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 Medication
If 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 Episodes
If 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 Anxious
Anxiety 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 Life
In 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 Longer
Some 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 Relief
The 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.
Welcome to May!
We’ll be the first to admit that keeping track of time…or even what day it is…has proven to be somewhat challenging during the quarantine. But now it’s officially May and a great time to move forward in positivity.
May is a well-known transitional month as we move from spring to summer. We get to celebrate Cinco de Mayo, Mother’s Day, and Memorial Day, but did you know that May is also Mental Health Month? That means we have the spotlight to help shed some light on the realities of mental and emotional wellbeing and the psychiatric conditions that threaten it.
Mental Health Month: 'Tools 2 Thrive'
More than just observing a month like this, let’s use the opportunity to learn what we can do to make a real difference in the life of someone who suffers from a mental health disorder. Mental Health America’s theme this year is “Tools 2 Thrive.” The goal is to help provide practical tools that everyone can use to improve their mental health and increase resiliency regardless of the situations they are dealing with (like COVID-19).
“One in five people will experience mental illness during their lifetime, but all of us will have experiences that affect our mental health,” said Dr. Joshua Flatow, a psychiatrist with Pacific Mind Health. “Destigmatizing mental illness is an important first step toward getting people the help that they need before they reach a point of crisis. This wonderful national campaign is something we fully support at Pacific Mind Health. The tools we use to help our patients thrive include everything from pharmacologic and therapy-based treatment to innovative treatments like IV Ketamine and TMS Therapy.”
As part of Mental Health Month, Mental Health America has put together a variety of screening tools that you can take individually or offer to a loved one who may be struggling. While these screenings do not take the place of a professional evaluation, they are useful in getting people to recognize symptoms in themselves and to spark dialogue about mental health care in general.
We want to make it easy for you to get well and the right tools matter!
Breaking The Burdens of Shame
One of the most important ways to #endthestigma surrounding mental health is to talk about mental health disorders openly just as we do with a physical illness like diabetes, cancer, or a heart condition to name a few.
Depression is more than just having a bad day. It can be a crippling disorder that forces people to live under a veil of darkness…
Anxiety Disorders can result in a debilitating cycle of persistent, excessive worry day after day…
OCD is not a quirk, a preference for tidiness, or something that you can just ‘get over’
The more we make psychiatric disorders part of casual conversation, the further back we push the stigma associated with this suffering.
Mental Health Awareness Helps Reduce The Stigma
Even though we’ve come a long way over the past few decades when it comes to mental illnesses, we still have a long way to go in acceptance and normalization. The good news is mental health disorders like GAD, Major Depression, ADHD, and OCD are very treatable. The key is to get help as soon as possible. It is possible to lead a very happy and successful life, hold down a career, and have a strong social life despite having a mental illness.
We’re thankful for celebrities who help us normalize mental illnesses by stepping out into the spotlight. Johnny Depp, David Beckham, Howie Mandel, Whoopi Goldberg, Jessica Alba, and Heather Locklear are just a few A-listers who’ve publicly shared their struggles.
“It takes a lot of courage to say ‘My anxiety is flaring up and I need to take a break’ in the middle of a birthday party. Try it, though, and I suspect you’ll have a few other people who follow you to a quiet space,” said Dr. Joshua Flatow, a psychiatrist at Pacific Mind Health in Southern California. “More and more, as people are honest about their struggles, the stigma around mental illness fades. Mental Health Awareness month is intended to empower people to let go of any shame related to a diagnosis and to educate others about how they can openly and usefully support loved ones with mental health issues.”
Pacific Mind Health Can Help You Thrive
Medication and therapy are often effective treatments for common mental illnesses. Our team also embraces Neuroscience breakthroughs by providing cutting-edge treatments like Ketamine and TMS Therapy for hard-to-treat cases of depression.
You can be free of depressive thoughts, despair, and that awful feeling that you don’t belong or fit in. You can live a full and rewarding life. Celebrate Mental Health Month by making your mental wellness a priority. It all starts with an evaluation - call today!
A pandemic, anxiety, and you.
It’s day - who knows what, of week - can anyone remember? and minute - at least 8 trillion of Quarantine 2020.
Families are sequestered in homes that used to be places of comfort but now feel more like institutions of confinement. If you try to escape for a few minutes, don’t dare take a walk around the neighborhood without a mask or you’ll feel like Cersei on her “Shame” walk. Speaking of shame, has TikTok really become our best chance at modern human connection?
All this time in isolation has given us lots of time to think. Normally we long for those quiet moments where our brains can have still reflection, but it is possible to get too much of a good thing. Especially for those with anxiety.
