TMS & Ketamine Treatments for Depression

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Why The NEXT Antidepressant May Not Work

By: Dr. Erin Amato | December 6, 2016

As a practicing psychiatrist for over 8 years, I have experienced both great and frustrating results with psychiatric medications. My results are consistent with the largest antidepressant studied by the National Institutes of Mental Health. The study was called STAR*D (Sequenced Treatment Alternatives for the Relief of Depression. This definitive study on the treatment of depression showed that only one in three patients reach remission with their first antidepressant drug attempt.  With each successive attempt, the chance of success decreased, and the probability of problems tolerating the drug treatment increased.  Click Here to Download the PDF of this article in our Winter 2016 Newsletter.

star-d-graphic

You can see by the graph above that drug treatment’s success diminishes with each successive trial, and the data also shows that there is an increased chance in the number and intensity of side-effects which may lead to loss of treatment adherence.

TMS Therapy and Ketamine:  Better Options When Medications Don’t Work

About TMS (Transcranial Magnetic Stimulation) Therapy TMS therapy was cleared by the FDA in 2008 for treatment of depression that had not improved after the failure of at least one antidepressant. Since that time, over 1 million TMS therapy treatments have been performed with a high amount of success and minimal side effects.  As our region’s leading TMS provider, we have even seen excellent results in patients who have suffered for years with both chronic depression and anxiety.

Benefits of TMS Therapy

  • Non-invasive and does not require any anesthesia or sedation, as the patient remains awake and alert during the treatment.
  • Non-systemic and does not have the risk of side effects commonly seen with medications such as weight gain, sexual dysfunction, tiredness, or nausea.
  • TMS does not have the risk of memory loss or cognitive problems that can be seen with ECT treatment.

Who Can Transcranial Magnetic Stimulation Help? 

  • If antidepressants are not working to provide FULL relief of symptoms
  • If too many medications are causing side effects and negatively impacting quality of life
  • Patients taking non-mental health medications that conflict with antidepressants

TMS is now covered in Montana and our area by:

insurance-mosaic

 

About IV Ketamine Therapy

There has been a great deal of excitement in the world of psychiatry and brain health over the past few years as studies continue to point to rapid, robust antidepressant effects of IV Ketamine infusions.  While ketamine has been in use as an anesthetic in surgical and ER settings since the 1970’s, the antidepressant application of this medication has been realized more recently.  While most antidepressants may take several weeks to take effect, studies show 50-80% of people report significant improvement in symptoms after 1-2 infusions.  Ketamine is showing promise for treating other conditions including PTSD, severe anxiety, OCD, and suicidal thoughts. At Montana Psychiatry, our patient response rate for ketamine therapy has been near 90%!

Benefits of Ketamine Therapy

  • Rapid and robust reduction in depression, suicidal thoughts, anxiety, OCD, and PTSD symptoms.

Who Can IV Ketamine Infusion Therapy Help?

  • Patients who have not experienced FULL relief of symptoms with medications
  • Patients with severe symptoms who want rapid relief from their symptoms
  • Patients who have experienced side effects from antidepressants

For more information about Ketamine Therapy, visit our website at mtpsychiatry.com or call our office at (406) 839-2985. To learn more about Dr. Erin Amato click here. TMS therapy and IV Ketamine Infusion Therapy are now available at Montana Psychiatry where we provide treatment in a private, outpatient, comfort-centered environment.

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Average Rating: 5

7 Reviews

12

TMS

by Deb (age 64)

