TMS vs. Ketamine: Which One Is Better?

[@Me-fw1xr]

I lost faith in the FDA ever since the war on opioids. They allow snake oil salesmen to pedal anything. Also why when you take a new drug out in the market like when Gabapentin first came out for off label use for pain. And you complain about the side effects to the prescribing Dr. Do they always say that's impossible, that snot a side effect. But years later you see new warnings about the side effects you complained about. Why don't they want to report the patients side effect?

[@monicaclark9581]

Their too lazy to be bothered, That's why YOU as a patent has to report these side effects to FDA hot line.

[@Reach41]

@@monicaclark9581They are too lazy to stay on top of issues that could sink their company? Doesn’t seem too likely.

[@jaeljade3609]

I thought I was going blind on Gabapentin. My vision became so blurry. I was never warned about the side effects. I'm with you, though, drugs are pushed through that might be questionable. I'm surprised Esketamine made it to the market. I'm a little afraid of it, but I'm still going to try it and hope I don't end up on a mental ward.

[@hrhdianednum7203]

I thank God for gabapentin. But if it isn’t fda official for the purpose of its treatment that some are using it for then it’s black marked for the people that the fda ok’d it for then it is also removed for the purposes that it is now used for but I totally agree that there should be a specific area for the side effects as well as any positive feedback but if you have a side effect that should have been addressed by your doctor then put into your chart just like your medicinal allergies. That’s just my experience and opinions are. Example hydrocodone doesn’t work for me but it does for half of my kids and my husband. Oxycodone works for me and the other half of my kids. It’s weird but I know that the kids with his blood type works with them and the ones with my blood type works well for them what works for me.

[@michaeldefiore5]

I agree I thought before a drug can be on the market they have to do several trials before approving the drug for sale to pharmacies i heard it takes like 10-20 years just to get a new drug on the shelf for doctors to prescribe

[@dagunnaswife]

My sister was on ketamine and they would leave her alone. She would call me and I would talk to her until it was time for her to go home. Otherwise she would freak out. It was helping her so much when NOTHING ever had but then insurance decided to not cover it. Hate these fools. My sister ended up turning to street drugs and dying last september. If only the greedy insurance would have kept paying. Thank you for all your wonderful information.

[@Greeceismygoto]

I’m very sorry for your loss. She deserved better. The system is broken 💔

[@jaeljade3609]

I'm so sorry for you and your sister 😓.

[@badxradxandy]

I'm so sorry

[@bobtaylor170]

It's terrible. I'm looking to use ketamine.

[@anneturner8439]

AMERICAN HELLCARE 🔥 I’m soo sorry .. omg 💔😭 it’s my fear as well, pretty sure Ketamine could help me but I could never afford it.

[@breewireman2182]

I did tms over 2 years ago and it was a miracle. I was able to get off ALL meds after being in for over 20 years. I’m currently at the end of my 8 sessions of K. I do my K sessions from my house thru Better U. It’s the company I found to be a little cheaper bc insurance doesn’t cover at home sessions. Tms is a game changer and I highly recommend.

[@kellymoran3175]

Dr. Kaveh, I'd Like To See A Future Video Focused On Ketamine And The Pharmacology Of The Drug. As A Firefighter/Paramedic, It Is A Drug That We Have In Our Drug Box For Trauma Pts Especially And I Feel You Can Never Know Too Much About It. With Your Expertise In The Use Of It, I Just Feel It Would Be An Invaluable Discussion. Thank You!

[@freshtoast3879]

There's plenty of videos on KZbin about this 😊

[@TinaAvery-m6s]

I have been doing IV Ketamine therapy for a year now. I talk with a Psychiatrist and I am in a Quiet dark room and there is a camera that the nurses watch me on. I have my temperature taken and blood pressure also. The nurses take it in the beginnig and in the middle about 45 minutes in when my IV is taken out and before I leave.I also talk with a therapist before and after treatment. Insurance has been covering it. I also just recently started TMS along with the Ketamine. It has been life changing. I am 54 years old and have been resist to every drug on the market. I have been in therapy and in the hospital for self harm. I have Major Depressive Dissorder, OCD, PTSD, Anxiety. It got so bad that I wasn't leaving my home. I now and back to doing the things that I used to do. There are times when I get into a so called funk and will go twice a week for Ketamine. When doing TMS the tager my Frontal Lobe for 20 minutes. The target a spot for my depression and a spot for my anxiety. I cannot say enough good things about how great both of these treatments have been.

[@Prettymisskay]

I am bad right now I don’t want to leave the house I don’t even want to leave my bed

[@michaelfarar4232]

You work for big pharm, right????

[@atelier27]

So happy for you! Do you mind sharing the clinic you go to? I have not found one yet that is covered by insurance.

[@kennyplay5982]

What exact insurance company is paying for Iv Katamine?

[@loridisney3782]

@@Prettymisskayme too

[@CallieCatCuddles]

I'm going in to meet the doctor in just a few hours in preparation to start TMS therapy! I wish I had more time to watch this video, but at 6 am, I still haven't been able to go to sleep! I have to go to have to take a nap now, so I'll watch the rest of the video on the ride to my appointment.

