Interventions for treatment resistant depression

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Interventions for treatment resistant depression

Treatment resistant depression can be defined in simple terms as the case where normal psychotherapy and treatment modalities fail to treat the existing condition of depression. Taking counseling and therapy eases the symptoms of depression in most cases, but certain percentage of cases might resist this treatment and continue to worsen the symptoms over time.

It is better to ask your health care provider to recommend you to a specialist like a psychiatrist who can study all the inter-related factors playing a part in resisting treatment and suggest a treatment plan that helps alleviate the symptoms of depression. As one of the best psychiatrists in Gurgaon, Dr. Gorav Gupta hosts a facility that has all the needed resources to deal with such treatment resistant conditions.

The psychiatrist will make sure to evaluate your history and confirm a few aspects.

Confirm any pressing situations that might be flaring up your symptoms
Evaluate your responses to treatment like medication, therapy and other treatments previously tried.
Review all medications to check compatibility and other non prescribed drugs as well (supplements)
Discuss the medication routine with the client and examine if it is being followed properly
Factor in other health conditions and analyze if they are restricting the treatment plan from being administered properly.
Consider a dual diagnosis, that will help fight rising symptoms and ease out the treatment effect.

Such cases may require repeated testing and analysis to see what approach works best for the client. At Tulasi Healthcare, we have one of the best teams of psychiatrist in Delhi and Gurgaon that are well versed in handling such cases.

Medication Adjustment and Strategies

A medication or a combination of mediations might not just suit your specific condition, and some specific adjustments can be made with suggestions from your psychiatrist. Some pointers to keep in mind are-

Stay on your medications to see its full effect- It sometimes takes longer for medication to fully kick in and show effects. A time period of around 6-8 weeks should be allotted before considering a change in dosage.
Increase/Decrease dosage- According to the body type, people may feel certain side effects or may feel no change at all. After considering intermediate factors of your condition, discuss a dosage that will suit your needs and affect your symptoms positively.
Changing antidepressants- Changing your course of antidepressants can be a good path of action. Several antidepressants are available in the market and not every single one of them works for everyone.
Consider pharmacogenetic testing- Your genetic composition also determines how well medications work on your body and what metabolism conditions affect the use of certain medications.

What to consider in case of treatment resistance?

Some additional treatment options are also available in case adjustments with therapy and medications do not work out. These facilities are available at Tulasi Health care and graced by a state of the art lab with operational experts.

Deep Transcranial Magnetic Stimulation (dTMS)– This treatment uses magnetic stimulation to stimulate areas of the brain that are responsible for inducing depression. This method employs a coil that is attached to the scalp of the person, that induces electric current. This current stimulates the nerve cells of the targeted area. A highly sought after treatment for depression, this method is shown to produce highly positive results in combination with therapy and medications. It is a 30 minute session that is carried out with short bursts. A new advancement can help it deliver in much brief sessions with dosing called intermittent theta burst stimulation.

Electroconvulsive Therapy (ECT)– A rather seldom used therapy, ECT induces brief seizures when the person is in a state of unconsciousness through electrodes. This therapy induces a rather accelerated change in the brain chemistry that quickly reverts the symptoms of depression. The therapy carries some temporary side effects, but it is able to produce a drastic change in depression symptoms within a few sessions.

Looking for answers? Consult now.

It is highly recommended to understand and pursue treatment only if it works in your favor and shows a positive change. As one of the most revered psychiatrists in Gurgaon, Dr. Gorav Gupta has led and assisted on many cases of depression, each with their own intricacies and treatment plan. Tulasi Healthcare provides a safe and positive environment as one of the best rehabilitation centers in Gurgaon. To understand your treatment options better and set out on your journey to a better life, book a consultation and visit our facility today.