mistakes. Stay rooted in positivity and know that you can move forward. When paired together, the combination of resilience and positivity is truly a force to be reckoned with. These two learned mindsets are vital for overcoming adversity and promoting personal growth. Begin each day by practicing gratitude and making an effort to see the silver lining. Your days will be brighter when you choose to see things in a better light. So choose positivity, even when it's hard. These small things add up, significantly impacting your overall well-being. We Can Help You Make The Most Of Each DayMaking the most of each day becomes second nature when you live intentionally. You have to take that first step and decide that you're going to do it. We understand that taking that first step is sometimes the hardest. If you or someone you love is looking for a psychiatrist in Long Beach, our team is here for you.
We strive to help create a treatment plan which will help you find a path to wellness whether that means medications, novel treatments, or psychotherapy. Our goal is to provide thorough diagnostic evaluations which will inform treatment choices and increase the likelihood the treatment will be successful.  Do you find yourself thinking that the worst will happen? Does it feel like your entire life will be ruined if something goes wrong? Maybe you have a habit of always finding the worst possible scenario right away, even before anything happens. Sound familiar? It’s called catastrophic thinking and it means you have the tendency to always think the worst is going to happen without considering other possibilities. People who experience anxiety at overwhelming levels sometimes overestimate the likelihood that negative events will occur. This type of thinking plays a significant role in fueling anxiety and depression. However, by understanding how catastrophic thinking works and how to stop it, you can live a more positive and fulfilling life. We all experience setbacks and disappointments in life. But with adversity comes the opportunity to build resilience and bounce back. Catastrophic thinking can often create a series of doom and gloom thought loops that can crush positivity. Suddenly, it might feel like one setback is the end of the world. So, how can you stop yourself from coming up with such irrational predictions for your future before they eat away at your well-being and happiness? Start With Self-MonitoringBegin by keeping a log of the situations which cause you to think that ‘everything is ruined’. Then, note what happened in each case and why it bothered you enough for your catastrophic thinking brainwaves to start taking control. Next time you feel overwhelmed by a setback, pause and reflect on the thought that just popped into your head. Is it true? Are you overly reactive to what's going on right now, or are you letting one lousy thing snowball into something more problematic? Make sure you're not letting your negative thoughts run away from you! Ask yourself if it's possible that you're having these thoughts out of habit and what a more realistic thought might be. For example, if you argue with your friend, then tell yourself, "It doesn't mean I can't be friends with this person again" rather than "I'll never have any more friends because of what I did.” Watch Out For TriggersThe most effective way to stop catastrophic thinking is by acknowledging that it's a problem in the first place. Mindfulness exercises can provide tremendous relief by helping you become more aware of your thoughts. In terms of catastrophic ones, mindfulness can help you find the space between what's happening now and whatever bad outcome you assume will happen. All of the 'what ifs' can spiral out of control and quickly trigger catastrophic thinking. If you do feel anxiety start to kick in, try to stay grounded in the present moment by asking yourself the following questions:
Practice AcceptanceCatastrophic thinking can be a difficult habit to break because you might not even realize that it's happening. So, the more mindful you are of your behavior and thought processes, the easier it will be for you to stop catastrophic thinking in its tracks before feelings of anxiety or depression start taking over. To help yourself better process unavoidable setbacks, try using acceptance. Accepting that something has happened doesn't mean you're happy about it, but it means that you understand and acknowledge the reality of the situation. Don't Let Anxious Thinking Hold You BackIt's normal to have bad days. No one gets through life unscathed by misfortune or sadness. A bad day doesn't mean a bad life. Unfortunately, anxiety can hover over you like a dark cloud even on your brightest days.
Anxiety can also take a physical toll on your body, but the appropriate mental health care can assist you in regulating, calming, and easing your mind with effective and practical treatment methods. Dr. Flatow and his compassionate team are here to help you break free from symptoms of anxiety so you can move forward this year in health and happiness. Reach out for support today. |
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