[@HeatherFritsche]

I had TMS 2 years ago. It worked like gangbusters. For the first time in my life, I found out what what actual happy and joyful was. I am still feeling that way. If Medicaid covered it, too, I would have others do it, in case it works for them.

[@SC-ls3iv]

Such great news to hear! I just started, so I'm very hopeful for the first time in years that something will help my depression.

[@freshtoast3879]

​@@SC-ls3ivhow are you feeling now? Did it help at all?

[@SC-ls3iv]

@freshtoast3879 I feel great. It really does work! I guess it does not work for everyone. And we still don't know how long the treatment lasts afterward. But i'm not complaining at this point

[@freshtoast3879]

@@SC-ls3iv can I ask how long it's taken to notice any changes and how you felt?

[@SC-ls3iv]

@freshtoast3879 For sure within a couple of weeks. Of course, I immediately felt better because there was finally something that offered some hope, so that can cause confusion as to whether it is working.

[@jennifernutting2896]

I have clinical depression, OCD, CPTSD, and Bipolar disorder (extreme). My psychiatrist was able to get TMS approved thru my insurance because it is FDA approved for depression. However they were seeing really good results for Bipolar with this treatment and that was really what we were looking to treat. After the series of treatments ended we started reducing and removing some of my meds. At this point I take meds for depression and anxiety (CPTSD). I have not had a manic episode going on 5 YEARS. I do have another round of TMS scheduled in a few months unfortunately I have had a seizure and 2 TIAs so I will be talking to my doc about those issues before I go back under the magnet. I do have to say that part of me is bummed about losing the OCD. My house used to be impeccably clean and orderly and now it just constantly looks like we are recovering from a tornado, but I can live with that. Mostly. 😅 I know my 5year result is a major outlier, so to be clear I am definitely NOT suggesting that anyone expect that result, even my doc is still surprised. I do have to say that I believe going into the treatment believing I would benefit from it and encouraging myself with positive thinking throughout the treatment made a big difference. But I'm a hippy born too late and I really do believe attitude can affect anything from a surgical outcome to how long you are miserable with a virus. I have a tambourine around here somewhere, I shall now go meditate. 😊 Edit: The only issue I had with TMS was a mild headache after the first session, so I just took an aspirin before each subsequent session. I also have had two spinal surgeries with a third on the horizon and have had chronic pain for 27 years so maybe I need to try ketamine treatment.

[@johnlutz9275]

11:56 me two i have 18 total major surgeries with 10 being back alonw

[@tonyahughes2217]

I am more than thrilled to see (hear) about these treatments..

[@MedicalSecrets]

Me, too!

[@jaeljade3609]

I'll be starting Esketamine in June. I wish it was Ketamine, but beggar's can't be choosers. There's a new drug coming out soon that seems promising, too. I've tried all of them since I was 17 and now I'm 54. That's a long time to deal with severe depression. My sister mentioned ECT to me, and I know you're out when your shocked, but that just seems really scary to me. Some people don't always get memories back, but then again, maybe that would be a good thing. I'm glad you mentioned the trauma thing and addressing it before ketamine. I've had therapy, but I feel awful when my crap makes therapists cry. They are human too, and I'm sure they deal with a lot themselves listening to people's horror stories. I don't know if talking about it really helps anyway. Maybe I just haven't had the right therapist, idk. I think they are realizing now that some people need longer therapy sessions than an hour. I wish I could afford someone like Karl Deisseroth or his wife to untangle my mess. I think my brain needs a good going over.

[@MedicalSecrets]

I'm wishing you the best in June! 🙏

[@jaeljade3609]

@@MedicalSecrets Aww, thanks, doc.

[@lyndachele]

I have D.I.D., CPTSD, MDD, etc. I've seen a psychologist who is a trauma specialist for more then 30 years. They can't "fix" you. But they can teach you how to heal yourself.

[@jaeljade3609]

@@lyndachele Thank you. I'm looking for a trauma specialist right now. I've been through psychiatrist's and councilor's over the year's, but didn't find any really good help, so I gave up. I do as much self help online as I can and I read a lot, too. I almost assuredly have some brain damage from some serious blows I've taken, and trauma itself damages the brain just with things you've heard or seen. I've spent time in hospitals and it amazes me that no one has done any brain scans. I'm not sure that I've ever even had a correct diagnosis. In America, CPTSD isn't even in the DSM, but I know that's what I'm dealing with. I try to practice always being grateful, and I've been forgiving, but there's always been a deep lingering sadness that I just can't seem to heal. I'm obviously doing something wrong. It's tough getting through each day. All the trauma in the world and how awful we are to each other doesn't help. I've almost gotten into a fight at stupid Walmart where I see ppl so mean to their kids. It makes me so angry!

[@jend7390]

​@@jaeljade3609after a ketamine IV session, I spoke with a ketamine therapist. She suggested a book titled "What my bones know" written by Stephanie Foo. I have been diagnosed with CPTSD, and from my understanding this book takes a deep dive into complex trauma, and how to navigate through it. I haven't gotten the book yet, however, it might be a good place for you to start. I hope you find what works for you on your journey!! ❤

[@infinitejest.4994]

I have considered Spravato treatments but I have chronic depersonalization disorder along with depression and anxiety. I’m terrified of becoming more depersonalized/derealized. It would be a horrible. My psychiatrist however was pushing this on me. I’m glad I could spoke up for myself.

