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.
Similar Q&A
Magnetic Field Therapy: Who Can Benefit from This Rehabilitation Treatment?
Dear Expert: What types of rehabilitation patients can benefit from magnetic field therapy? Can my mother, who experiences soreness in her limbs, lower back pain, and difficulty sleeping, use this treatment? Thank you for your response!
Dr. Chen Xianchang reply Rehabilitation
Ms. Midi: Here are my responses to your questions and suggestions: 1. If general electrical therapy and heat therapy do not improve soreness, consider magnetic field therapy. 2. The magnetic field can adjust the treatment frequency; low frequency is suitable for treating insomnia...[Read More] Magnetic Field Therapy: Who Can Benefit from This Rehabilitation Treatment?
Can Rehabilitation Treatments Help with Sleep Issues?
Hello, Director: The work pressure has caused me frequent insomnia. I've heard that rehabilitation treatments using magnetic field therapy can help improve this? Is acupuncture also a viable treatment? Thank you for your response!
Dr. Su Hongci reply Rehabilitation
When dealing with insomnia, it is important to first consider whether it is a symptom of another underlying condition. It may be necessary to address the root problem rather than treating all insomnia solely with sleeping medications. A sleep study can be conducted to identify an...[Read More] Can Rehabilitation Treatments Help with Sleep Issues?
Exploring Third Medicine: Understanding Magnetic Wave Therapy in Radiology
Hello Dr. Wu, Recently, I have come across the theory and experiments of so-called third medicine, specifically magnetic wave therapy (authored by Dr. Lai Feng-jia, a Doctor of Traditional Chinese Medicine) and ultra-long wave magnetic health devices. The introduction and effec...
Dr. Wu Bin'an reply Radiology
Dear Steven: Regarding your questions about "The Theory and Experiments of Magnetic Wave Therapy in Third Medicine (Author: Dr. Lai Feng-Jia, a Doctor of Traditional Chinese Medicine) and the Ultra-Long Wave Magnetic Health Device..."! Since these topics exceed my exper...[Read More] Exploring Third Medicine: Understanding Magnetic Wave Therapy in Radiology
Exploring rTMS for Cognitive Rehabilitation in Mental Health Disorders
Since high school, I have experienced severe insomnia, which has made it difficult for me to absorb information, resulting in a decreased ability to learn new things and a lack of concentration. In the past, some doctors suspected that I might have a condition resembling schizoph...
Dr. Zhang Gengjia reply Psychiatry
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to insomnia and difficulties with concentration. 1. Facing an uncertain future, psychosomatic disorders are common in modern society. This is a chronic condition that requires...[Read More] Exploring rTMS for Cognitive Rehabilitation in Mental Health Disorders
Related FAQ
(Psychiatry)
Cognitive-Behavioral Therapy(Psychiatry)
Psychosomatic Disorders(Psychiatry)
Hypnosis(Psychiatry)
Bipolar Disorder(Psychiatry)
Involuntary Psychiatric Treatment(Psychiatry)
Heartbreak(Psychiatry)
Breathing(Psychiatry)
Emotional Instability(Psychiatry)
Smoking Cessation(Psychiatry)