Dr. Malters was born in the Midwest and raised in Southern California. Montana Psychiatry and Brain Health Center has Ketamine treatment for drug-resistant depression, Neuragain, Billings, Montana, Dr. Erin Amato.
For people who have suffered for years from depression that can’t be resolved by any other means, ketamine seems to be a miracle drug. Many people have used ketamine therapy to ease what seemed like intractable depression.
How is Ketamine Different From Other Antidepressants?
SSRIs, or selective serotonin reuptake inhibitors, have been popular for treating depression for several decades, but they work very differently from ketamine. These drugs increase the levels of serotonin, which is a neurotransmitter that allows nerve cells to send messages back and forth. Psychiatrists believe that serotonin affects mood, and people with depression have a deficit of it. Doctors who prescribe ketamine therapy believe that depression is caused when the brain is damaged from being saturated with stress hormone. Ketamine therapy is thought to repair the damage and far more quickly than SSRIs build up levels of serotonin.
Who is a Candidate?
A good candidate for ketamine therapy has been on other types of antidepressants, but the medications are not working to relieve their depression. People who also suffer from post traumatic stress disorder, such as veterans, and people with anxiety or panic disorders also seem to benefit from ketamine therapy. Anyone who wants ketamine therapy has a consultation with a member of our team and is given a medical exam.
The Treatment Session
During the session, the patient relaxes as the ketamine is delivered through an IV. During this time, the patient is monitored by the professional. After the treatment, they may be monitored for a bit longer by the staff before they can go home.
Though most patients feel better immediately, experts recommend that they have a series of ketamine sessions. These are scheduled over a period of time. Some patients have maintenance infusions of ketamine therapy as needed.
The most common form of treatment for depression is medication therapy with various forms of antidepressants. This should not be the only answer to depression, however. There should be at least one complementary treatment so you don’t become dependent on antidepressant medication, which can be very dangerous. Cognitive behavioral therapy and psychotherapy are forms of counseling that can help you control the way you think and improve your outlook. Transcranial Magnetic Stimulation treatment, also known as TMS therapy, is a new and innovative form of brain stimulation therapy that is helping many people with depression.
How TMS Affects the Brain
Antidepressant medications work by chemically stimulating different sections of the brain in order to change the emotional and mental state of the individual. The brain can also be stimulated in an electrical way through the use of magnetic fields. The magnetic pulses are sent into the brain directly through the cranium with TMS therapy. Repetitive magnetic pulses stimulate the brain, changing brain chemistry and reducing symptoms of depression over time.
The machines used for this kind of brain stimulation are equipped with magnetic coils that create the magnetic energy fields. There are two types of coils that are used for TMS treatments; therefore, there are generally two forms of TMS therapy: Surface TMS and Deep TMS. Surface TMS is the most prominent form of this therapy. This is the first form of TMS, and it was approved by the Food and Drug Administration (FDA) in 2008.
Deep TMS is conducted with another device. This TMS device uses an H-coil that is much larger and can penetrate deeper. This was approved by the FDA in 2013, and is the younger of the two TMS options available. However, both kinds of machines have been equally as effective at relieving symptoms of depression.
What to Expect with the Treatment
After a consultation with you, we will decide which parts of your brain are in need of the most magnetic stimulation and at what dose. The first treatment will probably be the longest. It may take multiple weeks of treatment before you really begin to notice results. During the course of the treatment, we might raise or lower the magnetic dose based on how you are responding to treatment. After each treatment, you can go about your daily life just like normal.
Medication management therapy is used by pharmacists and physicians to make certain the individual is receiving the best possible outcome from their prescription medications. This term encompasses a wide variety of professional services including:
• Patient assessments
• Prescription medication reviews
• Potential side effects or interactions with other medications
• Monitoring the efficacy and safety of all plans for prescription medications
• Creating treatment plans for the present and the future
• Educating the individual regarding instructional and directional compliance
• Maintaining the best possible standard of care among the physicians and pharmacists
Medication management is the combined efforts of the medical professionals, healthcare providers and pharmacists to make certain the individual is taking all prescription medications the way they were prescribed. This helps prevent the chances of drug abuse. The individual is also educated to ensure they understand their specific medical conditions.
The Methods Used in Medication Management Therapy
The first method is collecting the specific data of the individual. This enables the pharmacist to assess the medications and reveal any potential issues. If any issues are discovered, a plan is created. There is usually a consultation with the individual involving a checklist to determine if the prescription provides the individual with the possibility of recovering from their condition or managing their condition with the lowest possible risk for side effects. This enables the pharmacist to find any more appropriate alternatives.
