9 Life Changing Treatments for Treatment Resistant Depression
Intensive treatments for Treatment Resistant Depression, Anxiety or PTSD- chart here: https://www.figma.com/board/qi2roJyfUZlKkhQa44ldD5/Tx-resistant-depression—Original?node-id=0-1&t=OeQm9sNXC7Uxw1Et-1
When you’ve tried two or three or six treatments for your depression, anxiety, or PTSD and nothing helps, you might feel even more hopeless, like a fulfilling life is not possible for you. But I have good news for you. There are literally 500–five hundred! [mouth or whisper 500 in a repeat for emphasis]–treatments for depression. We’re talking treatments for severe forms of depression, anxiety, and PTSD. And most of them are surprisingly effective. So let’s explore 9 interventions that science has shown to improve treatment resistant mental health conditions–and at the end I’ll share what hasn’t been proven to work. Some of these might be considered last-ditch efforts to treat treatment-resistant mental health conditions, but if you’ve been there, you know how desperate you feel and why it might be worth talking with your psychiatrist about these.
00:00 Intro
00:52 Nutshell
02:58 Standard Treatments
05:10 OK, when none of this is working, or if your case is really severe-
08:06 Electroconvulsive Therapy (ECT)
09:26 Transcranial Magnetic Stimulation (TMS)
10:37 Ketamine
13:06 Vagus Nerve Stimulation
14:27 Psilocybin
16:36 Stellate Ganglion Block (SGB)
17:37 Fecal transplants
18:56 Metabolic treatments
19:43 Cold Water Immersion
Check out the transcript below:
9 Life Changing Treatments for Treatment Resistant Depression
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Therapy in a Nutshell and the information provided by Emma McAdam are solely intended for informational and entertainment purposes and are not a substitute for advice, diagnosis, or treatment regarding medical or mental health conditions. Although Emma McAdam is a licensed marriage and family therapist, the views expressed on this site or any related content should not be taken for medical or psychiatric advice. Always consult your physician before making any decisions related to your physical or mental health.
In therapy I use a combination of Acceptance and Commitment Therapy, Systems Theory, positive psychology, and a bio-psycho-social approach to treating mental illness and other challenges we all face in life. The ideas from my videos are frequently adapted from multiple sources. Many of them come from Acceptance and Commitment Therapy, especially the work of Steven Hayes, Jason Luoma, and Russ Harris. The sections on stress and the mind-body connection derive from the work of Stephen Porges (the Polyvagal theory), Peter Levine (Somatic Experiencing) Francine Shapiro (EMDR), and Bessel Van Der Kolk. I also rely heavily on the work of the Arbinger institute for my overall understanding of our ability to choose our life’s direction.
And deeper than all of that, the Gospel of Jesus Christ orients my personal worldview and sense of security, peace, hope, and love https://www.churchofjesuschrist.org/comeuntochrist/believe
If you are in crisis, please contact the National Suicide Prevention Hotline at https://suicidepreventionlifeline.org/ or 988 or your local emergency services.
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34 Comments
Improve your mental health with the free course, https://courses.therapyinanutshell.com/grounding-skills-for-anxiety-stress-and-ptsd
Thank you.
If you are on medication for Depression, ( Do Not) take The herb called Ashuwa ganda.
O man, it will make you Extremely Sick. IT happened to me .
Hi, I watch all your videos and find you very entertaining and helpful. I am suffering from depression after the wife that I've worshipped and taken care of for 32 years, divorced me. I miss her so much. I try to keep busy with volunteer work and chores, but the bottom line is the loneliness and deep depression I feel in the evenings. I am trying ketamine and therapy, and cbt, but nothing is helping. I don't want to forget her. She was my soul mate, and I am crushed to my core. I don't think anything can help this. I'm 66, and I am facing the rest of my life alone. Maybe time will help, but I don't see how. How can you remove three decades of the happiest times of your life? How can you make new memories alone? I'll keep trying. Maybe I'll try the mushrooms next. I'm sorry to be such a baby.
This is giving me hope. Thank u
Ect was the worse for my depression
A treatment that did help somewhat for me many years ago was Past Life Hypnotherapy…..a lot of the chronic pain and depression that I was feeling was from stuck, old energy, from previous trauma from past lives. I understand this is not for everyone. I am Catholic, so I was not familiar with this, but I experienced, clear, past life phenomena that made this therapy very suitable for me. If anyone is interested, google Dr. Brian Weiss, or hypnotherapy for resources……great video btw!
I disagree depression is permanent, have had it my whole life only when I turned 18 did I get on meds hate them I may be 50 in June and still on meds it helps a little but at the end of the day it's not if I jump off an overpass it's when!
Frankl (paraphrasing): those with a why can endure ALMOST any how.
The hardest part about all of this is finding a therapist who cares about you at least as much as the co-pay. Still looking.
You have an inflamed Amygdala, you need to take an anti inflammatory that is powerful enough to affect the Amygdala
If you reduce the size of your Amygdala then you will no longer be depressed, simple as that , as long as the Amygdala is not inflamed you cant be depressed
The whole of the science profession is intentionally and deliberately sent "barking up the wrong tree" as they are all taught to only pay attention to the cortices
don't believe me, ? aske any doctor to explain in extreme detail the purpose and functionality of the Amygdala and they will reply we actually don't know . because we only worship the cortices
Why do we worship the Cottices , because "we love the sound of our own voice" and once you accept and acknowledge the influence of the Amygdala's size in your experience then its known that "sound" (words and meanings) do not matter one jot
Was the medical field that caused my depression.
