『Episode 52: When Depression Doesn’t Lift - Treatment Options, Crisis Support, and Hope with Dr. Mark Blair』のカバーアート

Episode 52: When Depression Doesn’t Lift - Treatment Options, Crisis Support, and Hope with Dr. Mark Blair

Episode 52: When Depression Doesn’t Lift - Treatment Options, Crisis Support, and Hope with Dr. Mark Blair

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CONTENT NOTEThis episode discusses depression, suicidal thoughts, and suicide prevention.In the U.S., call or text 988 or visit https://988lifeline.org for free, confidential crisis support. If there is immediate life-threatening danger, call 911 or go to the nearest emergency department.Outside the U.S., find local support at https://findahelpline.com.What happens when medication and therapy have not brought enough relief?Board-certified psychiatrist Dr. Mark Blair joins Greg, Rich, Liam, and Sarah to explain treatment-resistant depression and why “treatment-resistant” does not mean “untreatable.” They discuss the importance of reviewing the full diagnosis and treatment history before deciding what comes next.Dr. Blair explains Deep TMS with the BrainsWay H-coil, Spravato (esketamine nasal spray), IV ketamine used off-label for depression, and when ECT may be considered.He also discusses treatment access, monitoring, realistic expectations, choosing a responsible provider, crisis warning signs, asking directly about suicide, and creating a written safety plan before a crisis.Episode 52 also marks one year of The Support & Kindness Podcast.CHAPTERS00:00 Welcome, content note, and 98801:04 When depression treatment has not helped enough02:06 Meet Dr. Mark Blair03:08 Hospital crisis care and founding Optimum05:08 Clinical depression, sadness, grief, and stress06:42 What treatment-resistant depression means08:32 Rechecking the diagnosis and treatment history10:30 Deciding what treatment may come next12:42 TMS, Deep TMS, and the BrainsWay H-coil16:12 Spravato and IV ketamine21:02 Choosing a provider, access, cost, and safety23:10 Crisis warning signs and immediate danger25:17 How to ask directly about suicide27:09 Supporting a loved one and creating a safety plan29:00 Practical next steps and realistic hope30:36 Three rapid-fire questions31:34 One-year anniversary reflections36:29 Dr. Blair’s practice information37:15 Key takeaways and weekly kindness challenge38:48 KindnessRX support groups and closingABOUT DR. MARK BLAIRMark E. Blair, M.D., is a board-certified psychiatrist and founder and medical director of Optimum Wellness & TMS in Columbus, Ohio.Optimum Wellness & TMS500 E Main Street, Suites 110 & 130Columbus, OH 43215Phone: 614-933-4200Email: info@optimumtms.comWebsite: https://www.optimumwellnessandtms.comNew patients: https://www.optimumwellnessandtms.com/two-ways-to-beginSAFETY-PLAN RESOURCESCreate an interactive safety plan:https://www.mysafetyplan.org/Download a blank safety-plan PDF:https://www.mysafetyplan.org/static/NationalSPA-f57dd48ae60b5b1e9c5a1a980a978693.pdfLEARN MORENIMH brain-stimulation therapies:https://www.nimh.nih.gov/health/topics/brain-stimulation-therapies/brain-stimulation-therapiesOfficial BrainsWay information:https://www.brainsway.com/Official Spravato information:https://www.spravato.com/KINDNESSRXWebsite:https://kindnessrx.org/Free online peer-led support groups:https://kindnessrx.org/groupsKindnessRX groups provide peer support and do not replace therapy, medical care, professional advice, or crisis services.Read the complete companion article, treatment information, safety-plan resources, and further reading:https://kindnessrx.org/when-depression-doesnt-liftDISCLAIMERThis episode is for general education only and is not individual medical advice. Treatment decisions should be made with a qualified healthcare professional who can consider your diagnosis, medical history, prior treatment, risks, benefits, and alternatives.IV ketamine for depression is an off-label use. No treatment is guaranteed to work.
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