Nov 7,2018

The hoops I jumped through in order to be evaluated were straightforward and efficient. I met with PA Kaitlin for about an hour to discuss my history and previous medications. Then Dr. Amato joined us to further discuss my history, the TMS treatment, and answer any questions. Myrna gathered all of the information and submitted it to my health insurance company to request coverage for TMS. Fortunately, insurance approved the treatment and I was able to begin the next week. I’m sure most people have anxiety about starting a treatment like TMS. No matter how many times it’s described to you, there are many unknowns. How will I feel during treatment? Is it painful? What if this doesn’t work? What if it works for a while but then stops? In all honesty, I was very uncomfortable during the first couple of weeks of treatment. The alternating two seconds of tapping sensation caused some pain during treatment, and at the end of the first week I thought about quitting. But I had sworn to myself that TMS was a last resort and I HAD TO complete the treatment and give it a chance to work. My technician, Heather, told me that some people don’t feel the tapping at all, they only hear it. Guess I wasn’t one of those people! But as the days went by, it became easier to tolerate the treatments. During this time I also saw Lauren weekly for CBT (cognitive behavioral therapy). This is highly recommended for people undergoing TMS treatment, and it was a positive complement to my total of 100 minutes each week “under the helmet”. The weekend between weeks three and four, I started to notice subtle improvements in my mood, increased belief in my self-worth, and enthusiasm for simple things like going for walks, meeting friends for lunch, and taking on volunteer work in the community. I hesitated at first to believe that TMS was helping me. I was afraid that I was convincing myself it was working because I so desperately wanted it to! But now that I am past the treatment I can say with cert

Category: general * Individual results may vary.

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by Barbie (age 68)

Nov 7,2018

I feel so blessed to participate in the TMS protocol at MT Psychiatry. After struggling so many years with depression and not getting significant results from medication, particularly of late, I noticed positive results in the first two weeks of treatment. TMS can literally give you back the beauty & joy in living as well as the courage to make positive life changes and improvements in your daily living situation. I heartily encourage anyone to put yourself into the hands of the amazing TMS team who so gently and graciously make this journey with you out of the black hole that is depression. It is my honor and privilege to give the TMS treatment the highest recommendation.

Category: general * Individual results may vary.

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by Shayne (age 66)

Oct22,2018

I am grateful for the support and caring I have received from Dr. Amato (and Heidi, Heather and Myrna) in my quest for mental health and a fuller more productive life. While the TMS results have been subtle, I feel more positive about my future and I would recommend this team absolutely. Thank you!

Category: general * Individual results may vary.

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by Carrie (age 65)

Oct22,2018

Not realizing how fuzzy my head was, I thought I was only going through severe anxiety and depression. Through the insight of Pat, I was able to go through TMS treatments which brought down the anxiety and depression immensely and has cleared up the fuzzy, far off substantially. All the personnel treated me with kindness and I’m sure their attitudes helped in my recovery.

Category: general * Individual results may vary.

TMS

by Bridget (age 47)

Oct22,2018

The first outcome of TMS I noted happened early in my treatment, at about the beginning of week two. I felt as though my “brain fog” had been chipped away. I wish I could report that I feel my mental health issues are in “remission”, but I can’t do so yet. My hope is that I will see improvement in the weeks to come, now that my TMS cycle has ended. I can say that my brain feels – in some way – different; I can’t explain exactly how. I continue to struggle at this point in time but sill have hope for more improvement.

Category: general * Individual results may vary.

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by Beth (age 35)

Oct22,2018

I can’t remember a time in my life where I was truly happy. I’ve suffered from depression, anxiety and even self-injury since I was little. Even my own wedding day wasn’t the happy joyful time it should have been. Since starting TMS, I can finally say I’m happy. I am no longer being held prisoner by depression, anxiety, self-injury, and even suicidal ideation. It’s an adjustment going from the dark to the light. Experiencing true happiness is strange, but it’s worth it. TMS is amazing and I recommend it to anyone who suffers from depression. There is an answer, and it’s TMS! This treatment, Dr. Amato, and her team literally saved my life, and for that I’m eternally grateful.

Category: general * Individual results may vary.

TMS

by Sandy (age 55)

Oct22,2018

I’ll be honest, I was ready to give up within the first 3 weeks due to the headaches, but I’m glad I stayed and finished the entire treatment. My hubby has noticed more positive change in me. I can go and be around small groups of people, where before I would only leave the house to go to Dr. Appointments and only because of insurance reasons. Thanks to the caring ladies at the Front Desk, Myrna, Heather, Heidi (and) Dr. Amato who made every visit show(ed) me how much they genuinely care, ask questions, offer ideas, they’re supportive but not pushy. Thank you all for helping me become a better me!

Category: general * Individual results may vary.

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Montana Psychiatry and Brain Health

Montana Psychiatry & Brain Health Center
Montana Psychiatry – Billings:
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Billings, MT - 59102
Tel : 406-839-2985

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Montana Psychiatry – Billings:
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Billings, MT - 59102
Tel : 406-839-2985

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Bozeman, MT - 59718
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