Your Good Health: The different types of therapy for severe depression

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Of nearly a million people treated for depression in a 2014 study, only 1/4 of 1% were treated with ECT.

Dear Dr. Roach: I am an ex-medical/surgical nurse. I have a daughter-in-law who was treated for depression with magnetic therapy. My psychiatric exposure in the 1950s was with electroshock therapy and insulin shock therapy. Can you explain how the new magnetic therapy works for depression, compared with the other two treatments?Electroconvulsive therapy is still used for treatment of drug-resistant severe depression.

Transcranial magnetic stimulation is a new treatment that has been shown to be relatively safe. The major serious side-effect is seizures, although these are uncommon. It might also cause headache and temporary hearing loss. TMS and ECT are appropriate to consider if medications are ineffective or can’t be used and when psychotherapy can’t be accessed. Unfortunately, this is a common problem.

People with GERD who have not been treated effectively with medicine, or those with persistent symptoms who don’t want a lifetime of medications, can be considered for surgical therapy. The LINX procedure uses a ring of magnets to keep the sphincter at the bottom of the esophagus closed most of the time, but it opens when food is being swallowed.

 

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