[@ThatgirlLondon.]

I have chronic depersonalization and derealization disorder when I did Ect it made my depression anxiety and made my depersonalization worse. I want to try something else.

[@pualani609local9]

Chronic pain is what keeps me depressed

[@margaretthatcher6828]

Right there with ya...

[@lauratullock106]

Ketamine helped my chronic pain

[@missydelcoglin4087]

You’re not alone. I have been fighting pain for 20+ years. It gets really difficult to find true joy when all you can think about is trying to hide the pain.

[@cynthiasotland3887]

Yes! I never felt this EXTREMELY depression until I was hit with chronic pain because of an initial car accident, fractured cervical vertebrae and many other traumatic injuries. Over the last year, I started Cymbalta with no benefit. If I am lucky enough to sleep, I wake up in a panic. I don’t think I can get through another day of this pain. Paying n has also caused financial difficulties. It is horrible. I just had another big surgery and fighting every day. I am looking into Ketamine for depression.

[@badxradxandy]

Same, I got neck bone spurs

[@pualani609local9]

Mahalo This is great. When you retire from that cold OR you should become a teacher. I can't say how grateful i am ❤

[@MedicalSecrets]

Thank you for your kind comments! I hope that retirement is a long way away from me!

[@alyssafinch6853]

I will talk TMS up to anyone that asks (or even mentions it 😂)! I have SUPER treatment resistant depression and I haven’t been acutely suicidal since the first time I did it five (six?) years ago. Unfortunately I no longer live near anyone that does TMS so I’m a bit of a mess, even on my meds. But when I am able to both be on meds AND do TMS… man, it’s the best. I’m so thankful for the two times I’ve been able to do it. Hopefully sometime soon I’ll be able to find it close enough to drive to on a daily basis for weeks. (I’m just listening now, to me TMS feels like a sort of rough tapping) Wow! The two places I went to was 4-6 weeks. And I ‘got to do’ 8 😏 🤷🏻‍♀️

[@MedicalSecrets]

I'm so happy you had a positive response! Thank you so much for sharing

[@frederike9371]

how long did it last for you?

[@alyssafinch6853]

@@frederike9371 I find I can go about 12-18 months before I really feel the need for another round. But my depression is REALLY treatment resistant. Some people can go longer. I’ve heard some people don’t need another round. But I’ll tell you, it’s worth a shot. Really.

[@Widda68]

I had 15 ten minute TMS treatment sessions minutes at a TMS Center here in San Diego. The necessity of driving 35 miles to and from the location 5 days a week made this treatment really inconvenient and difficult to keep up. I had to stop the treatments because of a different health problem. I'm not sure if I would want to restart the TMS treatments or not. The TMS tech who was actually applying the electrodes really had little information about TMs in general. I asked him what kind of training did he have to perform TMS treatments. After all he is messing with another person's brain. He said that he learned the treatments through on the job training. I figured that well since this guy is just a techie and is following the protocols then I guess he's okay to mess with my brain. The other disappointment was that the psychiatrist who was in charge of the TMS clinic would come by once a week stick his head in the door and have a 5-minute session with me. It really was: " well do you feel any better than you did last week? Okay we'll keep going with the sessions but will switch from unilateral to bilateral treatments., I said okay you're the doctor. Let me just say that there is a dearth of information and general ignorance about TMS among most M.D.S. there is ignorance even among the various types of therapists. I spoke to an L.C.S.W. and she knew nothing about TMS.. it seems that psychiatrist and talk therapists live in totally different universes. If I do go back for restarting the treatments I need to be more assertive about getting information and face-to-face talk time with the psychiatrist. My hesitation to do that was a mistake on my part.

[@MedicalSecrets]

I'm sorry about what you have had to go through. I hope you feel more empowered to advocate for your health with your new knowledge

[@Evelopeclothing]

I’m currently doing TMS in combination with Spravato. I’ve completed the depression regimen and I’m now undergoing the anxiety protocol.

[@Evelopeclothing]

TMS and Spravato have changed my life after 36 consecutive sessions.

[@kimwieczorek1879]

How much?

[@Nopausereactions]

@@Evelopeclothing how did it go ? Are you feeling better ?

[@Prettymisskay]

@@Evelopeclothingwhat is spravato I’m interested im doing tms right now

[@chrissycat_831]

My Mom is a 73yo palliative care patient and her PC Dr prescribes her 100mg of ketamine 3x's a day. She's been in it for four years.

[@Straighttalk95]

Suffering from Fibromyalgia for many years I now found that if I do certain exercises it actually helps with my joint and muscle pain . Also I have plantar fasciitis and Achilles heels for the last 18yrs and even though I’ve had a few rounds of steroid injections I found just doing a few stretches helps to relieve that pain . I watched Dr. Berg show some foot exercises and it actually worked for me 😊

[@badxradxandy]

This might sound crazy but try wearing Birkenstock shoes

[@margilvi5890]

Skechers arch fit ...

[@SC-ls3iv]

​@badxradxandy I totally agree. I was a teacher and on my feet all day long, and I always wore birkenstocks!

