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What do you do when a patient experiences multiple rounds of antidepressant-related tachyphylaxis?
Answer from: at Community Practice
Restoration of hope remains relational in most difficult-to-treat cases.
TMS is the best evidence-based for a very safe profile, few side effects, and sustained recovery.
Supportive psychotherapy can provide essential sustaining hope in difficult-to-treat depressive patients.
The 6 pillars of t...
Answer from: at Community Practice
I have found that with tachyphylaxis patients often respond to rotating medications to a similar in-class medication (i.e., a different SSRI or SNRI) with a slight deviation in the chemical structure often (but not always) helps for a while. After a few years, I often revert to the original medicati...
Answer from: at Academic Institution
As an early adopter of TMS, I found ~70% response rate to TMS. I pushed it to the limit (5,000 pulses/treatment in the LDFLC for 2 weeks). Then, Bilateral treatment of 10 Hz trains on the left for 3,500 pulses and 1 Hz on the right for 1,500 pulses. The patient settled in for a treatme...
Comments
at Private Practice
Johnny Oreardon has also used higher pulse numbers...
Johnny Oreardon has also used higher pulse numbers...
I did not have much success with TMS, either with ...