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Category: Depression
The Weird Thing Depression Does To The Brain
The study’s finding could help explain depressive symptoms such as loss of appetite and sleep problems.
The study’s finding could help explain depressive symptoms such as loss of appetite and sleep problems.
Major depression is linked to inflammation of the brain. People experiencing clinical depression have 30 percent higher brain inflammation, the recent research found. The more depressed people were, the greater the levels of inflammation. Professor Jeffrey Meyer, who led the research, said:“This finding provides the most compelling evidence to date of brain inflammation during a major depressive episode. Previous studies have looked at markers of inflammation in blood, but this is the first definitive evidence found in the brain.”The brain typically protects itself through inflammation, but too much can be harmful. The inflammation may generate some of the symptoms of depression, including:
- loss of appetite,
- low mood,
- and sleep problems.
“This discovery has important implications for developing new treatments for a significant group of people who suffer from depression. It provides a potential new target to either reverse the brain inflammation or shift to a more positive repair role, with the idea that it would alleviate symptoms.”One potential way of helping to treat depression is by using anti-inflammatories. Professor Meyer warned, however, that brain inflammation isn’t the whole story:
“Depression is a complex illness and we know that it takes more than one biological change to tip someone into an episode. But we now believe that inflammation in the brain is one of these changes and that’s an important step forward.”The study was published in the journal JAMA Psychiatry (Setiawan et al., 2014).
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Income May Determine Whether Marriage Makes You Happier — Or Not
The marriage myth: why tying the knot doesn’t reduce depression symptoms in everyone.
The marriage myth: why tying the knot doesn’t reduce depression symptoms in everyone.
Getting married is linked to lower depression symptoms in some people.
The link is strongest in households where the total income is below $60,000.
For couples earning more than this, marriage does not provide the same benefits to mental health.
In fact, at higher levels of income, people who have never married have fewer symptoms of depression.
The reason is probably that at lower incomes, both partners can pool their resources, enjoy more financial security and so worry less.
Dr Ben Lennox Kail, the study’s first author, said:
“We looked at the interrelationships between marriage, income and depression, and what we found is that the benefit of marriage on depression is really for people with average or lower levels of income.
Specifically, people who are married and earning less than $60,000 a year in total household income experience fewer symptoms of depression.
But above that, marriage is not associated with the same kind of reduction in symptoms of depression.”
Financial security matters
The findings support a theory called the marital resource model.
This is the idea that the physical and psychological benefits of marriage are partly down to the pooling of resources.
Dr Kail said:
“For people who are earning above $60,000, they don’t get this bump because they already have enough resources.
About 50 percent of the benefit these households earning less than $60,000 per year get from marriage is an increased sense of financial security and self-efficacy, which is probably from the pooling of resources.
Also, it’s interesting to note, at the highest levels of income, the never married fare better in terms of depression than the married.
They have fewer symptoms of depression than married people.
All of these are subclinical levels of depression, meaning the disease is not severe enough to be clinically referred to as depression, but can nevertheless impact your health and happiness.”
The study was published in the journal Social Science Research (Carlson & Kail, 2018).
The Sleep Pattern Linked To Lower Depression Risk
The study of 32,000 nurses is the largest ever to look at the link between depression and chronotype.
The study of 32,000 nurses is the largest ever to look at the link between depression and chronotype.
Women who go to bed early and rise early are less likely to develop depression.
Studies have also found that both men and women who are ‘early birds’ have a lower depression risk.
This study of 32,000 nurses is the largest ever to look at the link between depression and chronotype.
Chronotype is the technical term for whether you are naturally early to bed and early to rise, or late to bed and late to rise — or, somewhere in between.
Among the nurses, 53 percent described themselves as intermediate, 10% as evening types and 37 percent as early risers.
The women were followed for four years to see who developed depression.
Dr Céline Vetter, the study’s first author, explained the results:
“Our results show a modest link between chronotype and depression risk.
This could be related to the overlap in genetic pathways associated with chronotype and mood.”
The increased risk for evening types was between 12 percent to 27 percent.
This was after other risk factors had been taken into account, such as being a smoker and having an erratic sleep pattern.
Dr Vetter said:
“This tells us that there might be an effect of chronotype on depression risk that is not driven by environmental and lifestyle factors.”
Genetics plays a fairly large role in whether you are an early bird or a night owl.
However, there are other factors, Dr Vetter said:
“Alternatively, when and how much light you get also influences chronotype, and light exposure also influences depression risk.