[@wutz4tea]

I had TMS in 2021. It was effective for about a year and my insurance took care of it.This year I would like to try Spravato (esketamine). Hopefully insurance will pick this up as well.

[@yellowpillNP]

During my TMS sessions, they had me keep my brain stimulated by listening to music or reading, etc and not sleeping. Insurance covered TMS if there was documented attempts and failure of at least 3 different antidepressants from 3 different drug classes.

[@moiramelvin86]

I recently embarked on TMS therapy and it definitely is a time commitment. Five times a week for seven weeks. People need to manage their expectations around how soon they will begin to see improvement. At the clinic I go to, the average patient experiences improvement by around session #10. I began to see a modest improvement around session #17.

[@robinglass5821]

I See a Pain MANAGEMENT. I am so tired of The Strong OPIOIDS! Every 30days I am tied to them. I have FIBROMYALGIA, PTSD, PANIC ATTACKS, INSOMNIA. AND have a High Tolerance to Meds. Even Though I am 63yrs. They always say You are elderly? What, makes no difference, I still have a high tolerance. I am a RETIRED NURSE. I know & DO my Current Research. Thanks Doc.❤

[@MedicalSecrets]

Oh gosh, I'm sorry about what you have to put up with. Like so many others, you deserve conscientious and thoughtful pain management. Not just a robot

[@DaNukePaintballGames]

So sorry that you are stuck in the medication rut. I am also 63 and have tons of pain from hEDS. I get a few pain shots for my lower back, but that is all.

[@vocals1111]

​@@MedicalSecretsthere are less and less ones like you Doc

[@pfranks75]

I have similar dx and coping is difficult at times!

[@kimwieczorek1879]

I too go to pain management. Should I not tell them Im going to try TMS +/or esketamine nasal spray?

[@MorrisLevine-dy9xt]

I did TMS and it worked for me. I did at Clearview Psychiatry

[@hiesenbergwalt181]

I’m going there soon.. did it really help

[@susanhoneycutt5610]

So sorry I missed your live today. What a great topic. Thank you.

[@smile4me433]

Thank you for the information as always doc

[@shanerorrer]

Ketamine IV therapy along with the right mental health providers is what helped me out of a 25 year long depression period. Never stopped trying different antidepressants, therapy, holistic practices. These still help to some degree - however never flipped the switch on me like ketamine did in 25 years.

[@Mannsy83]

I'm getting it soon... really hope it helps. Do you get boosters? Thanks for the help

[@MichealGregg-h3i]

Easy access to ketamine, online I got mine through this shroom farm I got hooked up with got my package on two weeks ago still on it

[@MichealGregg-h3i]

On Instagram

[@MichealGregg-h3i]

@trip_worlds2 ☝️☝️☝️ That's the page name

[@frederike9371]

how long did the antidepressant effect of ketamine last?

[@susanroberts]

Great info. Thank you. 💝🥰

[@catonthemoon2084]

TMS unfortunately didn't work for me & insurance won't cover ketamine. I'm hoping they will soon release psilocybin for use, although insurance probably won't pay for that either.

[@juliejanssen7637]

YES! My daughter had TMS for servere depression, with good results. She also has CUD.

[@beefstew4698]

Did she have only 1 treatment? Edit: also, what is CUD?

[@juliejanssen7637]

@@beefstew4698 She had about 20 treatments. CUD is cannabis use disorder, a new one for me.

[@mrlove0912]

More on ECT, my son had ECT and it’s been less than a year! He had major bipolar depression! Still complaining of memory loss, and never feeling like himself not feeling he getting back to his baseline!

[@shereewordell2433]

I had ECT a few years back and I still have problems with memory loss, that’s the only bad thing about ECT!

[@beefstew4698]

Praying for him 🙏

[@MelzRVacre]

I thought ECT was contraindicated for those with bipolar

[@atelier27]

Can some of this be accomplished at home with ect type devices like the alpha stim? Too time consuming and expensive for me as I work everyday. I know it is not the same but maybe results over time?

[@rafiahmad7548]

Learnt lots thank you!

[@MedicalSecrets]

I hope you feel better and power to advocate for yourself!

[@rafiahmad7548]

@@MedicalSecrets Thank you Dr. Kaveh, I definitely have! :)

[@JuanaLove6931]

I've had ketamine but in the er for a 5 day migraine of course mixed with morphine. No migraines for several years. Boy I felt so damn good I couldn't wait to get out of that er! Went straight to McDonald's and pigged out. The doctor even looked like you doc. Is this the kind of leverage er Dr's have? Now 18 years later I'm a horrible mess from several tramas since. I really think ketamine might help me. No good doctors in my state. I can't get good therapy or just psychiatrists, oncologists etc. I want help but no where to go..

[@HerLadyship1800]

A friend of mine has received both ketamine (spravato) and TMS. Unfortunately, the struggles she deals with are severe enough that I don't think either treatment made much difference for her. 😔

[@JakeReinert]

I've had a full round of TMS in the spring. Brought by PHQ9 down from 25 to 15. Now Im trying Spravato. Hoping its another major reduction

[@Nopausereactions]

My sister is about to undergo TMS for panic disorder and agoraphobia- I also need it as I suffer horrendous panic attacks - I’ll post an update with how it all goes

[@MichealGregg-h3i]

Easy access to ketamine,shrooms and other psychedelic stuff got mine through trip_worlds2

[@MichealGregg-h3i]

On Instagram

[@swimmingsubconscious4721]

Update please? My world changed 180 and I do not leave my room. I used to go out everywhere and spend time with loved ones. All I feel is fear and doom.