The medication-related action plan is referred to as MAP. This document contains the actions that should or should not be taken to track the progress of the medications for specific medical goals. A good example is an individual suffering from depression. The MAP determines if the prescription is helping with the depression and shows the best ways to deal with the condition.
The personal medication record contains a full list of all the prescription drugs the individual is currently taking and all medications taken during the recent past. This includes dietary supplements, non-prescription medications and herbal products. This enables the pharmacist to provide assistance regarding the prescription medications and make certain the chances for drug interactions and side effects are both minimal.
The follow-up and documentation contains the individuals complete medical record, steps for care, prescription medication history, unintentional side effects and previous interactions. It is important to ensure this document remains updated including when the individual’s prescriptions are changed and when they change or establish a new physician.
Depression is a serious mental disorder that affects millions of people in the United States every year. The mood disorder is characterized by a constant sadness that can make it extremely tough to live a normal life. There are several different forms of medication designed to help people with depression, but these drugs unfortunately do not help everyone. Luckily, you are no longer out of options if you have treatment-resistant depression. You can start to gain back control of your life by undergoing ketamine therapy.
What is Ketamine Therapy?
Ketamine is a medication that has been used for decades to aid with patient anesthesia. While ketamine can be abused as a party drug, it is completely safe when administered in small doses by a medical professional. Ketamine therapy is a series of IV infusions that have been scientifically proven to provide excellent results for people suffering from depression. The best part of ketamine therapy is that it provides almost instant results and no dangerous side effects.
How It Works
You will be asked to sit in a comfortable chair before starting your ketamine therapy appointment. Once you are seated, the medical professional will attach the IV to a vein in your arm. It will take about 45 to 55 minutes to receive your entire dose of medication. While the relaxing effects of the ketamine will wear off a few minutes after the infusion, it is still recommended to have someone drive you home. It is also a good idea to eat a small meal a few hours before your appointment to help prevent any nausea.
Ketamine therapy is so effective at treating serious depression that some patients report seeing an improvement in their overall mood after their first appointment. While you may see instant results, you will still need to undergo a series of six treatment sessions in order to get the full benefit of ketamine therapy. These appointments must be scheduled every other day. It is also possible that you do not see any results until after your sixth appointment. You will need continuous exposure to ketamine to maintain your positive results. This is achieved by scheduling a ketamine therapy session once a month after the completion of your initial treatment plan.
You do not have to let serious depression take over your life. Ketamine therapy at Montana Psychiatry & Brain Health Center is now making it possible to restore normalcy back in your life. We are conveniently located in Billings, MT. Contact us today to schedule your consultation!
Many of the people who need help for mental health disorders don’t receive what they need. They might feel ashamed to get the help that they need or feel as though they can deal with the problem on their own. Instead of letting your mental health disorder take over your life, make the first step to contact a professional who can offer treatment options and support.
When your mental health is not at its best, it can impact the rest of your body. It can begin to impact the relationships that you have with your family members and friends. You might see that you begin to put forth less effort at work or while taking part in an activity that you usually enjoy. Sometimes, your mental health can cause you to want to stay inside all the time and not interact with anyone, which can then lead to other areas of your body and life being impacted as well. You shouldn’t feel as though you’re embarrassed to seek the help that you need in order to live a healthier life.
If you are going through difficult times in your life, then the situation can be even worse, as it can begin to impact how you function. It can deteriorate your mental health just like any other disorder. Some of the situations that can negatively impact your mental health include the death of someone you love, the end of a relationship, losing a job, or going through a difficult diagnosis. Even though you’re facing these issues in your personal life, your actions regarding how you deal with them can begin to impact those around you. When you seek the mental health treatment that you need, then you can learn how to deal with these situations in a positive way.
Drugs and alcohol can sometimes cloud your judgment and make you think that you’re making the right decisions. However, these decisions and your feelings are often dictated by the substances that you’re using. When you talk to someone about the reasons behind using drugs and alcohol, you can begin to see that there are other ways to deal with mental health disorders and the other issues that you’re experiencing.
Transcranial magnetic stimulation is often referred to as TMS therapy. The procedure is non-invasive. The cells in the brain are stimulated using magnetic fields to improve depression symptoms. This therapy is often used when other treatments for depression were ineffective. During the session, a magnetic pulse is delivered to the patient using an electromagnet. This stimulates the nerve cells involved with depression and mood control in the brain. This is believed to activate the areas of the brain with decreased activity due to depression.