Disentangling the contribution of light patterns and genetics on the link between chronotype and depression risk is an important next step.”
The study does not tell us that all night owls are doomed to be depressed and there are also ways of lowering the risk.
Dr Vetter advises:
“Being an early type seems to beneficial, and you can influence how early you are.
Try to get enough sleep, exercise, spend time outdoors, dim the lights at night, and try to get as much light by day as possible.”
The study was published in the Journal of Psychiatric Research (Vetter et al., 2018).
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Transcranial Magnetic Stimulation For Depression
Explore the fundamentals of transcranial magnetic stimulation (TMS), its applications, benefits, and potential side effects.
Transcranial magnetic stimulation (TMS) is a non-invasive brain stimulation technique primarily used to treat depression and other neurological conditions.
What is transcranial magnetic stimulation (TMS)?
Transcranial magnetic stimulation is a non-invasive medical procedure that uses magnetic fields to stimulate nerve cells in the brain.
It is commonly employed to treat major depressive disorder, especially in patients who do not respond to conventional treatments like medication or psychotherapy.
The technique has also shown promise in treating other neurological and psychiatric disorders.
TMS uses magnetic pulses delivered through a coil placed on the scalp.
These pulses create small electrical currents that influence brain activity without causing pain or lasting discomfort.
How does TMS work?
TMS works by delivering magnetic pulses to specific areas of the brain that regulate mood.
A device placed on the patient’s head generates these pulses, which pass through the skull without causing pain or discomfort.
The magnetic pulses induce small electrical currents that stimulate neurons, enhancing brain activity in targeted regions.
Research suggests that this stimulation can help normalise the function of underactive brain regions linked to depression.
Different types of TMS
There are two primary forms of TMS:
- Repetitive TMS (rTMS): This involves repeated magnetic pulses and is the most common type used in clinical practice.
- Deep TMS (dTMS): This uses specialised coils to penetrate deeper brain structures.
Each type has its specific applications and benefits, depending on the condition being treated.
Conditions treated with TMS
TMS is most widely recognised for its effectiveness in treating depression.
It has also been approved for managing other conditions, including:
- Obsessive-compulsive disorder (OCD)
- Migraines
- Post-traumatic stress disorder (PTSD) (in some regions)
- Chronic pain (in experimental and off-label contexts)
Emerging research is investigating the potential of TMS to treat additional conditions such as anxiety disorders, schizophrenia, and Parkinson’s disease.
Benefits and effectiveness
The primary benefit of TMS is its non-invasive nature, which eliminates the need for surgery or anaesthesia.
Studies have demonstrated its effectiveness, with many patients experiencing significant improvements in mood and symptom reduction.
TMS offers advantages over electroconvulsive therapy (ECT), such as fewer side effects and no requirement for hospitalisation.
The success rate for TMS in treating depression varies but typically ranges between 50 percent and 60 percent for symptom improvement, with about one-third of patients achieving full remission.
Repeated sessions and maintenance treatments may enhance long-term outcomes and reduce the risk of relapse.
What to expect during a TMS session
Before starting treatment, patients undergo an evaluation to determine suitability for TMS.
The typical TMS session lasts about 30 to 40 minutes.
The patient sits in a chair while a magnetic coil is placed against their scalp.
During the session, tapping or clicking sensations may be felt, but the procedure is generally well-tolerated.
Sessions are usually administered five times per week over several weeks.
The number of sessions can vary based on individual needs, but most treatment courses range from four to six weeks.
Risks and side effects
TMS is considered safe, but some side effects may occur.
Common side effects include:
- Headache
- Scalp discomfort
- Light-headedness
Rare but serious side effects may include seizures, though the risk is minimal.
Most side effects are mild and diminish after a few sessions.
Patients with implanted medical devices or a history of seizures may not be eligible for TMS.
Insurance coverage and cost
The cost of TMS can be a concern for many patients.
In the UK and other regions, insurance coverage varies, and private treatment may be expensive.
It is advisable to consult with healthcare providers and insurers to understand the financial implications and available options.
Some clinics offer financing plans or sliding scale fees to help make the treatment more accessible.
Public healthcare systems in some countries may cover TMS for specific conditions, though availability can be limited.
Patient experiences and testimonials
Many patients report positive experiences with TMS.
Common feedback includes improvements in mood, better sleep, and enhanced overall well-being.
Case studies often highlight individuals who regained the ability to enjoy daily life and work effectively after treatment.
However, not all patients respond to TMS, and outcomes can vary.
