Can Magnetic Therapy Cure My Chronic Depression? A Patient's Plea - Psychiatry

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If you can cure my illness, I will kneel and bow to you from my home to your hospital?


Symptoms: I am 38 years old and have suffered from severe depression for 18 years.
It took 5 years of treatment to improve (though not completely cured).
I experienced relapses 8 years ago and 4 years ago.
I am currently taking Western medication (Topiramate), which is effective but cannot cure the condition.
Sometimes I feel uncomfortable, and external stimuli can also trigger discomfort.
Is it possible to cure this, or will it be chronic forever? Am I suitable for the "Transcranial Magnetic Stimulation" treatment at Taipei Veterans General Hospital? I have taken medications such as EFEXOR, REMERON (which was ineffective due to irritability), IXEL, and other antidepressants like Qianyoujie and Baiyoujie.
Sixteen years ago, I took LUDIOMIL 25MG, 8 pills daily, which led to two seizures, causing me even greater suffering.
If you could cure my illness, I would sincerely come to your hospital to express my gratitude!

JEFF, 30~39 year old female. Ask Date: 2009/09/07

Dr. Wang Chongren reply Psychiatry


Dear Jeff,
From your letter, it is clear that your depression is likely chronic and recurrent, and I understand that it has caused you considerable distress and frustration over time.
I believe you and your physicians have worked together to address this issue.
However, according to current psychiatric theories regarding the etiology of depression, which encompass biological, psychological, and social factors, further research is still needed.
Antidepressant treatment falls under biological (physiological) therapy and is currently the mainstream approach; however, it should be complemented by psychological and social interpersonal therapies, which are often overlooked but can provide slow yet sustained benefits to patients.
Given your lengthy treatment history, I regret to inform you that there are no new "miracle cures" I can recommend.
However, I intuitively feel that you may need to address your internal resistance to your depressive emotions.
Much like many patients with chronic conditions such as diabetes or hypertension, it is essential to find a balance between fighting the illness and accepting it.
I hope this suggestion proves useful to you.
Additionally, regarding "transcranial magnetic stimulation" (TMS) for treating depression, it is a newly developed biological treatment method with limited case studies and uncertain efficacy, requiring further research for validation.
Wishing you good health, peace, and well-being!
Sincerely,
Dr.
Wang Chong-Jen
Department of Psychiatry, Tainan Hospital, Ministry of Health and Welfare

Reply Date: 2009/09/07

More Info


Chronic depression, particularly in the context of recurrent major depressive episodes, can be a challenging condition to manage. Your history of depression, including multiple episodes and the use of various medications, indicates that you are dealing with a complex and persistent mental health issue. It's important to understand that while some individuals may experience complete remission from depression, others may find that their symptoms persist or recur despite treatment. This variability can be influenced by numerous factors, including biological, psychological, and social elements.

Regarding your question about whether magnetic therapy, specifically Transcranial Magnetic Stimulation (TMS), can cure your chronic depression, it is essential to clarify a few points. TMS is a non-invasive treatment that uses magnetic fields to stimulate nerve cells in the brain, particularly in areas associated with mood regulation. Research has shown that TMS can be effective for individuals with treatment-resistant depression, meaning those who have not responded adequately to traditional antidepressant medications.
The efficacy of TMS varies from person to person, and while many patients report significant improvements in their depressive symptoms, it is not a guaranteed cure. The treatment typically involves multiple sessions over several weeks, and while some patients experience relief from their symptoms, others may not respond as favorably. It is also worth noting that TMS is generally considered safe, with fewer side effects compared to many antidepressant medications.

Given your history of depression and the medications you have tried, including the adverse effects you experienced with Ludiomil, it is crucial to have a thorough discussion with your psychiatrist about the potential benefits and risks of TMS in your specific case. Your psychiatrist can evaluate your current condition, consider your treatment history, and determine whether you are a suitable candidate for TMS.
In addition to TMS, it may be beneficial to explore other treatment options, such as psychotherapy. Cognitive Behavioral Therapy (CBT) and other forms of talk therapy can provide valuable tools for managing depression, helping you to develop coping strategies and address underlying issues that may contribute to your symptoms. Combining medication with psychotherapy often yields better outcomes than either treatment alone.

It is understandable to feel frustrated and hopeless when dealing with chronic depression, especially after multiple treatment attempts. However, it is essential to remain hopeful and proactive in seeking help. Engaging with your healthcare providers, discussing your concerns, and exploring all available treatment options can lead to improved management of your condition.

Lastly, while the idea of a "cure" is appealing, it is vital to approach depression as a manageable condition rather than a definitive illness that can be completely eradicated. Many individuals with chronic depression find that they can lead fulfilling lives with the right combination of treatments and support. Your willingness to seek help and explore new treatment avenues is a positive step toward managing your depression more effectively.

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