2019 Depression Treatments What Works? in 4K with NYC Robert D. McMullen, MD Psychiatrist
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- Опубліковано 1 жов 2024
- 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
tmsbraincare.com
#2019 #Depression #Treatments #NYC
Dr. Mcmullen - can you make a video on thyroid disorders and how it causes depression and anxiety and your approach on these type of people? You mention TSH a lot and t3, so I figured it would be a good one!!
couln't you combine all of these supplements into one mega-pill, and bring it out as a new antidepressant withoutt any sideffects antidepressant will typically have?
you are so knowlegeable doctor thanks for this vedio
I have been watching all of your videos. You are SO knowledgeable. I've been pretty treatment resistant to SSRIS. I've probably tried about 20 different meds from an antipsychotics to SSRIs to SNRIs to a mood stabilizer. I'm on wellbutrin, lexapro, lamictal and buspirone. I have pretty bad GAD and my mind races constantly. Also have pretty bad recurring depression. Are you taking new patients? 8 would drive an hour and a half from CT just to see you.
yes, you can call our office Phone: (212) 362-9635
I highly recommend you try maoi
@@sultanalgaber3113 thats the only class i havent tried. Are you taking one?
@@lindseysreptiles hi lindsey. I was exactly in the same boat as you i tried a lot of different antidepressants,mood stablizers, antipsychotics and stimulants to treat my resistant depression but nothing worked. Finely i tried maoi ( nardil) and it worked however, I still need an additional medication to achieve full remission. Trust me maoi are far far more effective than everything out there,so i highly recommend you to try one of maoi. But keep the following in your mind. First if you have anxiety along with depression it is better to use (nardil) as your maoi, but if you have depression without much anxiety and you have low motivation and fatigue it is better to use (parnate) as your maoi.
@@sultanalgaber3113 thank you i have both anxiety and depression. Ive heard maois you have to be careful with mixing a lot of meds right?
Thank you Dr. McMullen!
Very helpful information!
-psych resident from Europe
شكرا جزيلا د. ماك ملين على جهودك في اعداد هذا الفديو
GUd pluse u Dr.
Dr. Thank you for such great videos! you have no idea how many people you are helping!
Thank you so much for your informative videos! You have really helped me!
SAM-E caused huge pain to my stomach
Thank s alot , alot
Since the the setlight been in iraqi after 2003 its open new life .
I finally made an appt with you good doctor. It is coming up on June 8th. at 3:30 I pray you can fix me. Nobody else has been able to. I have confidence in you though. Thank you for taking me as a new patient. I now have hope.
Excuse me Can you tell me what happens if you don't mind. Did gou benefit from the doctor??
Hello
No MAOis...?!?!
Lithium & Lamictal make me so dizzy even at low doses. It's not livable. don't know why. But i'm on 25mg Seroquel too which i hate.
Dr.McMellen your advice is very helpful📝.Thank You so much.👀💜😍
So good information. Thank you !
Can you suggest another probiotic VL3 is not available in Canada as of 2018.
Dr you taking new patients ?? I like your approach
yes you can call our office Phone: (212) 362-9635
I would like to be your patient as well but I am from Italy.. what can I do?
@@amedeocristiano4181 call his office he only does zoom ya all set...cost ya 1500.00
@@garysimone4977 1500 dollars every visit ? what about prescriptions , are they accepted in europe?
@@amedeocristiano4181 dont think he can prescribe in Europe but he can at least tell u what you need
Excellent, comprehensive and very helpful
What are your thoughts of Spravato treatment for treatment resistant depression?? Thanks!
Hope that thing exists in Spain. Unluckily no😕
God bless
Nice Overview of MDD Treatent options Doc.. thanks
I love u doc. Very helpful.
Hi
What’s your thoughts on kratrom
Thank
Could you do a video on pmdd treatment in bipolar
Yes we will upload soon
Great idea!!!
And bipolar management after ovaries and uterus is removal (surgical menopause).
One of the things he consistently mentions for bipolar and even depression cases is low dose lithium.
Anyone tell me how to contact with him?
Excellent talk
Thanks for this video!!
Has anyone ever been "cured" of depression, in your experience? Any former patient who is now happy and thriving and not taking medication?
i'm one i cured my depression with fasting along with a raw fruit diet with exercise, sunshine, pure water and air!
@@healthyone100 you simply were not depressed. you were just very sad probably. that's a totally different story
@@riccardotrombetti6663 i'm back in depression!
@@healthyone100 I am sorry that you are feeling bad.
Then my advice for you is to go to talk to a doctor and take the proper medication.
Plus get psychotherapy.
Be well
@@riccardotrombetti6663 i'm on medication but doesn't seem to be working, i'm praying alot thanks for your help!
Has anybody done tms?
I am doing now here in Spain, the first sessions nothing, now in the 7th I start to feel something better. Let's see what happens at the end.
@@raulleitao8865 hey
Did the tms help you?
the devil is a liar and his demons cause all this human suffering fasting and praying is the answer also a good healthy diet!
well, since depression is an actual illness, i believe sometimes this could not be the only answer to curing depression. if your relative had an extremely high fever, you would, i assume, pray for them and enourage them to do so as well. however, in the case of your relative, you would probably still want them to get some medication that would lower the fever. so whilst personally don't believe in God and the devil, i think maybe an approach of both methods (medical and spiritual) could be a more effective method of curing depression. i'd be interested to know what you think of this?
@@hannahgasser4234 all disease whether physicial or mental starts in the colon, eating unatural food causes mucus or pus in the blood that puts pressure on the offending organ, only fasting and a raw fruit diet along with exercise, sun, pure water and air can purify the blood can cure disease, in the bible Leviticus 17:11, 14, the "life of the flesh is in the Blood" and in Genesis 1:29 God gave man his diet, whether you believe in God or not there are evil forces that are fighting against our bodies and minds to destroys us,just take a look at all the suffering in the world< Knowledge is our only power but most people have no idea there being decieved by these demons or Archons
@@hannahgasser4234 I'm afraid he's quite delusional
Hail Satan!