Interesting, I really hope TMS gains more acceptance. By the way, according to studies, ECT (the precursor of TMS) is even more effective, though it does have more side effects, due to the required anesthesia, and it is gatekept even more strongly. In my youth I suffered from depression for several years, and all of this likely would have been avoidable with a few ECT sessions (TMS wasn’t a thing yet), if it wasn’t for the medical system’s irrational bias in favor of exclusively using SSRIs and CBT. I think this happens because most medical staff have no idea how terrible depression can be, so they don’t get the sense of urgency they’d get from more visible diseases.
I do think there’s something to that idea—physical injury and pain is a very universal and visible experience, whereas mental illness is difficult to parse for those who’ve never experienced it. I also think there’s some sense in which ‘treatment’ and ‘cure’ are treated differently for mental and physical illness.
A doctor wouldn’t just prescribe painkillers for a broken arm and call it a day because your symptoms have been dealt with; they’d want to actually fix the problem. Depression, on the other hand, doctors seem perfectly fine with merely mitigating the symptoms. Perhaps because that’s all they’re confident they can do?
Neither TMS nor ECT didn’t do much for my depression. Eventually, after years of trial and error, I did find a combination of drugs that works pretty well.
I never tried ketamine or psilocybin treatments but I would go that route before ever thinking about trying ECT again.
Interesting, I really hope TMS gains more acceptance. By the way, according to studies, ECT (the precursor of TMS) is even more effective, though it does have more side effects, due to the required anesthesia, and it is gatekept even more strongly. In my youth I suffered from depression for several years, and all of this likely would have been avoidable with a few ECT sessions (TMS wasn’t a thing yet), if it wasn’t for the medical system’s irrational bias in favor of exclusively using SSRIs and CBT. I think this happens because most medical staff have no idea how terrible depression can be, so they don’t get the sense of urgency they’d get from more visible diseases.
I do think there’s something to that idea—physical injury and pain is a very universal and visible experience, whereas mental illness is difficult to parse for those who’ve never experienced it. I also think there’s some sense in which ‘treatment’ and ‘cure’ are treated differently for mental and physical illness.
A doctor wouldn’t just prescribe painkillers for a broken arm and call it a day because your symptoms have been dealt with; they’d want to actually fix the problem. Depression, on the other hand, doctors seem perfectly fine with merely mitigating the symptoms. Perhaps because that’s all they’re confident they can do?
Neither TMS nor ECT didn’t do much for my depression. Eventually, after years of trial and error, I did find a combination of drugs that works pretty well.
I never tried ketamine or psilocybin treatments but I would go that route before ever thinking about trying ECT again.