Should I try ketamine or ECT first to treat depression?

Medical Reviewer: Nima A. Fahimian, MD

Author:

Ben Spielberg, M.S., Ph.D. Candidate

Published:

Should I try ketamine or ECT first to treat depression?

Everyone knows that sadness and joy are parts of everyday life. But what happens when that occasional blue mood turns into recurring episodes of anxiety, panic attacks, and even lack of interest in participating in routine activities? That’s when intense sadness becomes depression.

Doctors prescribe various anti-depressant medications to help bring relief to symptoms associated with depression. But these medications don’t always work, can become less effective, or even stop working after a while.

According to Thomas Insel, Former Director of the National Institute of Mental Health, “Recent data suggest that Ketamine, given intravenously, might be the most important breakthrough in antidepressant treatment in decades.”[i]

Here’s a look at the top reasons why ketamine infusion therapy is better than Electroconvulsive Therapy (ECT) for treating major depression, persistent depressive disorder, seasonal affective disorder, and other mood disorders.

What is ECT?

First, let’s take a brief look at electroconvulsive therapy. ECT is a form of shock therapy that has evolved over time and is a milder therapy then it once was, though still not terribly common. However, it may be recommended for patients if, after taking several of the traditional depression medications, they have not found relief. This treatment consists of passing a small electric current through the patient’s brain to induce a mild seizure. The desired result is a chemical change in the brain leading to potential improvement of depression symptoms.

However; ECT is not without its problems, including the need for hospitalization as the patient must undergo general anesthesia during the course of their session.

Cons of using ECT include:

  • Higher cost
  • Limited access
  • Adverse side effects including memory loss
  • Requires anesthesia and hospital stay
  • Stigma associated with this form of treatment
  • Invasive treatment

In recent years, healthcare professionals are prescribing alternative and less invasive treatment methods to ECT such as ketamine infusion therapy.

Ketamine Infusion Therapy Versus ECT

ECT is one option for treatment resistant depression, but due to potential side effects, expense of hospitalization and anesthesia, alternative methods such as intravenously administered ketamine, other options should be considered first. People receiving ketamine therapy report a positive change and sometimes immediate improvement in their depressive symptoms, greater memory function and an altogether better quality of life.

There are many positives to using ketamine therapy instead of ECT. Patients have seen up to an 85 percent success rate when ketamine is used as a treatment for PTSD, bipolar disorder and depression.

Pros of using ketamine include:

  • Faster results
  • Fewer side effects
  • Less expensive
  • Performed on an outpatient basis
  • No need for anesthesia

 A Revolutionary Solution to Your Medical Needs

Ketamine is being used as a revolutionary solution to help treat depression, manage pain, and many other pressing medical needs. This new treatment option is changing the game in the medical world for treatment-resistant depression that has not responded well to traditional antidepressant medications, ECT, or other forms of therapy.

Ketamine doesn’t cause memory problems and as you are fully awake during the ketamine IV session, there is no need for general anesthesia. Another benefit of ketamine infusion therapy is that it’s done in a discrete office setting and you don’t have to worry about filling any prescriptions at the pharmacy. You can schedule your IV infusions at your convenience, around your hectic family life and busy work schedule.

A Typical Ketamine IV Infusion Session

Ketamine is administered as a low dosage intravenous (IV) infusion. Many ketamine clinics have you lie down during your session in a cozy reclining chair, complete with a soft blanket and the option to listen to your favorite music.

A typical session lasts around one hour and your treatment process is carefully monitored by healthcare professionals to make sure you don’t experience any side effects. Your doctor will suggest a plan of treatment and schedule you for around six or more therapy sessions, with the entire course of treatment spread out over several weeks.

During your session, you will feel relaxed and may even experience a mild euphoric feeling. Because of this possible effect, you may want to spend a few minutes recovering in the doctors’ lounge until you feel ready to leave. Also, you won’t be allowed to drive immediately after your session and should arrange for a friend, family member, or Uber, to drive you home.

Your provider will also consult with you to determine if any follow-up sessions are necessary. These booster sessions will ensure you continue to experience positive results and a reduction in depression symptoms.

Finding the Help You Need Today

It’s time to look forward to living the life you want to live. Repeated episodes of extreme sadness, panic attacks, and severe depression are signs to reach out for the help you need. Ketamine infusion therapy is an effective treatment for PTSD, seasonal affective disorder, depression and other mood disorders and should be considered first before ECT for treatment-resistant depression. It is safer, has fewer side effects and offers fast-acting relief.

Top-rated ketamine treatment providers, such as Bespoke Treatment, offer IV ketamine infusions on an outpatient basis. These infusions are the perfect alternative therapy method to help anyone suffering from chronic pain or depression. People using this breakthrough therapy report experiencing positive results, with depression symptoms improving almost instantly.

Depression Centers Offering Ketamine Therapy

When you are looking for ketamine treatment in the Los Angeles area or a new psychiatrist, Bespoke Treatment’s team is second to none.

Reviews

As someone who has struggled with depression for years, I was skeptical about trying alternative treatment options. However, the team at Bespoke Treatment made me feel comfortable and supported throughout the entire process. Not only did their TMS therapy provide significant relief for my depression symptoms, but I also had a positive experience with their ketamine therapy. The staff was incredibly knowledgeable and took the time to answer all of my questions and address any concerns I had.

I can't recommend this place enough. I had an incredible experience with the treatment I received here. From the administrative staff to the medical team, I really appreciated the outstanding care and attention I received and always felt listened to. There was never any sense of rushing or a "one size fits all" approach, which is sadly very much the norm elsewhere. I highly recommend coming here for the excellent quality of services, professionalism, and warmth that are so important when you're needing mental health treatment.

TMS was amazing for me . I loved my treatments , the doctors, the staff as well as the office itself. Its an amazing place to go for your wellbeing . Everyone is super nice, kind and extremely professional. The place is very easy to get to with available parking. Basically no stress. I felt very comfortable with my technician and all his knowledge about TMS . I also loved Dr. Fahimian . He is extremely educated and knowable in his field. His patience in taking his time to answer all my questions and concerns were highly appreciated.

I was severely depressed when starting treatment. I could not handle meds and had big hopes that TMS would work. It absolutely did wonders for lifting my depression. I have my life back. I have motivation to do things and energy to achieve goals. I really wasn’t sure if the TMS method would work, but it did and I am forever grateful. It even helped with my ruminating thoughts. I’m able to be in the moment and get back into doing things I enjoy. I highly recommend TMS to anyone who needs it.

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