[@Taobeth]

My friend recommended TMS after successful results so I'm trying to learn more. Thank you

[@Cre0leD1va]

I actually participated in a study snot TMS. For me, it worked very well. But of course after the study was over, it lasted for a number of weeks and then wrote off. That was many years ago and I've been waiting for it to be covered by insurance.

[@TheGuns286]

Does anyone know if you have to come off of SSRI's before trying Ketamine therapy? I'm currently on medication, but I want to try Ketamine. It's a big process the taper off of it.

[@houstonisnotmyhome]

I just completed 6 K sessions. Prior to starting, I had been taking buproprion and escitalopram, which gave me a slight lift during a mild depression. However, this most recent episode has been a major depression and these drugs can't stop it. Anyway, the K Doc I consulted said there is no reason to suspend the use of the SSRIs. So, I continued my SSRI meds during the 3 weeks of ketamine treatment. 6 Ketamine sessions have completely changed the game for me. I haven't felt this good in years! My sense of humor is back, I wake up happy, and the dark cloud and constant tired feeling are gone! Check with your doc to make sure they agree that your SSRIs can be continued. Now, after ketamine, I'm inclined to wind down my SSRIs to zero. They never did much anyway.

[@Suekyle]

Love your videos Dr

[@MedicalSecrets]

Thank you! 🙏

[@thefrontporch8594]

I remember reading about 15 or 20 years ago that they were using TMS at the naval Academy to make cadets smarter or something like that.

[@jilldecker6257]

Would TMS help CRPS?

[@borealis06]

Just finished 35 treatments of TMS. Not sure where I stand with its effectiveness.

[@sonicretronym]

Sometimes people don’t see a change until weeks after.

[@SnottyW]

My depression is so bad, like I've been taking different antidepressants for 25 years. Tried Cymbalta for my chronic pain but that was a terrible experience. I got approved for Spravato and hoping to get in soon. Can Srpavato help with chronic pain?

[@houstonisnotmyhome]

25 years for me too, over a dozen different meds not including the ones causing severe side effects. Very minor improvements, only for milder depression episodes. Completed 6th Ketamine session last week. I'm a new man! I had a major depressive episode that mainstream treatments didn't improve again, again. I'm feeling better than I've felt in years! Energy is back. I have a sense of humor again. I'm listening to more music again. My recommendation is to try ketamine once to see what that does. That's all it took for me to opt for the 6 session treatment plan. I only wish I did this years ago!

[@pualani609local9]

How do i find a doctor on the East coast to try this. I have a large capacity for ambiguous whatever. When I have surgery I find it fascinating I asked to stay awake until I'm on the OR table

[@juanita2121]

Future Psych Solutions in Columbia, SC does both.

[@Noone-rt6pw]

How long does ketamine last for chronic pain? Can it be taken orally?

[@melissanicanor2428]

I’ve used iv ketamine and I was helping greatly. I just couldn’t afford to use it long enough

[@MedicalSecrets]

I'm happy that you had a positive experience with it! I hear your concern. We personally have a different rate for initial versus ongoing infusions for exactly that reason

[@pualani609local9]

Seehat about dental implants for TMS??

[@infinitejest.4994]

Doctor, could you address chronic depersonalization disorder. Someone with this (I am one of thousands) could be seriously affected by ketamine. I know it’s great for some, but those of us with depersonalization and derealization symptoms can severely affected by dissociative drugs. Pot can also induce chronic dissociation. It is Hell. I have been suicidal due to this perceptual distortion with childhood onset. I wish you would address distressing dissociation.

[@MelzRVacre]

I'm on TMS treatment 4 of 35. I believe I may have had a seizure last night triggered by a movie.....should I keep going? Other than this incident, it seems to be helping already.

[@kalossthenos3808]

That’s wild. What makes you think you had a seizure? How are you now?

[@margelittleboy]

I’m a retired nurse, due to a psych pt. doing 4 direct punches to my rt TMJ in April 1984. This ended up causing fracture on the right side, displacing both discs, bilateral TMJ disjunction, closed locked jaw, both disc now gone, 5 surgeries, Bell’s palsy after last surgery. For a time I had a TENS unit I could utilize as needed, but it was not very effective. I’ve been on pain meds for 40 years, constant clenching, headaches, insomnia. It’s been a long 40 years. I was hoping there would be new technology to reconstruct the TMJ, last year I got examined, there is nothing there. I’m bone on bone. Even though, pre X-ray, I told the oral surgeon the discs were gone, he chuckled saying they would be there. I was right, it’s frustrating when not listened to. I wouldn’t be a candidate for either option you discussed, but did find both very interesting. Thank you.