Please educate yourself properly on St Johns Wort.
This herb is actually prescribed in many other countries. It has been found to be as or more effective than Prozac.
The opposite of depression is expression. I realized what caused my depression was a lack of self expression. Basically being shut down and silenced at every turn. I realized this on my own. I did what a lot of people refer to as "shadow work". I do not take medication, I have in the past and it does not work for me. I have learned that reprogramming my brain is what works for me. It was the bad programming that started all of this, so it makes sense to essentially "uninstall" all of the FALSE programming. I took responsibility for MYSELF and stopped blaming the external world for the choices that i made. This alone has helped a lot. I am more of my authentic self now. I am still processing and learning, but I see so much clearer now that ive processed a lot of my trauma. I see where i have been standing in my own way.
I think going to a hospital is the worst thing people can do…..hugging and having human love is the best cure…..not putting someone in a hospital.
I don’t think that the problem is depression as we have been brainwashed to believe. I believe it is called oppression. The Bible says the government is not to oppress the people. People are being oppressed from all sides these days. Government, education system, health care, jobs just to name a few. Then we are told we are depressed🤥
Her optimism is cute, but Nope. The answer for treatment resistant depression is acceptance. You are not happy. You will never be happy. It's like how you will never clear seven feet in the high jump. No amount of coaching, effort, or drugs will change that.
Once you accept that happinessis not in the cards, once you quit even wanting to be happy, life is easier.
Amazing information! Boy have things changed in 30 years!
There are too many options and I myself don't have time to try everything. The more I try that doesn't work, the more depressed I become.
I am a full-time caregiver and full time employee. I work 18 hours every day. Depression medicine is not an option either.
Thanks a lot. I suffer from depression since 4 years, hospitals didn t help, trauma therapy neither, am reducing medication since 12 months, still feel inner restlessness and force myself to activities….have walking problems too,because of my back, so miss my walks in the forest. Was never suicidal, living on my own at 77…yes read Viktor Frankls book….❤❤❤❤
Holy shit! I knew it! My IBS flares up all the time with my anxiety
Grounding costs literally nothing…just mentioning. If you believe something can or will help, it just might.
I am currently doing TMS. I will right out say that TMS HURTS! I am four weeks in and I am racing TMS with a NeuroStar machine. It last 20 minutes. Now that I am this far in it hurts less, but at times, it literally made my teeth feel like they were going to explode. I usually talk to my tech and have started to not notice the pain as much. I does however take many weeks to even know if it is working. It is also 36 treatments. And yes it is 5 days a week.
Another treatment that is proven to work for depression is regular acupuncture from an acupuncturist that has a background in Chinese Medicine.
Hospital scared me. I use diet, sleeping 7 hours a night, and acupuncture, walking and healthy foods
No sweets or caffeine
I feel tired all the time
Lingering Stress in my limbs.
If you have treatment resistant depression maybe look into, undiagnosed ADHD, Undiagnosed Bipolar, try dopamine boosting medications if you’re very much lacking motivation (I.e Pramipexole) get a blood test done to check your vitamins, hormones, cortisol, homocysteine
I think one of the biggest issues for a lot of people without knowing it is sleep issues and disorders. I started to have a sleep disorder in 2021 and that's when my depression started, till this day I still have periods of depression when my sleep is bad but it took me that long to figure out that is what was causing it. I got off all antidepressants now, and I'm going to focus more on fixing my sleep
Ssri worked for me
Fasting?
Where can I find that graph!?
Psychedelics are just an exceptional mental health breakthrough. It's quite fascinating how effective they are against depression and anxiety. Saved my life.
I have everything that would make most people envious. A beautiful loving wife, beautiful healthy children, more money than I can spend, but my brain has an INABILITY to feel happiness. I have tried so many different pharmacological treatments, psychedelics included. The disability insurance company that pays my benefits are forcing me to try new treatments still. They do not work for me. I’ve been put on seven different antidepressants up to its max dosage. Every time I have to come off them. I become really unstable and dangerous to myself.
I think the disability insurance company knows this and hope that I commit suicide so that they don’t have to pay me. They also want me to try ketamine injections, and electroshock therapy. I just want to be left alone and work on myself on my own. I am DISABLED. Videos like this promote ableism and false hope to actually disabled brains. Disability insurance companies, love that kind of content because it promotes an infinite amount of possibility of getting better (and cutting off benefits when you refuse them).
For those who are gonna say that I’m just lazy , I am very well educated with a university degree, multiple college degrees, held two full-time jobs at one point in my life. I had a salary of almost $300,000 a year at one point, and that is why the insurance company doesn’t want to pay, they want me to die.
I have tried cognitive behavioural therapy, which is garbage for me , dialectical behavioural therapy, which is a modified version of cognitive behavioural therapy. Don’t talk to me about mindfulness or breathing exercises, it just causes me anxiety to hear it. Those treatments are just a production line for caseworkers to send people back to work And that is why they are called ”evidence based”. I’m pretty certain that the “evidence” was paid for and gathered by disability insurance so it’s just harder to argue in court.
The best kind of therapy for me was is freudian psychoanalysis, which takes time and is more expensive. I completed a whole bachelors in psychology to try to help myself.
Apple laptop?, whoa, Steve Job worked for the NSA prior to inflitrating and spreading his cyber network,apple is the original underwriter of the patriot act,and the most recent signal group chat took place within ATT and Apple networks.
I changed my diet to keto and found it made a difference for my overall health and energy level and ability to complete tasks and not to feel overwhelmed and shut down.