With anxiety, overthinking is a baseline. The brain spirals into thoughts that are often out of proportion with reality. No matter how hard you try, you can’t suppress them, and the frustration of being out of control feeds the anxiety even more. Sometimes it ultimately culminates in the near-death experience of a panic attack. You can’t breathe, your chest seizes up, your vision blurs, your arm goes numb, and your hands clench against your will. You’re convinced this is it -- you’re having a heart attack and a stroke at the same time.
Except you’re not. You’re in the grips of anxiety, experiencing the very real symptoms it brings, and it’s just awful.
“Anxiety is understandably on the rise with the Covid-19 pandemic, not just in patients with anxiety disorders but also in people who typically manage anxiety without issue,” said Joshua Flatow, a psychiatrist at Pacific Mind Health in Los Angeles, Calif. “The constant worry, the isolation, the actual threat of death -- these are legitimate concerns having a significant effect on all of us.”
For those new to anxiety thanks to Covid-19, it seems like this cycle of feeling out of control, worried, frustrated, and trapped will never end. We can’t escape to the gym or a spa to reset because our normal coping places are closed. No more heading to the pub for happy hour with friends to blow off some steam. We can’t get relief from our families because they’re likely contributing to our stress levels. This will not last forever, but what are we supposed to do in the meantime?
Get professional help for your anxiety. Seriously. This is not a time to be coy about struggling.
“Getting help early will not only prevent an escalation in symptoms, but it can also prevent a decline overall,” said Joshua Flatow, a psychiatrist at Pacific Mind Health specializing in anxiety management. “Stress and anxiety can lead to emotional instability, insomnia, abuse of alcohol or drugs, and even depression or suicide. Early intervention can spare patients from getting to the point of crisis.”
To ensure all patients who need it can get timely comprehensive care, Pacific Mind Health is offering telepsychiatry and teletherapy, an easy-to-use service that allows providers to see patients through an encrypted, HIPPA compliant online video service. For those with known anxiety disorders or those with pandemic-induced anxiety, telepsychiatry provides continuity of care and a face-to-face interaction while respecting health-related mandates.
Pacific Mind Health is offering Telepsychiatry and Teletherapy
Several medications exist for the treatment of anxiety, the most common of which are selective serotonin reuptake inhibitors (SSRIs) and serotonin-norepinephrine reuptake inhibitors (SNRIs). SSRIs and SNRIs target neurotransmitters in the brain to increase a person’s threshold for stress and decrease the intensity anxiety responses.
Other medications like buspirone may be indicated for panic attacks, as it provides a rapid calming effect.
Benzodiazepines were historically used for management of anxiety, but as understanding of the underlying causes of anxiety and the long term effects of benzodiazepines increased, reliance on them has decreased. They still have value for short-term, immediate relief of anxiety symptoms, but they are no longer considered a first-line treatment for anxiety.
One exciting new development in the treatment of anxiety associated with depression is transcranial magnetic stimulation (TMS). TMS stimulates brain cells associated with mood control and depression, however many studies indicate it may be useful in treating a range of psychiatric conditions, including anxiety and OCD. To that end, Pacific Mind Health is offering TMS therapy to qualified patients.
In addition to medications and TMS, therapy, particularly cognitive behavioral therapy, can help patients learn new tools for coping with anxiety, especially in times like these when our normal coping methods are unavailable to us.
Cognitive behavioral therapy (CBT) is useful in teaching patients how to become aware of anxiety triggers, to explore stressful situations in less frightening ways, and to cultivate better coping and problem-solving skills. Pacific Mind Health offers CBT in person or through its convenient, easy-to-use telepsychiatry service.
“CBT is based on the premise that thoughts dictate feelings,” said Dr. Flatow, who said he recommends therapy to the majority of the patients he treats for anxiety. “By challenging thoughts, you can reprogram negative thinking patterns and stave off anxious feelings.”
The cognitive restructuring cultivated in CBT challenges patients with anxiety to:
“Anxiety is a heightened reaction to input from various areas of life, and this pandemic has essentially pushed most of us into a corner when it comes to managing anxiety. But there is no need to stay in that corner, trembling and worried. There are treatments available. This pandemic does not have to feel like the end of the world simply because anxiety is trying to make it so.” - Dr. Flatow of Pacific Mind Health.
Pacific Mind Health offers comprehensive mental health care for a range of psychiatric conditions, including anxiety and depression. If you are looking for a psychiatrist in Los Angeles or Long Beach, California, or telepsychiatry in California, please contact us to schedule an appointment