Non Pharmacological Approach for Depression and Other Disorders
Brain stimulation therapies:
Brain stimulation therapies are non pharmacological method which involves activating or touching the brain directly with electricity, magnets, or implants to treat depression and other disorders. Among many techniques, electroconvulsive therapy is the most researched stimulation therapy.
Other stimulation therapies discussed here includes
Vagus nerve stimulation
repetitive transcranial magnetic stimulation
magnetic seizure therapy
Deep brain stimulation.
The latter methods are newer and more theoretical.
1. Electroconvulsive therapy
Introduction:
It is a non pharmacological standard psychiatric treatment in which seizures are electrically induced in patients and thus the treatment is done.
ECT is reserved for cases of treatment resistant cases of major depressive disorder, schizophrenia, mania and catatonia
First developed in 1938, electroconvulsive therapy (ECT) did not gain popularity in the beginning. However, the procedure has improved significantly since its initial use and is safe and effective.
Source: http://www.nimh.nih.gov/health/topics/brain-stimulation-therapies/brain-stimulation-therapies.shtml
Uses:
It is used for the following purposes such as
• Severe, treatment-resistant depression
• Bipolar disorder
• Schizophrenia.
• Suicidal patients
• Severe depression.
Pre-requisite:
• Before ECT is administered, a person is sedated with general anesthesia.
• A muscle relaxant is also given to decrease the movement during the procedure.
• Vitals parameter like blood pressure, heart rate and respiratory rate should be monitored during the procedure.
Mechanism of action/Pr...
... middle of paper ...
...o reduce depression or OCD, scientists believe that the pulses help to "reset" the area of the brain that is malfunctioning so that it works normally again.
Side effects
DBS carries following risks
• Bleeding in the brain or stroke
• Infection
• Disorientation or confusion
• Unwanted mood changes
• Movement disorders
• Lightheadedness
• Insomnia
Long-term benefits and side effects are not reported.
Conclusion:
• Brain stimulation therapies are being used for treating the mental disorder not responding to usual treatment.
• Studies on rTMS are on progress.
• Other researchers are studying how the brain responds to VNS by using imaging techniques such as PET scans.
• Although DBS as a depression treatment is recent, researchers are are trying to find out its effectiveness and safety in treating OCD, depression and other mental disorder.
This paper will have two sections: The first section will be a brief explanation on what is depression. In addition, what is the percentage of depress people in the United States. Furthermore, it will discuss in details several theories that are best suited to treat depression disorder. Moreover, the theories that will be briefly discussed are as follows: Cognitive Therapy (CT), Cognitive Behavioral Therapy (CBT), and Interpersonal Therapy (IPT). The second section will be a summary of a counseling session the learner had with a client and the treatment that was given to help alleviate and ceased the depression from reoccurring.
...ects, which in my opinion shows that its introduction into society (decriminalization) could benefit the community in many aspects (such as volunteering for a good cause) due to the increased sensibility that one may develop in regards to the society/others. I find that society has been misinformed about this chemical, seeing it solemnly as dangerous substance and classifying it along with physically harmful and potentially deadly substances such as heroin and cocaine. Not only is psilocybin non-lethal, but its potential for abuse is lower than that of caffeine. To summarize and conclude, I find that used responsibly, psilocybin along with other entheogens can be beneficial for one’s mental health and that more light needs to be shed on its benefits to allow society to see it in a different angle rather than what is propagated through the media about it today.
Unlike Naomi, Eric does not respond to drug therapy. Therefore, instead of a drug therapy, Eric receives the electroconvulsive therapy (ECT) or brain stimulation often an effective treatment for patients like Eric with severe depression who does not respond to a drug therapy. By shocking the brain, the ECT manipulates the brain’s chemical imbalance produced by the social-cultural stress experience. But after eleven ECTs in a month, Eric cannot function because of the temporary side effects of memory loss and confusion affecting his concentration to play the viola and his well-being. Then after four months of receiving ECT treatment, Eric returns to normal social functioning as a musician. Six months later, Eric is still playing the viola and has had no recurrence of his
The magnetic pulses easily pass through the skull and causes small electrical currents that stimulate nerve cells in the targeted brain region. The magnetic field that is produced lasts 100 to 200 microseconds, and the procedure is less invasive than the ECT. rTMS may increase blood flow and the metabolism of glucose in the prefrontal cortex. It like ECT can additionally be a treatment option for mania but continues to be
In the 1950s, Penfield tried to treat patients with epilepsy by using a mild electric stimulation to the brain. He thought the electric currents would trigger the cause of epilepsy allowing him to pinpoint and remove or destroy it. During his experimental surgery Penfield discovered that stimulation anywhere on the cerebral cortex could bring responses. He also discovered that
Breathing is the most important AL (Roper et al, 1998). A detailed assessment of her airway would be performed because protection of the airway throughout anaesthesia is essential (Yates, 2000). This does not just include recording of respiration rate and oxygen saturation (SpO2) but also noting any use of accessory muscles, shortness of breath, auscultation of chest and lungs areas for wheezes/crackles and asking patient about history of any respiratory illness/smoking (McArthur-Rouse, 2007).
