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Dr. Z
Dr. Z, Psychologist
Category: Mental Health
Satisfied Customers: 10582
Experience:  Psy.D. in Clinical Forensic Psychology with a background in treating severe mental illnesses.
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I've been in therapy & meds . Almost every psychiatrist/sychologist

Customer Question

I've been in therapy & meds for years. Almost every psychiatrist/sychologist uses CBT. I have made zero progress using this method. My meds have been changed dozens of times...the best i can say about those is they just barely keep the edge off. My diagnosis is major depression. Selfesteem is totally non-existant & i have virtually lost all hope. I'm 47 & my whole life has become an agony to endure. Is there some particular type of therapy as a last resort? Will not do electric shock, how about hypnosis therapy? Help please.
Submitted: 1 year ago.
Category: Mental Health
Expert:  Dr. Z replied 1 year ago.
*This website DOES NOT constitute treatment and only provides information and advice. For treatment (therapy and/or medications) you must go to a licensed professional in your area. Please note that anything said here is not private or confidential, as this is a public forum.
Hello I believe I may be able to help you with your concern. I am so sorry that you are suffering from this level of treatment resistant depression, I can understand how distressing this can be for you. When a patient does not respond to multiple treatments and medications than likely the patient has a form of treatment resistant depression. Any type of therapy will probably not be helpful for you, and actually hypnotherapy is not considered a very effective mode of therapy with a considerably low success rate. I would like to recommend two options that may be good choices for you.
1. Transcranial Magnetic Stimulation (TMS) is relatively new and is specifically used to treat resistant cases of depression and anxiety. This treatment uses magnetic fields to stimulate the nerve cells in the brain to produce the required amount of neurotransmitters to alleviate symptoms of depression and anxiety. TMS would be similar to a MRI, just more focused. Another excellent benefit of TMS is that there are virtually no side effects, with the most common side effect being scalp irritation and headaches for a few days, so it is considered a very safe procedure. If you want to learn more about TMS here are a couple good links for you
http://www.mayoclinic.com/health/transcranial-magnetic-stimulation/MY00185
http://depression.wustl.edu/O'Reardon%20Pivital%20trial.pdf
2. The next option would be IV Ketamine treatment which has shown to be very effective for treating resistant cases of depression and can even alleviate depressive symptoms in a matter of hours. Ketamine treatment would have to be done in a number of sessions for a few months for it to have a long-lasting effect, but so far limited studies have shown that the positive benefits of Ketamine have lasted for well over a year after the last dose for patients. Ketamine is still being subjected to trials across the country so it is not used widely, but there are a number of clinics throughout the country that provide Ketamine treatment for depression. Here is a link with all of the clinics that use Ketamine (some are not for mental health so be sure to read and select those ones that are specifically used to treat depression).
http://www.ketamineadvocacynetwork.org/46-2/
In addition, here are a few good articles on the benefits of IV Ketamine for treatment resistant depression
http://www.webmd.com/depression/news/20140923/ketamine-depression
http://www.ncbi.nlm.nih.gov/pubmed/23982301
http://www.scientificamerican.com/article/is-ketamine-next-big-depression-drug/
I hope this provides you with some options to help lessen your overall depression. I wish you all the best with your future treatment and I hope your symptoms lessen very soon.
My goal is to provide you with excellent service, so if you ever have any further questions or concerns please do not hesitate to contact me at anytime. If I answered your question satisfactorily I would very much appreciate if you could rate my performance in helping you so that I can get credit for this question. Thank you very much

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