2019 Depression Treatments What Works? in 4K with NYC Robert D. McMullen, MD Psychiatrist

Video on 4 major treatments for depression in 2019 by psychiatrist Robert D. McMullen, MD

00:30 Behavior and 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 New York. He has been practicing psychopharmacology for thirty years. He also added TMS therapy treatments to combat depression in his practice over the past ten years. He was educated at the medical school of Georgetown University and made his residency at Columbia Presbyterian in New York.

As social beings, friendships have a great impact on creating a happier life. It is essential to be surrounded by friends. Being close to people who love you is imperative for mental health. Encourage your children and loved ones to make friends and make sure you make an effort to make friends. An active lifestyle of living and working with others makes it more valuable.

Being physically active is essential to combat depression. It is recommended to perform five hours of vigorous exercise per week for an antidepressant effect to occur. However, if you can not do intense physical exercises for five hours, walk at least two hours a day. Being active and exercising regularly has an impact on our brain. Move now!

Look for psychotherapy treatments for your depression. Cognitive therapy is very beneficial to change negative behavior and thinking. It is a type of psychotherapy where negative thoughts about the self are framed to change unwanted behavior patterns or negative thoughts that cause depression. The key is to rethink things and see them in a positive light, so start rethinking your mind! Humans tend to be very hard and hit themselves instead of getting up.

There are several medications that are used to treat depression. Before starting any medical treatment, comprehensive blood tests are performed on people seeking treatment for their depression (do not hesitate to send me an email if you wish to receive the list). We look at the following data:

1. Thyroid levels TSH. If the levels are too high 4 – 5 – 6, I add hormones T3 and T4 to solve your depression. It has been shown that these hormones have efficient antidepressant effects in individuals. For a detailed explanation, see my YouTube video titled "New Depression Treatment – Treatment of Thyroid Hormone for Depression." The best predictor for NOT responding to antidepressant therapy are those with TSH levels of approximately 2.5.
2. Cholesterol and triglyceride tests. For those who have cholesterol; I will subscribe to statins to help with depression. Lipitor is a good example (80 milligrams should be enough).
3. Inflammation check (CRP). If you have high levels of inflammation, I recommend doing more exercise, eating fish and taking vitamin D. I also recommend probiotics that can be very useful.
4. Levels B12. If the levels are low, it is because the body does not absorb them well enough. The levels should be about 500.
5. Iron levels in the bloodstream. It is important to maintain a healthy level of Iron because low levels can cause depression. Women who menstruate may suffer from this more than other people who suffer from depression.

What we eat and our nutrition also has a direct effect on depression. We recommend a diet full of fish oil because of the anti-inflammatory effects. Amino acids are important because they produce antioxidants that cleanse the poison in the body and in the brain. Your diet should also contain vegetables and fruits. The sugars found in fruit function as a transmitter to neurons in brain cells and improve mood. Your gastrointestinal tract is so important to your mental health. Take probiotics to improve your mood and depression. The probiotics that are registered in the pharmacy are the best ones (because they are alive). Take it daily and store it in your home refrigerator. Eating yogurt is also useful and so are fermented fruits that are excellent for depression.

What is atypical depression and how should it be treated if antidepressant medications do not help?
Sometimes, sensitivity to falling asleep and rejection manifests when you let your moods be significantly affected by external events. When your mood reacts significantly to external events, it is related to bipolar II disorder. Serotonin medications like Prozac will cause people with atypical depression to be too nervous and anxious. For those patients who do not respond well to antidepressants, we recommend TMS.

TMS BrainCare
Address: # 2, 171 W 79th St, New York, NY 10024
Phone: (212) 362-9635

# 2019 # Depression #Treatments #NYC

Video credits to Psychiatrist Robert D. McMullen – NYC – Depression Specialist – TMS BrainCare YouTube channel

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    2019 Depression Treatments What Works? in 4K with NYC Robert D. McMullen, MD Psychiatrist

    Comments 6

    1. 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!!

    2. 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.

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