First Time Depression Treatment

Dr. Robert McMullen is a psychiatrist based in New York City. He’s been practicing psychopharmacology for thirty years. He discusses a spectrum of methods to deal with different types of mental issues. His clinic provides his patients with TMS therapy treatments combatting depression. Dr. McMullen has practiced TMS for the past ten years. He was educated in Georgetown University medical school and did his residency at Columbia Presbyterian in NYC.

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In this youtube video, Dr. Robert McMullen will discuss how to tackle depression and what treatments are needed for your first-time depression treatments. Depression depends on several factors. Finding out the root of the problem is the first issue. Was it an event-related experience that caused the depression? In that case, psychotherapy can work well and have long term benefits.

Those suffering from suicidal thoughts need to see a psychiatrist immediately and receive medications without any delays. Hospitalization is for protection. Those that have a vivid suicidal plan and are at high risk need to be hospitalized immediately. Patients that have constant thoughts about susiced do not need to be hospitalized but rather watched over. In a couple of cases the doctors didn't want to deal with the person and it was easier for them to get the patient to go to the ER-- this is not a good idea. Each person needs to be treated with care and patiently.

Recurrent depression damages the brain- try to stay on something and be persistent to help avoid the depression from coming back. Watch the video to find out what those steps might be. In chronic depression cases psychotherapy won’t be as effective. In my entire career I have treated people that have gone through several treatments that have not helped them and only then they come to see me for TMS. For those at the beginning stages of suffering from depression, I start them off with medications such as prozac: a serotonin based treatment which is best to avoid both weight gain and not to diminish their sexual drive.

Medications that help deppersions for those in their beginning stages are:
1. citalopram (Celexa)
2. escitalopram (Lexapro)
3. fluoxetine (Prozac)
4. fluvoxamine (Luvox)
5. paroxetine (Paxil)
6. and sertraline (Zoloft)

Depression can cause one to sleep more and crave more carbohydrates. Trying different medications until they find a medication that is suitable for them is at times appropriate. Some patients can also get worse taking serotonin medications. There are medications that avoid issues like this. For example, lithium is a very good option to avoid a cyclical depression. In this video I will discuss some more of these options. Watch and learn.

Additional Recommendation for those Suffering from Depression

Physical Activity
Vigorous exercise is very beneficial to fighting depression. I recommend 5 days a week with a total of 5 hours per week. If that’s a difficult task to accomplish try to get at least 3 hours a week of very intense exercise. While I understand, exercising is difficult for many people, the next step is 10 hours of walking a week to help fight the depression in fact the more the better walking you can integrate into your lifestyle, the better it is.

Nutrition
What should you eat? Consuming fish oil is very good for fighting off depression. Foods rich in antioxidants are also good and they clean the poisons from the body. Too many free radicals in the brain affect the mood and antioxidant can help when it comes to these issues.

Vitamin D
Vitamin D is a steroid hormone that is often overlooked mainly because it has the word “Vitamin” attached to it. Vitamin D is intimately involved in regulating the immune system (this is the reason why in the winter humans are more prone to the flu and other compromising diseases during the winter). It is also good for autoimmune diseases. Vitamin D is also very beneficial to take when being treated with TMS and other depression related treatments (see my video on youtube for detailed information regarding this).

Friends
We are social beings and need to have interactions with other people. It is important to have tight social connections and meet with friends and family on a regular basis. Make sure you are active and seeing other people.

Sound. Music can help you pick up your mood. The noise of people chatting, and babies making noise and laughter of friends has a huge impact on your mood. Surround yourself with people.

Pets. Both cats and dogs have evolved with humans and their social aspect can help people overcome their depression.

Blood Test. TSH levels matter. Learn what levels they need to be and what are your odds for overcoming depression. There are several important things to look for in your blood test watch this video to learn what they are.


#depression#therapy #exercise