Great information! Depression and suicidal thoughts are serious mental health concerns that require appropriate and timely intervention. Acutely suicidal patients often require immediate, intensive care to ensure their safety and stabilize their mental health. It's a shame that new lifesaving treatment which was approved, isn't used because of money. Many thanks for the very helpful video Dr. Garrett! 🙌❤👍
@ahmadajlouni48305 ай бұрын
I dislike how many health instututions aim to save money by focusing on the short term and not long term treatment effects and how they relate to the patient's quality of life.
@deborahbasel1845 ай бұрын
You forgot to mention Lithium. It removes suicidal urges. It works well for my Major Depression with suicidal thoughts and behaviours.
@kmkeenanАй бұрын
Stigma didn't cross my mind in considering ECT. Brain damage did. So glad I never did it.
@thebeatles95 ай бұрын
Doctor, we don't have strong evidence for hospitalization (involuntary or otherwise), but the simple fact remains we are giving folks a chance to opportunities and social support that they may not otherwise have. I've seen patients have 1 or 2 meaningful chats with the aides / techs and even the lowly entry level workers were able to connect and build confidence and give some glimmer of hope. Safety planning is also extremely effective, and everyone should be dc with one of those.
@johndoe72705 ай бұрын
Insurance and money are the biggest road blocks to getting treatment. I have a low cost way to treat certain Cluster B Personality Disorders and certain instances of PTSD permanently using a therapy method I discovered about 7 years ago. Sadly I do not have the social/academic/financial clout to publish a research paper on it. I feel like I caught lightning in a bottle.
@Jimmytimmy11115 ай бұрын
You need to change the title of this bc its harmful to people in need of care. I worked inpatient on a locked psychiatric unit for 10 years and am now a psych np for 11 years. The benefit of inpatient care is rapid med changes with 24 hour support to aid in side effects or withdrawal symptoms med changes and acute symptoms, group therapy, individual psychiatric care daily, individual therapy daily and nursing and mental health worker contact and support 24/7 . Not to mention having an individual social worker assigned to assist with your specific aftercare needs. There is huge stigma around mental health care period.. let alone being inpatient. Inpatient care has helped millions of pts in desperate times . Ive seen it daily and would never have pursued my psych aprn if that wasnt the case. Ect is helpful for some pts. I was thrilled when esketamine came out but like you said its not being used.
@Dave-if5qj5 ай бұрын
Emotional pain is the worst kind of pain with physical pain You can usually go to a doctor And get relief but not when It comes to mental illness You just live in pain Antidepressants or therapy Are just a bandage
@Hgtp2_Hat3 ай бұрын
Interesting video, I can understand why patients might be reluctant to have ECT, given what it involves, as a patient myself and a psychiatrist. I’m fascinated as to why ECT is so effective, which no doubt it is, I think our only understanding is that it causes release of serotonin/dopamine/noradrenaline, or maybe our understanding has improved & I’m not aware. Seems to me that medication should be tried first, including usual choices for depression & then stimulants in case of undiagnosed adhd underlying depression, emotional dysregulation and impulsivity. Then ketamine. Then ECT as final option, given risks for memory/cognition. I agree lithium is an option but it’s not good for long term physical health, same with atypical antipsychotics.
@ifrankensteinsmonster5 ай бұрын
Hello Dr. Rossi, can you please make a video on Tianeptine?... it's in the TCA class of medications but doesn't have it's characteristic side effects of anticholinergic, antihistaminergic, cardiovascular etc.... It's mechanism of action is also completely different, and there seems to be a relative lack of awareness about this drug, especially in the USA where this is sold as supplement 😑... Would be great if you can explain the mechanism, side effects, efficacy, dosing etc.... BTW I'm from India, and this drug is widely available to use as an Antidepressant
@jatinsharma50245 ай бұрын
Stigma is a very bad thing , even in so-called 1st world countries.
@reddbendd5 ай бұрын
I’m going to be a psych np in the future, maybe someday ketamine treatment will be available but I will never recommend ect
@albanobustos72865 ай бұрын
Then you will be preventing loads of treatments. It's literally the only safe option for pregnant women with mania, for instance
@reddbendd5 ай бұрын
@@albanobustos7286 I would not treat a pregnant woman. I am (going to be) an adolescent psych NP. I will not accept child or adult clients. I work within a small age range: 13-19 If they are pregnant, I would recommend seeing a different doctor because I would not even prescribe them any medication either
@minepolz3205 ай бұрын
SSRI not effective for this, MAOI took away all my suicidal thoughts And gave me PSSD why use ECT if there is MAOI
@2Majesties5 ай бұрын
MAOIs don't work for everyone and they take 6-8weeks to kick in, just like SSRIs. He's talking about suicidal patients who need immediate relief.
@minepolz3205 ай бұрын
@@2Majesties just 5 days in average
@minepolz3205 ай бұрын
@@2Majesties oh in that case yes, but ECT seems really rough
@2Majesties5 ай бұрын
So glad MAOIs work for you😀@@minepolz320
@markus46985 ай бұрын
@@minepolz320 ECT is quite comfortable. The person is put under general anesthesia, while "asleep" they have a short seizure, which involves minimal bodily movement due to the muscle relaxant. Some people may have a bit of headache or nausea waking up, others feel just fine. The effect is quite rapid, some people may have maintenance procedures, say once a month. I believe MAOI can really help some people who don't respond to first-or second-line medications, such as yourself. Then again there are some side effects, dietary restrictions and drug interactions to watch out for, so they're not for everyone.