Factors such as the severity of symptoms and the specific area of the brain targeted can influence results.
Comparing TMS with other treatments
TMS is often compared to electroconvulsive therapy (ECT) and medication.
Unlike ECT, TMS does not require sedation or induce seizures, making it a less invasive option.
Compared to antidepressant medications, TMS typically has fewer systemic side effects, such as weight gain or sexual dysfunction.
For patients resistant to medication, TMS offers a promising alternative.
Studies continue to explore the combination of TMS with other therapies to improve outcomes.
Future directions in TMS research
Emerging research is exploring new applications for TMS.
Potential future uses include treatment for anxiety disorders, addiction, and cognitive enhancement.
Technological advancements aim to improve the precision and efficiency of TMS devices.
Personalised TMS protocols tailored to individual brain activity patterns may further enhance effectiveness.
Combining TMS with imaging technologies such as MRI may lead to more targeted and effective treatments.
Conclusion
Transcranial magnetic stimulation represents a significant advancement in non-invasive brain stimulation therapies.
It offers hope for patients struggling with treatment-resistant depression and other conditions.
As research continues, the future of TMS promises even broader applications and improved outcomes for a wider range of mental health challenges.
For individuals considering TMS, a thorough consultation with a qualified specialist can help determine the best course of action based on personal health needs and goals.
The Top Benefits Of Cognitive Behavioural Therapy (CBT)
Explore powerful cognitive behavioural therapy (CBT) techniques that help reshape negative thinking patterns and improve your emotional well-being.
Cognitive behavioural therapy (CBT) is a highly effective and widely used form of psychotherapy.
It helps individuals understand and manage the connections between thoughts, feelings, and behaviours.
In this comprehensive guide, you will discover what CBT is, how it works, its applications, common techniques, and future innovations in the field.
Introduction to cognitive behavioural therapy (CBT)
Cognitive behavioural therapy is a structured, goal-oriented form of psychotherapy.
It focuses on identifying and changing negative thought patterns and behaviours that contribute to emotional difficulties.
Aaron Beck, an American psychiatrist, developed CBT in the 1960s as a treatment for depression, and it has since expanded to address various mental health issues.
CBT is based on the concept that thoughts, feelings, and behaviours are interconnected.
By changing negative thinking patterns, individuals can improve their emotional responses and alter unhelpful behaviours.
This approach not only provides relief from immediate symptoms but also fosters long-term resilience and problem-solving skills.
CBT’s structured, time-limited nature makes it a practical choice for many patients, offering significant results within a defined number of sessions.
How CBT works
CBT involves structured sessions with a therapist, typically lasting 30 to 60 minutes each.
The process is collaborative, with both therapist and client working together to set goals and develop strategies.
Clients are encouraged to take an active role in identifying problematic thoughts and testing new behaviours.
Key principles of CBT
- Identifying negative or distorted thoughts
- Challenging these thoughts with evidence-based reasoning
- Replacing them with balanced and constructive thinking
- Developing coping strategies and problem-solving skills
CBT sessions often follow a structured format, starting with a review of previous sessions, setting an agenda, and concluding with homework assignments.
This approach promotes continuous learning and application of techniques outside therapy sessions.
Common elements in CBT sessions
- Establishing rapport: Building a trusting and collaborative relationship between therapist and client.
- Psychoeducation: Teaching clients about cognitive distortions and the CBT model.
- Behavioural experiments: Testing the validity of negative beliefs through real-world activities.
- Feedback loops: Evaluating progress and adjusting strategies as needed.
These elements enhance the client’s self-awareness and empower them to become their own therapist over time.
Applications of CBT
CBT is effective for a wide range of mental health conditions. Its adaptability and evidence-based foundation make it a preferred choice for many practitioners and patients.
Common conditions treated with CBT
- Depression: CBT helps patients challenge negative thoughts that fuel depressive feelings.
- Anxiety disorders: Techniques such as exposure therapy reduce fear responses in phobias and panic disorders.
- Obsessive-compulsive disorder (OCD): CBT addresses compulsive behaviours by tackling underlying obsessive thoughts.
- Post-traumatic stress disorder (PTSD): Cognitive processing therapy, a form of CBT, helps patients reframe trauma-related beliefs.
- Stress management: CBT provides strategies to handle daily pressures more effectively.
- Eating disorders: Techniques target maladaptive thoughts related to body image and food.
- Chronic pain management: CBT equips individuals with cognitive tools to modify their experience of pain.
