Top
20
Doctor insights on: Treatment Resistant Depression

Share
Dr. James Fox Dr. Fox
3 doctors agreed:
1

1
What is considered treatment resistant depression?

Dr. James Fox Dr. Fox
3 doctors agreed:
What is considered treatment resistant depression?

Failure of one med: Treatment-resistant depression (TRD) typically refers to inadequate response to at least one antidepressant trial of adequate doses and duration. TRD is a relatively common occurrence in clinical practice, with up to 50% to 60% of the patients not achieving adequate response following antidepressant treatment. ...Read more

See 1 more doctor answer
Dr. Pamela Pappas
4,612 doctors shared insights

Depression (Definition)

Depression is a mood disorder that can affect behavior and emotions. Symptoms of depression include feeling down most of the time, losing interest in previously enjoyable activities, increase or decrease in appetite or weight, sleeping more or less, becoming easily agitated or lethargic, feeling worthless, feeling guilty, having difficulty concentrating, thinking more about death and dying. Depression can sometimes result in suicidal thoughts and plans. In this case, emergent ...Read more


2

2
How is the success of Lithium Therapy in Atypical depression?suffering from unipolar treatment resistant depression.

How is the success of Lithium Therapy in Atypical depression?suffering from unipolar treatment resistant depression.

Treatment : Research suggests that lithium is effective 50% of the time when added to antidepressant medication to augment response in the treatment of depression. ...Read more

3

3
How is the success of Lithium Therapy in unipolar treatment resistant depression?

How is the success of Lithium Therapy in unipolar treatment resistant depression?

It may help...: Lithium has a fair amount of research behind it--it is a known strategy to augment antidepressant treatment and to help prevent recurrence. Patients seem to be afraid of Lithium; but for many people it can be a life-saver. ...Read more

See 1 more doctor answer
5

5
Is psychotherapy for treating depression?

Not only: Psychotherapy has been shown to be helpful in treating various mental ailments; psychotherapy also helps a person cope with physical ailments; psychotherapy can be used to improve communication skills, self-concept, parenting skills, anger management, etc. There is individual psychotherapy, couples/marital/family. ...Read more

See 5 more doctor answers
6

6
Is lamotrigine the most effective treatment for bipolar depression?

Is lamotrigine the most effective treatment for bipolar depression?

Lamotrigine: "more effective" all depends on what you're comparng it to. Caveats/points of interest: - Lamotrigine both stabilizes/prophylaxes mania as well as helps raise the mood with an antidepressant like effect. - sometimes it is ineffective by itself for depression, and something else needs to be added. - potentially inadequate four mania/hypomania prophylaxis, particularly with vigorous anti-dep rx. ...Read more

7

7
What's the best treatment for, treatment resistant depression?

What's the best treatment for, treatment resistant depression?

No 1 "best" one: There are many treatment augmenting strategies for treatment resistant depression. One that seems promising but has less side effects is l-methyl folate (folic acid), (folic acid) since many with depression have abnormalities of folate (folic acid) metabolism that can worsen depression. Also there are transcranial magnetic stimulation and ect. Ongoing psychotherapy of course. Plus many complementary forms of medicine as well. ...Read more

See 2 more doctor answers
Dr. Alan Ali Dr. Ali
1 doctor agreed:
8

8
Is electroconvulsive therapy an effective treatment for dysthymic disorder?

Dr. Alan Ali Dr. Ali
1 doctor agreed:
Is electroconvulsive therapy an effective treatment for dysthymic disorder?

ECT: It can be used for clinical depression unresponsive to medications or other treatments or if cannot tolerate medications. ...Read more

See 1 more doctor answer
9

9
Alternative treatments for atypical depression?

Alternative treatments for atypical depression?

Alternative depressi: Traditional chinese medicine, indian remedies (ayurvedic med.), yoga, meditation, diet, exercise, etc. ...Read more

10

10
Are anti psychotics an effective treatment for borderline personality disorder?

Are anti psychotics an effective treatment for borderline personality disorder?

