If you’ve been treated for depression but your symptoms haven’t improved, you may have treatment-resistant depression. Taking an antidepressant or going to psychological counseling (psychotherapy) eases depression symptoms for most people. But with treatment-resistant depression, standard treatments aren’t enough. They may not help much at all, or your symptoms may improve, only to keep coming back.
Procedures to treat depression
How Does Our Clinic Helps?
Our clinic and Dr Sanjay Nigam is registered and certified Spravato Treatment Center. We comply with Full Spravato REMS requirments
- Spravato is schedule III controlled substance
- It is only availabe to be administered under direct supervision in certified treatment center.
- We will do your benefit verificaton and do prior authorization for Spravato if indicated for your treatment of depression
If medications and psychotherapy aren’t working, you may want to talk to a psychiatrist about additional treatment options:
- Electroconvulsive therapy (ECT). While you are asleep, a carefully measured dose of electricity is passed through your brain, intentionally triggering a small, brief seizure. ECT seems to cause changes in brain chemistry that can relatively quickly reverse symptoms of major depression. Although there are potential side effects, such as temporary confusion or temporary memory loss, a series of ECT treatments may provide significant relief of severe depression.
- Repetitive transcranial magnetic stimulation (rTMS). Generally only used when ECT isn’t effective, rTMS uses magnetic fields to stimulate nerve cells in the brain to improve symptoms of depression. An electromagnetic coil is placed against your scalp near your forehead. The electromagnet used in rTMS creates electric currents that stimulate nerve cells in the region of your brain involved in mood control and depression.
- Esketamine Therapy
Spravato is an NMDA receptor Antagonist, an ionotropic glutamate receptor. It is the first and only NMDA receptor antagonist approved for treatment resistant depression. Adults with major depressive disorder who had not responded adequately to 2 or more different antidepressants of adequate dose and duration to treat current depressive episode
Other Treatment options are VNS or vagal nerve stimulation.