[@MedicalSecrets]

I'm so sorry to hear about what you had to go through. You are right that nobody should be ignored like that

[@margelittleboy]

@@MedicalSecrets Thank you for responding. I’ve learned thru it all, advocacy & not just for myself. I had 2 siblings w/terminal CA, in severe pain, needing stronger meds & higher doses. They were w/in 1-2 days of passing & I was getting resistance. I stood my ground, they got their meds & I stayed by their side until they passed. I’m thankful I have my faith & my training (SICU/BU/PICU is where I started)to fall back on. It’s frustrating from the viewpoint of also being an animal lover, having any of my animals suffering, I can have the vet give them the “last act of kindness”, which I’ve had to do. We can’t afford the same mercy those suffering. I wish medicine would catch up. You are definitely taking a step in that direction and for those you are helping, thank you!

[@melwin7777]

I had TMS treatment 2 years ago and EMDR last year and both helped quite a bit, but I still struggle with depression. My insurance would pay for esketamine but they require that you’re on an antidepressant at the same time and I know that won’t work for me. Hopefully IV ketamine will be an option soon.

[@beefstew4698]

What’s EMDR?

[@mightymouse1005]

Would kantamine help neuropathy.

[@amandaschulz8598]

What are your thoughts on doing both ketamine treatment and TMS?

[@mydogshat9692]

I was buprenorphine injections for opioid abuse when I got TMS for severe major depression and CPTSD. After the third session, I out of the blue that night went in to full blown opioid withdrawal even though I had just gotten my third buprenorphine injection that week, so there was no way I could be in withdrawal. Super interesting how the brain works and complex! I always wondered how TMS could have triggered that!!!!

[@mydogshat9692]

I was also withdrawing from Lorazepam during that time, so lots going on. But I wonder if it has to do with Glutamate being too activated? I have two mutations for my GAD1 gene I don’t convert Glutamate to GABA very well.

[@magsfandos-uq9cv]

which tms treatment did you do? which helmet?

[@SherryWasher]

I’ve failed every drug & failed TMS therapy. I called mine Woody because it was like a woodpecker pecking at your head. It didn’t hurt but gave me headaches. I suffer from severe depression, anxiety, PTSD, trauma, & SI. I start Spravato next week.

[@MichealGregg-h3i]

Easy access to ketamine,shrooms and more for anxiety online I got mine through this shroom farm I got hooked up with got my package on two weeks ago still on it

[@MichealGregg-h3i]

On Instagram

[@MichealGregg-h3i]

@trip_worlds2 ☝️☝️☝️ That's the page name

[@swimmingsubconscious4721]

Any update?

[@BCantley]

How do you handle HPPD caused by ketamine treatments?

[@Usernumber16]

I have my eyebrows and eyeliner tatted and I was approved for tms! Tattoo’s definitely dont disqualify you

[@claudiahoem4291]

I just started!!

[@henyatova226]

tms almost killed me. lost them ability to sleep or be tired. went insane from sleep deprivation but i did become more spiritual. im on a different path now but i didn't have to almost die. the technician was not ready to do this work. years later im still suffering. nasal ketamine spravato destroyed nerves in my cavity and had pain / severe migraines for a year.

[@staceybrister1315]

Oh my gosh, I'm sorry that happened to you! That's horrifying! How long did you experience insomnia?

[@Circe296]

I have depression, anxiety, and chronic pain. I’ve had ECT which helped immensely. Unfortunately I also have DID. Does Ketamine help in that situation?

[@deancomeau2894]

Any advice on using either of these for CRPS type 2?

[@kerrybartow-konnoly984]

I have tried the ketamine mean nasal spray and that helped kick my depression, but I still have PTSD/anxiety and I’ve been stuck in fighter flight for over a year 24 seven it’s exhausting! I stopped taking the nasal spray because it started making me feel very sick. I wish the IV ketamine wasn’t so expensive because I know that would help.

[@MichealGregg-h3i]

Have you try microdosing shrooms or ketamine probably have you had any psilocybin helps with health related issues and easily accessible online I could hook you up

[@MichealGregg-h3i]

On Instagram

[@christelthomas3305]

Take klonapin and ambien ~ still haven't slept 24 hrs thanks to my thoughts on childhood trauma

[@lyndachele]

Both of those are addictive. Prazosin at night for PTSD nightmares. Vets have been prescribed it for years, as have I.

[@wendylambert5385]

I've not had luck with spravato would ketermine work for me?

[@Melanie-nk2ij]

I have mast cell activation,for me it is triggered by emotional and physical trauma. I was told it’s from a prolonged state of fight or flight. I think it’s from poison ivy exposure. I often wonder about alternative treatments. Thank you Doctor for opening my eyes. It’s a pleasure seeing you live.

[@Melanie-nk2ij]

I’m not supposed to have any surgery or needles for a while. I need another surgery on my eye but I need to get better first.

[@acordaro]

I have MCAS also and do both IV and nasal ketamine. It's a miracle! 💖

[@Melanie-nk2ij]

@@acordaro omg it does work. thank you !