General not: Generally anti-psychotics are not effective, especially by themselves for bpd. There are effective psychotherapies. ...Read more

See 1 more doctor answer
11

11
Is citalopram effective to treat manic depression?

Is citalopram effective to treat manic depression?

Caution: Citalopram can treat depression. The issue is, that -- in patients who have bipolar disorder -- antidepressants like citalopram can increase the risk of switching from a depressed or normal mood to one that is manic. Often a mood stabilizer is added to prevent such a mood switch. So it is important to discuss this issue and how to deal with it in advance with your psychiatrist. ...Read more

See 2 more doctor answers
13

13
Is there treatment-resistant depression?

Is there treatment-resistant depression?

Yes: But the definition is usually failure of 2-3 different treatments. Treatment-resistant doesn't mean incurable. Very often people have gotten multiple antidepressant trials without much benefit, but they were all similar medications or too short trials. There are many strategies and combinations as well as ECT that often work when others fail. See my book, psychiatry in techno colors. ...Read more

See 1 more doctor answer
14

14
Is bipolar treatable? does the treatment make bipolar worse?

Is bipolar treatable? does the treatment make bipolar worse?

Mood stabilizers: Mood stabilizers are used to treat bipolar disorder. Lithium and depakote would be two examples of mood stabilizers but there are others, depending on symptoms, and depending on what works for the patient. ...Read more

See 1 more doctor answer
15

15
Anybody prescribed puva treatment to treat skin disorders?

Anybody prescribed puva treatment to treat skin disorders?

Not any more, mostly: Puva stands for "psoralen plus ultraviolet-a" - you take a drug called psoralen, which sensitizes your skin to long-wave uv light, then you go in a uv light box. It was used to treat psoriasis and other skin diseases, but in recent years it has largely been replaced by narrow-band uvb light treatment, which works better and avoids the risks of psoralen, such as sunburn and cataracts. ...Read more

16

16
Depression: haldol (haloperidol) an effective treatment?

Haldol (haloperidol): is not an antidepressant medication. Hadol could be considered if an individual had a psychotic depression or possible a schizoaffective disorder with depression. In those situations - it would not normally be used for monotherapy. Take care. ...Read more

17

17
How effective is electroconvulsive shock therapy for bipolar and psychotic disorder?

How effective is electroconvulsive shock therapy for bipolar and psychotic disorder?

ECT: ECT is typically used for cases of severe depression, and not bipolar/psychotic disorders. ECT was once used much more widely than it is now. ...Read more

See 1 more doctor answer
18

18
Is shock therapy an option for medication and cgt resistant delusions?

Is shock therapy an option for medication and cgt resistant delusions?

ECT -electroconvulsi: ve therapy is a treatment option used for resistant depression, mania and psychosis. It is safe and fast to produce effects in severely ill patients, and side effects are limited to some memory loss. ...Read more

19

19
What type of treatment for major depression anxioty bipolar?

What type of treatment for major depression anxioty bipolar?

Bipolar Disorder : with Anxiety. Start with a comprehensive psychiatric evaluation. Insure that medical causes for symptoms are ruled out. Talking therapy (Cognitive Behavioral Therapy or insight oriented psychotherapy) is allows for lasting change. Avoid alcohol, caffeine and illicit drugs. Take medications as directed. Eat healthfully. Sleep consistently. Be physically active. ...Read more

See 1 more doctor answer
20

20
Is there treatment-resistant depression?

Yes: But the definition is usually failure of 2-3 different treatments. Treatment-resistant doesn't mean incurable. Very often people have gotten multiple antidepressant trials without much benefit, but they were all similar medications or too short trials. There are many strategies and combinations as well as ECT that often work when others fail. See my book, psychiatry in techno colors. ...Read more

See 1 more doctor answer