Although the biology of TMS therapy is not fully understood, the stimulation has an impact on the brain. The improves mood and eases the symptoms of depression. There are different techniques and procedures used to perform this treatment. Even though depression is treatable, standard treatments such as psychotherapy and medications are not effective for everyone. Repetitive TMS therapy is used for depression as a non-invasive type of brain stimulation. The therapy is considered to be both well-tolerated and safe.
Prior to receiving TMS therapy, testing such as lab tests or a physical examination are generally necessary. A psychiatric evaluation will be scheduled to discuss the individual’s depression. These tests and evaluations help ensure the therapy is a good option. The treatment takes place in a clinic or a physician’s office. To be effective, a series of treatment sessions are necessary.
The TMS Therapy Treatment
Prior to the first treatment, the physician determines which areas of the head are the best options for placing the magnets and the correct dosage of magnetic energy for the individual. The individual is led to a treatment room and seated in a special chair. Once the electromagnetic device has been secured around the person’s head, it is turned on and off repeatedly to ensure stimulating pulses. The amount of magnetic energy required is determined by the professional; the amount of stimulation can be changed during the treatment. If the TMS therapy is successful, the symptoms of depression will either completely disappear or show improvement. A few weeks of sessions may be necessary for relief from the symptoms of depression.
Get In Touch with Us for More Information
If you are interested in TMS therapy to treat your depression, please reach out and make an appointment with Montana Psychiatry & Brain Health Center. At our convenient location in Billings, MT, our caring and devoted team of professionals will be pleased to explain this therapy in full and answer any questions you may have. Contact us today to set up your consultation!
Bipolar Disorder (BD) is a mental illness that occurs when a person’s mood fluctuates rapidly between mania and depression. The periods between each state of BD can last several weeks and can be quite extreme. Here at Montana Psychiatry & Brain Health Center, we encourage you to learn more about bipolar disorder and what you can do to manage it.
Symptoms of Bipolar Disorder
When people experience manic episodes, they experience certain symptoms associated with BD. Symptoms of mania are extreme euphoria or irritability, impulsive and rash decision-making, and highly talkative spells. Those with BD also experience racing thoughts, increased sexual libido, and an unusually high level of energy. During times of mania, individuals may engage in risky behavior. On the flipside of the BD, depression is a debilitating experience felt sooner or later. Symptoms of depression are feelings of helplessness, apathy, slow speech, poor coordination, feelings of fatigue, and oversleeping or not sleeping enough. Feelings of sadness and loneliness are also indications of depression. A major warning sign of depression is suicidal feelings and thoughts.
Treatment and Maintenance of Bipolar Disorder
There are many options to consider when treating bipolar disorder. It is important to see a psychiatrist so that the individual with BD gets the proper care and treatment. Psychologists and mental health counselors are skilled in providing talk therapy to patients suffering from BD. These health care professionals are well qualified in helping patients develop better skills in coping with the ups and downs of BD. Those with BD should also refrain from the use of alcohol and habit-forming drugs. These individuals need to get enough sleep each night so that they can prevent episodes from occurring. They should take care to not be overstimulated by parties and overexposed to television. There are certain types of medications that are used to treat bipolar disorder. These drugs include mood stabilizers, antipsychotics, and certain antidepressants.
Contact Us to Get More Information
To learn more about bipolar disorder, its symptoms, and how to treat it, we welcome you to make an appointment with Montana Psychiatry & Brain Health Center. At our convenient location in Billings, our dedicated team of professionals will be happy to explain your options in full and address any questions or concerns you may have. Contact us today to set up your consultation – we look forward to meeting you!
Depression and other mental illnesses affect millions of people every year. Many of these people do not get satisfactory results using antidepressants and other types of drugs. One substance growing in popularity as a treatment for depression is ketamine. Research is showing how ketamine therapy can actually help improve mental health in a matter of hours, instead of days or weeks. Here at Montana Psychiatry & Brain Health Center, we are proud to provide this option to our patients and encourage you to learn more about it.
What are the Benefits of Ketamine Therapy?