This broad applicability makes CBT one of the most versatile forms of psychotherapy available today.
Effectiveness of CBT
CBT’s effectiveness is well-supported by scientific research. Studies consistently show its benefits for a variety of mental health issues.
Evidence-based outcomes
- A large body of research demonstrates CBT’s success in reducing symptoms of depression and anxiety.
- Randomised controlled trials have confirmed its efficacy for PTSD, OCD, and social anxiety disorder.
- CBT often shows longer-lasting effects compared to medication alone.
CBT is also recommended by health organisations such as the National Institute for Health and Care Excellence (NICE) in the UK and the American Psychological Association (APA) in the US.
While CBT is effective, it is not suitable for everyone. Some individuals may require alternative or supplementary therapies depending on their unique needs.
Long-term benefits of CBT
- Provides tools for lifelong mental health maintenance.
- Encourages self-reflection and proactive problem-solving.
- Reduces the likelihood of relapse when techniques are practiced regularly.
Understanding these benefits helps reinforce CBT’s role as a sustainable therapeutic approach.
CBT techniques and strategies
CBT employs various strategies to help individuals identify and change unhelpful thought patterns and behaviours.
Common CBT techniques
- Cognitive restructuring: Identifying negative automatic thoughts and replacing them with balanced alternatives.
- Exposure therapy: Gradual confrontation of feared situations or objects to reduce avoidance behaviours.
- Behavioural activation: Encouraging engagement in positive activities to combat inactivity and low mood.
- Mindfulness and relaxation techniques: Enhancing present-moment awareness and reducing physical tension.
- Activity scheduling: Planning enjoyable and meaningful activities to boost motivation.
CBT therapists often tailor techniques to suit individual needs, ensuring a personalised approach to therapy. Combining multiple techniques can enhance effectiveness by addressing different aspects of a client’s experiences.
Accessing CBT
Accessing CBT can be straightforward with the right guidance.
It is available through various channels to accommodate different preferences and circumstances.
Finding a therapist
- Seek referrals from a general practitioner (GP) or mental health professional.
- Explore professional directories for licensed CBT practitioners.
- Verify credentials and experience to ensure quality care.
Online and self-help CBT resources
- Many reputable platforms offer online CBT sessions.
- Self-help books and apps provide guided exercises and cognitive tools.
- Ensure resources are evidence-based and developed by qualified professionals.
Knowing what to expect can help individuals feel more comfortable starting CBT.
Sessions typically involve collaborative goal-setting, skill-building, and reviewing progress.
The accessibility of online options makes CBT more attainable for those with busy schedules or limited local resources.
Innovations and future directions in CBT
CBT continues to evolve, incorporating new approaches and technologies to enhance its effectiveness and accessibility.
Technological advancements
- Online CBT platforms: Accessible therapy through secure video calls and interactive modules.
- CBT apps: Tools for tracking mood, completing exercises, and receiving reminders.
- Virtual reality exposure therapy: Simulated environments for confronting fears in a controlled setting.
- Artificial intelligence-based support: Chatbots and algorithms providing real-time CBT-based guidance.
Emerging approaches
- Third-wave CBT therapies: Innovations like acceptance and commitment therapy (ACT) and dialectical behaviour therapy (DBT) build on traditional CBT.
- Personalised CBT: Tailored interventions based on individual cognitive profiles and genetic predispositions.
- Trauma-focused CBT: Specialised techniques for addressing childhood and adult trauma.
CBT’s adaptability ensures it remains a cornerstone of modern psychotherapy. As new research emerges, further refinements will expand its reach and impact.
Challenges and considerations
While CBT is highly effective, it is important to acknowledge its limitations and potential challenges.
Limitations of CBT
- Not suitable for all types of mental health conditions or personality disorders.
- Requires active participation and commitment from the client.
- Relapse prevention may need ongoing practice of CBT techniques.
Addressing cultural and individual differences
- CBT practitioners must adapt techniques to align with cultural values and personal experiences.
- Sensitivity to individual backgrounds enhances the relevance and impact of therapy.
- Clients may benefit from culturally adapted CBT approaches that consider language, traditions, and societal norms.
Understanding these factors helps ensure a more inclusive and effective therapeutic experience.
CBT continues to offer transformative potential for improving mental health.
By addressing the intricate connections between thoughts, feelings, and behaviours, it empowers individuals to lead healthier and more fulfilling lives.
Incorporating personalised, technological, and culturally responsive elements will further enhance its effectiveness in diverse populations.
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