... in assisting those who care about the bipolar individual, as well as providing socialization and a means to not feel alone. Generally, as a last resort, electroconvulsive therapy, or ECT is used. An electrical current is passed through the brain. This is thought to change the brain chemistry and increase the mood. This is used only for severe depression or when symptoms are unsuccessfully treated with medications. People with Bipolar Disorder are encouraged to avoid drinking alcohol, avoid the use of street drugs or misusing prescription medications, avoid unhealthy relationships, get plenty of sleep, and exercise on a regular basis. One thing is clear. The person themselves must be active in their own well-being in order to maintain a relatively healthy and productive lifestyle. In so doing, the prognosis for someone diagnosed with Bipolar Disorder is very good.
Electroconvulsive therapy (ECT) is a treatment for severe mental illness in which the brain is stimulated with a strong electrical current which induces a seizure. The seizure rearranges the brain's neurochemistry and results in an elevation of mood. This essay asks: Is ECT any safer and more effective in treating mood disorders than drug therapies? This treatment has a controversial history ever since it was first introduced in 1938. I intend to argue that electroconvulsive therapy is indeed a safe treatment of mental disorders when other treatments have failed. Due to the development of safer and less traumatic ways of administering ECT, the treatment has made a comeback, is greatly used, and proves to be effective.
?What is the role of ECT in the treatment of mania?? Harvard Mental Health Letter. June 1997.
Currently, there is a lack of studies in regards to whether or not this therapy causes significant damage to the brain. Correspondingly, there is little research done in regards to how great relapse rates are and how long the treatment can truly last. Consequently, many people have abstained from receiving treatment to avoid any possibility of impairment or reversion. However, it has not been denied nor confirmed that ECT directly causes the aforementioned results. Moreover, many theories created to downplay electroconvulsive therapy’s effectiveness are being brought back into the spotlight, including one that attributes ECT’s success to brain damage. Breggin states, “More recently [Harold] Sackeim and Sackeim with a team of colleagues have covertly revived the principle that a therapeutic response depends upon the degree of brain damage and dysfunction” (par. 17). Although this theory was made to discredit ECT, there has been no research done to disprove its accuracy. Furthermore, because of a lack of research, when a new study such as this comes out, many people believe it right away no matter how erroneous it may actually be. More research on ECT is desperately needed to see if these theories are factual or not. As a result of these truths or fallacies, the therapy can be improved upon
An individual who has a mental illness can be a danger to themselves and others. They don't live a normal life that is guaranteed to them, holding them back from being successful and having a bright future. If medications are not working for a mental illness, then the patient can consider electroconvulsive therapy. Electroconvulsive therapy (ECT) is a medical procedure that sends currents of electricity through your brain. ECT saves lives and is ethical to treat patients using “psychosurgical” procedure.
CBT has been known to cure a variety of disorders both in clinical environments and non-clinical environments. This type of therapy technique has been tested for efficacy and has proven to be highly effective. Furthermore, the future for CBT looks very positive as well. Researchers and theorist are now working on making this type of therapy available for suicide prevention, schizophrenia, and other psychopathologies.
Cognitive behavioral therapy earliest inventors were behaviorist, such as Skinner, Watson, and Pavlov. They’re the ones who led to the advancement for behavioral treatment of mental disorders. Behavioral modification is a technique that uses positive and negative reinforcements to change a particular behavior and reaction to a stimulus. Behavioral therapist only focused on an individual’s behavior not their thoughts. During this era, psychologists applied B.F. Skinner’s radical behaviorism to clinical work. Much of these studies focused on chronic psychiatric disorders, such as autism and psychotic behavior. His methods also focus...
Anesthesiologists have many responsibilities. 3They measure the patient’s temperature, pulse, heart rate, and breathing rate while under the sedative. They have...
This reflection of vital signs will go into discussion about the strengths and weaknesses of each vital sign and the importance of each of them. Vital signs should be assessed many different times such as on admission to a health care facility, before and after something substantial has happened to the patient such as surgery and so forth (ref inter). I learned to assess blood pressure (BP), pulse (P), temperature (T) and respiration (R) and I will reflect and discuss which aspects were more difficult and ways to improve on them. While pulse, respiration and temperature were fairly easy to become skilled at, it was blood pressure which was a bit more difficult to understand.