Advocacy Len Lantz, MD Advocacy Len Lantz, MD

FDA Action Needed: Approval of Maintenance Transcranial Magnetic Stimulation (TMS) for Depression

Transcranial Magnetic Stimulation (TMS) is one of the safest and most effective treatments for major depression. The FDA has approved it to treat teenagers and adults but only for a time-limited course of care. For most people, that is all the treatment they need. For others, they require maintenance (continuation) TMS. This article reviews the research and rationale that shows the need for the FDA to approve maintenance TMS now.

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Psychiatry Len Lantz, MD Psychiatry Len Lantz, MD

A New Treatment for Adolescent Depression: FDA Approves Transcranial Magnetic Stimulation (TMS)

The FDA got it right when they approved TMS therapy for adolescent depression (kids aged 15 and older). TMS is one of the most effective treatments for resistant depression. The decision to approve this treatment for kids is an absolute game-changer and will save many young lives. This article describes the dramatic impact of the FDA’s approval and covers research that shows TMS for kids to be safe, well-tolerated, and effective.

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Wellness Len Lantz, MD Wellness Len Lantz, MD

Sleep as a Mood Stabilizer in Bipolar Disorder

If you have bipolar disorder, getting the right amount of sleep at the right time of day is absolutely critical in achieving and maintaining mood stability. Good sleep at night clearly exerts mood-stabilizing benefits. This article addresses several strategies for improving mood stability in bipolar disorder and discusses the tradeoffs faced in regulating your activities and schedule.

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Psychiatry Len Lantz, MD Psychiatry Len Lantz, MD

The Secret Potential Effects of Seroquel (quetiapine) on Your Thyroid

Some medications are not friendly to your thyroid gland. You would expect that all doctors would be well-informed of the most likely culprits. So, how did Seroquel (quetiapine) slip through the cracks? This article takes a look at Seroquel (quetiapine) – one of the biggest troublemakers of thyroid function – and what can you do to protect yourself and the people you care about.

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Psychiatry Len Lantz, MD Psychiatry Len Lantz, MD

Dealing with Serotonin Withdrawal from Antidepressants

While antidepressants often save lives, they can also result in very serious emotional and physical side effects from missed doses, reduced doses, or abrupt stopping. This article talks about the rarely discussed risk of acute depressive symptoms and the more widely known physical symptoms of serotonin withdrawal from switching or stopping your antidepressant medication.

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Psychiatry Len Lantz, MD Psychiatry Len Lantz, MD

Change Depressive Habits when the Wind Is at Your Back

While some people can change their habits through sheer willpower, many people need a source of motivation or energy to make meaningful change. This is especially true for people who experience depression. This article discusses depressive habits and strategies for changing them so that treatment for depression can be more effective and durable.

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Advocacy Len Lantz, MD Advocacy Len Lantz, MD

Action Needed from the FDA: Approval to Treat Adolescent Depression with Transcranial Magnetic Stimulation (TMS)

Transcranial Magnetic Stimulation (TMS) therapy, one of the most effective treatments for major depression, has been FDA approved for adults for 14 years. The FDA has not yet approved TMS for adolescent depression even though they approved a TMS device for migraine headaches in children. This article reviews research that shows TMS for adolescent depression to be safe, feasible, and effective.

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Psychiatry Len Lantz, MD Psychiatry Len Lantz, MD

Vagus Nerve Stimulation (VNS) for Depression

Vagus nerve stimulation (VNS) has been available for decades for the treatment of seizures and more recently for the treatment of depression. This article explains the theory behind how VNS works, its outcomes for bipolar and unipolar depression and the potential downsides of the treatment.

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Advocacy Len Lantz, MD Advocacy Len Lantz, MD

Stigma and 7 Million American Christians with Depression

7 million Christians in the US experience major depression each year. While attendance of religious services might be protective, it is not protective enough. This article discusses research on Christians with depression, the impact of stigma and how I calculated the number of depressed Christians.

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Advocacy, Len's Picks Len Lantz, MD Advocacy, Len's Picks Len Lantz, MD

The Strengthening Behavioral Health Parity Act (SBHPA): An Enormous Step Forward in Mental Health Parity

The Strengthening Behavioral Health Parity Act (SBHPA) was a major step toward mental health parity in the US. Before its passage, many Americans, especially those with ERISA-based health plans, were not protected by federal and state mental health parity laws. This article describes the history of mental health parity and what people can do to advocate for themselves.

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Wellness Len Lantz, MD Wellness Len Lantz, MD

Supportive Psychotherapy: How Good is “Treatment as Usual”?

Supportive psychotherapy is commonly used as a comparison intervention or “treatment as usual” in mental health research studies. While it is often expected by the scientific elite to be less effective than newer, manualized therapies, it has been proven to be an effective intervention for many conditions. This article covers basic approaches in supportive psychotherapy and who might benefit from the treatment.

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Psychiatry Len Lantz, MD Psychiatry Len Lantz, MD

A Stepwise Approach to Medications for Depression

Many people are not told what to expect when prescribed an antidepressant medication. Basic information, such as the dosing range, the goal of treatment, how side effects can be overcome and how long to stay on the medication, is frequently left out of a clinical encounter. This article outlines a methodical approach to antidepressant treatment for depression.

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Psychiatry Len Lantz, MD Psychiatry Len Lantz, MD

How Record Keeping Can Help Treatment-Resistant Depression

Many people with longstanding depression believe that they have tried every treatment out there. A detailed review of their history often reveals that they are mistaken and that there are several strategies that they have never tried. This article addresses what information is needed to make a well-informed decision about what treatment to try next and how a history of past treatments combined with a strategic, methodical approach can open up options to newer and potentially more effective treatments.

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Wellness Len Lantz, MD Wellness Len Lantz, MD

Depression Rating Scales – Getting Unstuck

Rating scales for depression are being used routinely in primary care, but not all psychiatrists and therapists are using them. The use of depression rating scales shines a bright spotlight on your current mood and the progress you are making toward full freedom from depression. This article addresses how rating scales can help get you unstuck in your depression treatment.

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