2019 Depression Treatments What Works? in 4K with NYC Robert D. McMullen, MD Psychiatrist

Video about 4 Major Treatments for Depression in 2019 By Psychiatrist Robert D. McMullen, MD

00:30 Behavior & Diet (LifeStyle)That Can Help Depression
02:08 Psychotherapy Treatment For Depression
05:00 Medical Treatment For Depression
25:15 Transcranial magnetic stimulation (TMS) For Depression


Dr. Robert McMullen is a psychiatrist based in NYC. He’s been practicing psychopharmacology for thirty years. He also added TMS therapy treatments combatting depression to his practice for the past ten years. He was educated in Georgetown University medical school and did his residency at Columbia Presbyterian in NYC.


As social beings friendships have a major impact on creating a happier life. It is essential to be surrounded by friends. Being around people that love you is imperative for one's mental health. Encourage your children and loved ones to build friendships and be sure to push yourself to make friends. An active lifestyle of living and working together with others makes it more valuable.

Being physically active is essential in combating depression. It is recommended to be engaged in five hours of vigorous exercise per week for an antidepressant effect to take place. However, if you are not able to fit in five hours of vigorous exercise then walk at least for two hours a day. Being active and exercising on a regular basis has an impact on our brain. Get moving now!

Seek psychotherapy treatments for your depression. Cognitive therapy is very beneficial to change negative behavior and thought. It is a type of psychotherapy where negative thoughts about the self are reframed in order to change unwanted behavior patterns or negative thoughts causing depression. The key is to reframe things and view them in a positive light, so begin to reframe your mind! Humans tend to be very harsh and bash themselves instead of lifting themselves up.

MEDICAL TREATMENTS
There are several medications that are used to treat depression. Before any medical treatments begins, extensive blood tests are done on the individuals seeking treatment for their depression (feel free to email me if you’d like to receive the list). We look at the following data:

1. Thyroid TSH levels. If levels are too high 4 - 5 - 6 then I add T3 and T4 hormones to resolve their depression. These hormones have been proved to have efficient antidepressants effects on individuals. Check out my video on youtube titled “New Depression Treatment - Thyroid Hormone Treatment For Depression” for a detailed explanation. The best predictor for NOT responding to antidepressant therapy are those with TSH levels of about 2.5.
2. Testing for cholesterol and triglycerides. For those who have cholesterol; I will subscribe statins to help with the depression. Lipitor is a good example (80 milligrams should be sufficient).
3. Checking for Inflammation (CRP). If you have high levels of inflammation, I recommend more exercise, eating fish and taking vitamin D. I also recommend probiotics which can be very helpful.
4. B12 Levels. If levels are low it is because it is not absorbed well enough by the body. Levels need to be about 500.
5. Iron levels in the bloodstream. It is important to maintain a healthy level of Irons because low levels can cause depression. Menstruating women may suffer from this more than other people suffering from depression.

What we eat and our nutrition has a direct effect on depression as well. We recommend a diet filled with fish oil because of the anti-inflammatory effects. Amino acids are important because they produce antioxidants that clean up the poison in the body and in the brain. Your diet should also contain vegetables and fruits. Sugars found in fruit functions as a transmitter to the neurons in the brain cells and improve the mood. Your GI tract is just as important for your mental health. Take probiotics to improve your mood and depression. Probiotics that are registered in the pharmacy is the best kind (because it is alive). Take it daily and keep it in the refrigerator at home. Eating yogurt is helpful as well and so are fermented fruit which are great for depression.

What is Atypical depression and how should you deal with it if antidepressants medications do not help?
Sometimes oversleeping and rejection sensitivity manifests itself when one lets their moods significantly get affected by external events. When your moods significantly reacts to external events it is related to Bipolar II disorder. Serotonin medications like Prozac will cause people with atypical depression to be too edgy and anxious. For those patients who don’t respond well to antidepressants, we recommend TMS.

TMS BrainCare
Address: #2, 171 W 79th St, New York, NY 10024
Phone: (212) 362-9635
https://tmsbraincare.com

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