Ketamine is a dissociative anesthetic, like nitrous oxide. It can be a highly effective anesthetic at high doses because it causes sedation without negatively impacting the person’s ability to breathe or lowering their blood pressure. Ketamine has proven itself to be effective on people who have not responded well to antidepressants. This is likely due to the fact that it affects the brain differently. Many professionals believe ketamine so effective because it immediately reduces stress levels, allowing the person to view a situation more calmly and clearly. For this reason, it is often used in emergency rooms on those who are brought in with suicidal thoughts. There are many reasons to consider ketamine therapy. Some of the biggest benefits are:
It is effective even when other treatments are not
Improvements are felt immediately, making it a potential lifesaver
Mood continues to improve and is much higher within a matter of hours
What Can Ketamine Therapy Treat?
There are many mood disorders that have been successfully treated with ketamine therapy, including:
Depression (Severe or Chronic)
Post Traumatic Stress Disorder
Who is Ketamine Therapy Meant to Address?
This therapy is useful in treating many conditions. If you have found that more traditional medicines do not work, ketamine therapy may be the solution you have been waiting for. It is also particularly helpful for those who are struggling with suicidal thoughts. Your typical antidepressant can take weeks to be effective. This can be too long.
Contact Us Today for Further Info
Would you like to learn more about ketamine therapy and whether or not it is the right choice for you? If so, we welcome you to reach out and make an appointment with Montana Psychiatry & Brain Health Center! At our convenient location in Billing, Mt, our dedicated and knowledgeable team is here to answer questions and answer any questions you may have. Contact us today to set up your consultation – we look forward to speaking with you!
Anxiety is a part of life that many people ignore. If it doesn’t impact you personally, then it likely impacts someone you know. Some people might think that anxiety is just an excuse for staying in bed or not taking part in daily activities. However, these are among the myths about anxiety disorders that should be cleared up. Some of the most common misconceptions are mentioned below.
It’s Not Real
There are some people who become panicked in certain situations. This is a normal part of life. Someone who has an anxiety disorder has an illness that is real and that sometimes can’t be controlled by simply taking a few minutes to take some deep breaths. There might not be a blood test or scan that can detect an anxiety disorder like other illnesses, but there are tests that can be done by our professionals to determine if you have a disorder.
Passing out because of a panic attack is one of the most common myths associated with anxiety disorders. Many people believe that when an attack occurs, you get so overwhelmed that you can’t breathe and that you faint. During most panic attacks, your heart rate will begin to increase. Your blood pressure will begin to increase as well. You might feel like you’re going to pass out because of your racing heart and might even want to pass out, but most people only faint when their blood pressure drops instead of increases.
A myth that is often circulated about people who have anxiety disorders is that they have to stay away from certain situations that can trigger their anxiety. When you realize what can trigger your panic attacks, you usually want to avoid those situations. However, there aren’t situations that are indicated that you must avoid just because you have an anxiety disorder.
Worrying About Nothing
People worry about things that they face in life. One myth about anxiety disorders is that the person just worries about any little thing instead of dealing with the circumstance. Most anxiety disorders are inherited from your parents. If you noticed one or both parents worrying about things all the time and experiencing the same symptoms that you have, then it’s a good possibility that you inherited your disorder from that parent. Fortunately, there are treatments that can help with the symptoms that you have.
When someone has a conflict, it may be because their thoughts and emotions aren’t lining up with the reality of their life. When thought patterns are revealed and straightened out via cognitive behavioral therapy, then a person is able to make better decisions.
What is Cognitive Behavioral Therapy?
Cognitive behavioral therapy is helping millions of people change their behaviors by first changing the negative emotions and thoughts that are creating roadblocks in their everyday lives. Cognitive behavioral therapy helps the individual to change negative thoughts and perspectives they have formed and replace them with new thoughts, so they can modify their actions and make better choices. The result is increased satisfaction and happiness.
Who Would Benefit From This Type of Therapy?
Cognitive behavioral therapy has been found to be very effective for all ages, male and female, and even children and teens. Research has shown that it can help with most disorders and temporary issues including addictions, anxiety disorders, PTSD, eating disorders, obsessive-compulsive disorders, relationship problems, and others.
If there is one area a client is having problems in, they can focus on the one thought pattern and behavior that is disrupting their life; they are able to concentrate on that one issue instead of searching through their distant past and childhood like other forms of therapy. Cognitive behavioral therapy encourages clients to examine any distorted thoughts they might have, and then to replace them with positive answers immediately.
When someone can change their perspective about a situation, they can then begin to identify and adjust the destructive patterns of behavior behind it. Obtaining a new perspective brings freedom from old, outdated thoughts. This process doesn’t happen overnight, but as the client challenges their old ideas and thought patterns, they move one step closer to discovering what is true for them. Having the answers to problems that arise in life means finding self-confidence and joy.