[@acordaro]

@@Melanie-nk2ij I have all the things you can imagine and ketamine is a great tool to help with healing. It's truly amazing to now know that being happy, truly happy is possible. ✨

[@Shoofool]

What about vagus nerve stimulation for major depressive disorder? I think they are proving efficacy for bi-polar already. I had TMS 36 treatments (insurance covered it) and I really wanted it to work but I saw no improvement. I didn’t want to do ECT due to memory loss issues that supposedly result from electro shock therapy (ECT). I think if insurance ever approves surgery for VNS for major depressive disorder as well, that will be the next best long term treatment. Ketamine is out of pocket for me six treatments $2700 and $450 for each maintenance boost

[@darlenemorales3180]

Does ketamine help for bipolar

[@johnbillings5260]

Halfway through TMS and so far haven't noticed much of a change. 😕

[@Felixapex-j4s]

Not to worry it easily accessible through this reputation shroom farm I got hooked up with, dude got shrooms,ketamine, lsd, DMT, chocolate bar and more

[@Felixapex-j4s]

On Instagram

[@Felixapex-j4s]

@trip_worlds2 ☝️☝️☝️ That's the page name

[@ABeautfulMess]

I have bipolar very depressed but when manic i have DOD, PTSD...will it help me?? My grandma had epilepsy and schizophrenia..she had ECT all the time..she lived in an Asylum,St Elizabeth in DC..crazy right...oh tell me this, either one can help me.

[@Jean-Jacques-y9l]

Ask your dr. if it is right for you.

[@KimberlyOurlian]

tms hurt my head and did nothing for my depression, electrolysis was a tickle compared to tms,

[@KimberlyOurlian]

do doctors in the US do intravenous ketamine?? im having my first spravato treatment soon

[@magsfandos-uq9cv]

they do! we are starting it at my clinic soon

[@Sconzette]

My pain management doctor wants me to try Ketamine infusion for chronic neuropathic pain (Idopathic-SFN) but I'm afraid to try it because of the Hallucination side effects! what are your thoughts on this? I am an otherwise healthy 65 woman...

[@Jean-Jacques-y9l]

You are being foolish. They are just mental images. Nobody went crazy watching a movie. Talk to your K dr. about your fears.

[@Sconzette]

@@Jean-Jacques-y9l heck, that's easy for you to say!

[@nancybross4616]

Maybe not foolish! Synonyms: dumb witted, stupid, ridiculous, etc. see the dictionary. This is already about depression and anxiety. And the unknown. It is ok to feel nervous. Now on the ketamine it has helped and so many success stories! I can attest.

[@TanyaDavisRRA]

Is it common for IV ketamine to be combined with TMS? Sounds like it would be redundant. Peripheral stimulation has also been offered to be combined with my IV therapy. I'm being treated for CRPS pain.

[@TanyaDavisRRA]

Just heard you say TMS isn't really used in pain treatment, so now I'm questioning why my doctor is suggesting it 🤔

[@MedicalSecrets]

TMS and ketamine can be combined together, and there are many centers that are on the frontier of combining these. The iv ketamine can be used for chronic pain, so perhaps that is what they are getting at

[@TanyaDavisRRA]

@MedicalSecrets I've been doing the high dose IV's since January and I'm just now getting at least a week of relief. Currently I'm having infusions every two weeks (4 hours), with 50mg troches 4 times a day. I'm really not thrilled with the TMS idea. He also mentioned doing a SCS. I would really like to keep working the ketamine awhile longer. We struggled at first because I couldn't handle his request of not taking my Klonopin 24 hours before to 24 after. Withdrawal killed me and we think that hurt my response initially.

[@ShannonGrace9555]

Would love to hear your thoughts on serotonin syndrome and paradoxical reactions to medication with and without these therapies.

[@Recusant_]

Do you mean these medicines can cause seratonin syndrome?

[@intuitivesean443]

How about Cranial photo modulation therapy?

[@Jean-Jacques-y9l]

Lite therapy for what? If it's about shining lite on your head, that does nothing and sounds like quakery. Shining a flashlite into a fire does nothing.

[@lisaewell6377]

thank you so much!!!

[@star-mi5vz]

My son had 30 sessions of TMS and he felt release of anxiety for a very short time straight after treatment. There was no actual benefit for him for his deoression, anxiety, OCD and PTSD

[@janicelowery871]

I really want to try this. I fascinated and desperate for help.

[@kellys617]

Hello from Alaska 😊

[@michaeldefiore5]

I'm scared to try ketamine my doctor suggested it but my question is what happens do you hallucinate can one die from ketamine iv I'm just scared? I have been stuck in this loop for going on years now

[@Jean-Jacques-y9l]

Anxiety is a wonderful thing. If you don't trust your dr., why waste time and money not listening to his advice? You are overthinking it. Just do it if you can afford it. Everybody is different. Try it once and see what happens. Nobody here can tell you how you will react.

[@michaeldefiore5]

@@Jean-Jacques-y9l I'm not a troll if that is what you are trying to say I'm asking a legitimate question? Btw anxiety is not a wonderful experience coming from someone who suffers from PTSD ok and others will agree….just saying!

[@MysticRiver123]

Esketamine is really wonderful. It takes a lot of time and commitment but it has really improved my mood. I was afraid of hallucinations. My doctorhad never had a patient have that experience. Dissociation happens but its usually a wonderful relaxed feeling. You canjounthe Eskatanine face book group learn about others experiences.

[@robinglass5821]

Always, My brain Races all the time. I seriously need Ketamine!

[@sandimcnaught458]

I tried TMS, and it hurt my teeth because it was hitting my head so hard I literally could not do it

[@beefstew4698]

I wonder if you could use a mouth guard??

