To my mind something here does not add up, re. this new hypothesis that depression is a physical rather than mental illness.
So, most people who have depression are no strangers to anti-inflammatory drugs, in particular NSAIDs (Nonsteroidal anti-inflammatory drugs).
Yes, it is true that brain inflammation can be different to inflammation in other parts of the body. But it is believed that NSAIDs work on brain inflammations at least some of the time.
So, that is my concern. Given the huge population of people with BOTH depression and pain at least some percentage of these should have noticed an easing of their depression due to the NSAIDs they were taking. But, this has not been reported.
Hence my skepticism. Yes, it is possible that stronger, more specialized drugs are needed to fully combat depression-related brain inflammation. However, that NSAIDs have apparently not even scratched the surface bothers me.
What do YOU think?
I get e-mail alerts from Quora. Quora, is my kind of place — a place where people think & question just for the sheer heck of thinking & questioning.
The title of this caught my attention because it is somewhat related to “is depression a physical illness” post I did a few days ago — which many of you found interesting.
Please remember that Quora is a free-for-all and is not moderated or fact-checked. So, you can get total amateurs having their ‘two cents‘. So, just keep that in mind. I think the best that you will gain from this thread is different opinions on the subject of ‘reparability’.
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This, thankfully, is one ailment I do not suffer from — at least for now. But, I am, alas, way too familiar with it. As such I do know that medication does NOT seem to work. Electromagnetic stimulation, such as ‘Transcranial Direct Current Stimulation’ (tDCS), TMS and ECT seem definitely more effective.
I do not know whether there is any credible merit to this hypothesis but it sure seems to make sense.
Definitely worth reading. Hence, why I am sharing it with YOU.
‘Transcranial Direct Current Stimulation’ (tDCS) For Depression & Chronic Pain Now Available INEXPENSIVELY.
With cranium referring to the ‘skull’, transcranial means through the skull.
So, of the 4 non-invasive cortical techniques now available, Transcranial Magnetic Stimulation (TMS) & Transcranial Direct Current Stimulation (tDCS) refer to brain stimulation methods, applied through the skull — in the form of magnetic pulses in the case of TMS and very-low electrical currents (applied to the forehead) in the case of tDCS.
Given its use of electrical currents, tDCS is ‘similar’ to ECT — the huge difference being that tDCS uses a fraction of the current applied with ECT — probably 1/400th. ECT can only be administered under general anesthesia and as such is an expensive and time-consuming process. tDCS can now be done at home in 20-minute sessions! Big difference.
TMS is also expensive.
For what it might cost you to get a few sessions of TMS, you can buy your own tDCS unit!
Think about it.
I will tell you more about tDCS in the coming days. OK?
Though they are both classed as TMS they differ in terms of the magnetic stimulation techniques used.
The Brainsway supposedly represents the newer technology. It uses a bigger, more encapsulating H-coil that does cover a larger portion of the brain — and supposedly can go deeper. Neurostar, a pioneer in TMS, uses a 8-coil that does not envelop the brain as much as the H-coil. It is claimed that the H-coil can stimulate brain ’tissue’ 2.4 – 5.7 times deeper than the 8-coil. However, it should also be noted that it is easier to have Sham H-coils (i.e., placebo coils) than it is with 8-coils!
A Brainsway session is 15 minutes shorter per session than a Neurostar session; 22 minutes vs. 37 minutes.
Neurostar uses rTMS (as described in my book above).
Brainstar calls its process Deep TMS (dTMS). I cannot get anybody to tell me, as yet, whether dTMS uses a faster or slower ‘repetition’ rate (i.e., the rate of pulsing) than rTMS.
The Brainstar is still relatively new.
From what I can find there are two other companies that offer TMS products: Magstim and Magvita. I, however, have not found any ‘doctors’ offering TMS using these devices anywhere around New England. I will do more research.
Though only approved for treating Depression per se, TMS, whether rTMS or dTMS, is a viable treatment option for ‘Central Pain Syndrome‘ (CPS) and other instances of Chronic Pain, including Fibromyalgia, since any degree of depression exaggerates your perception of pain.
TMS was FDA approved for treating treatment-resistant depression as as of 2008.
‘Transcranial Magnetic Stimulation’ (TMS) A Promising Cure For Chronic Pain as In ‘Central Pain Syndrome’.
An interesting treatment option for ‘Central Pain Syndrome‘ (CPS).
It is said to be effective for treatment-resistant depression and is FDA approved as such (as of 2008).
At least some of the pain in chronic pain scenarios is due to depression. So it is possible that TMS works on pain by tackling the depression.
U.S. Psychiatrists Can Be As Bad As Unsupervised Nurses When It Comes To Doling Out Dangerous Drugs.
Psychiatry in the U.S., of late, seems to JUST constitue of prescribing drugs — in many cases very dangerous, ADDICTIVE drugs. Don’t seem to bother with trying to look at causes. Max. 15 minutes, write a prescription and then move onto the next patient.
As far as I am concerned most, especially around here, are but pathetic, beaten-down licensed drug pushers. They will prescribe dangerous, addictive drugs, KNOWN to INCREASE depression, to help with anxiety to patients that they are also treating for depression. Then they seem to be at a loss as to why the patient is more depressed. I would love to see more supervision of these clowns. OK, this idiot killed quite a few. I want to KNOW how many others have died, around the country, because of drugs prescribed by licensed psychiatrists.
[On a personal note it distresses me when I see Asian doctors go rogue. 99% of them tend to be rather good. SMILE.]
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