[@yellowpillNP]

Did they try reducing the intensity? They had to dial back on mine a little bit when I was getting severe headaches, after which my headaches stopped and I finished the treatment on the lower intensity.

[@beefstew4698]

@@yellowpillNP Did 1 round “do it” for you?

[@yellowpillNP]

@@beefstew4698 I had it done for depression and yes, it definately changed my life. I was able to get off the antidepressant med I was taking. But it was a gradual improvement throughout the sessions and even afterward. It was maybe 2 weeks in, so 9-10 sessions in when people around me pointed out the difference in me, which at that point I was like oh yeah I actually did have motivation to clean my house or actually cook a meal for the first time in months.

[@Mannsy83]

If ketamine works is it safe to do boosters?

[@Felixapex-j4s]

Not to worry it easily accessible through this reputation shroom farm I got hooked up with, dude got shrooms,ketamine, lsd, DMT, chocolate bar and more

[@Felixapex-j4s]

On Instagram

[@Felixapex-j4s]

@trip_worlds2 ☝️☝️☝️ That's the page name

[@angelharte764]

Can you talk about EMDR Please

[@MedicalSecrets]

That's a great topic for a future video

[@Jean-Jacques-y9l]

Look for the YT video. It's quakery. Desentization by repeating memories until you tire of them is the real therapy. The eye movement part is just a gimmick.

[@judybaker3196]

Yes I feel stuck.

[@BahlerBarb]

I'm having Tms now.. 2 weeks in.

[@MichealGregg-h3i]

Have you try microdosing shrooms or ketamine probably have you had any psilocybin helps with health related issues and easily accessible online I could hook you up

[@MichealGregg-h3i]

On Instagram

[@MichealGregg-h3i]

@trip_worlds2 ☝️☝️☝️ That's the page name

[@markpatrick5246]

I had tms but it didn’t work for me but my mom had just died

[@bholenathnamkeen6243]

Nice information I am from India

[@pualani609local9]

First time I made the live chat. Hello everyone.

[@6gatornation]

I have never seen so many people with anxiety before something in our environment is causing it Maybe the conspiracy theories about electromagnetic frequency is true

[@Straighttalk95]

Good weather , good food and a good book that will do me just fine ! 😂 I would say good company but I’ll stick with a good read instead.

[@dardar267]

I believe you don’t understand the very real suffering that ppl with clinical or chronic depression experience, otherwise you would understand how insensitive and unhelpful your uneducated comment is

[@robertkirchner7981]

I'm happy that works for you, but not everyone can rewire the neuroconnections that their brain built up during deep persistent trauma by making a few changes to their life. Please resist the temptation to prescriptively generalise from your own experience.

[@lilolmecj]

@@robertkirchner7981have you explored or found any connections between depression and carbohydrate consumption? I have been exploring Keto and Carnivore, and I am finding an improved mood over the almost three weeks. And I did feel a pretty dramatic negative mood response to the cheesecake I had on Easter. I am on a continuous quest to find a more stable mood over many years. The one thing, as part of an overall strategy is vitamin D supplementation. I am in agreement that suggesting one method as a one size fits all is improper.

[@dardar267]

Don’t be surprised if your uneducated and insensitive comment triggers people who suffer from clinical or chronic depression. You need to take a seat and listen

[@linn6980]

Lucky you!

[@dardar267]

After hearing other people’s experience with ketamine, it scares the bejeebers out of me

[@MedicalSecrets]

I hear you, and that is why it needs to be with a trusted medical provider!

[@Suekyle]

May I ask why?

[@dardar267]

@@Suekyle I have heard that a couple of people that I know personally who have received ketamine in hospital have had a “hellish” experience with hallucinations that were extremely disturbing each time the drug was administered. Dr. Jordan Peterson has also received ketamine twice, I believe and he reported a terrible experience. All have had success with ketamine and their depression, but I have yet to hear of a positive/easy experience

[@Evelopeclothing]

It truly helps! Spravato has changed my life.

[@Suekyle]

@@Evelopeclothing agree

[@privateconfidential4775]

what’s the best for getting me an parttime online job?

[@KeithMiller-n2r]

THANK YA .😊😅❤😂

[@kattypan3293]

any medical secrets for epilepsy/migraine/overactive brain nerves type patients? tms and ketamine therapy seems dangerous for them

[@KeithMiller-n2r]

GOD SPEED YA ALL.😊😊😊

[@Suekyle]

I currently get ketamine ivy treatment. Also use troches at home!

[@jaeljade3609]

I've heard they taste pretty bad. Anything to compare it to??

[@Suekyle]

It’s bitter, I thought it was bad at first but now I like it!

[@Jean-Jacques-y9l]

Meaning what? Any improvement?

[@Suekyle]

@@Jean-Jacques-y9l huge improvement yes

[@pualani609local9]

Like button hit ❤

[@dawnrega6078]

And of course this is for wealthy individuals! Likely not approved by ins and costs an arm a leg and the brain! Great.

[@chris14151]

I live in Nevada and had TMS approved from the state insurance. Not sure if its the same in your state but I wanted to toss that out there.

[@staceybrister1315]

Insurance covers TMS. It also covers Esketamine. Mine does, don't know about yours. Did you check?