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US: Drug-free depression treatment comes to area - Clay Today

Found: Fri Nov 09 18:19:38 2018 PST
Webpage: [translate]
Author: Most Insurance Companies, including Tricare

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Drug-free depression treatment comes to area

By Wesley LeBlanc

Posted 11/7/18

ORANGE PARK -- A new clinic in Orange Park is offering patients a drug-free treatment for depression that claims to be more than twice as effective as medication.

While therapy and

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Drug-free depression treatment comes to area

Posted Wednesday, November 7, 2018 12:00 pm

By Wesley LeBlanc

ORANGE PARK -- A new clinic in Orange Park is offering patients a drug-free treatment for depression that claims to be more than twice as effective as medication.

While therapy and prescriptions have been the standard go-to in treating depression, in 2008, transcranial magnetic stimulation came onto the scene after being approved by the Food and Drug Administration. TMS targets the area of the brain that releases the chemicals that keep people free from depression.

"It's different, but after some time, patients find that everything is drowned out during the treatment, so it turns into something peaceful or relaxing," said Psychiatrist General Marcus DeCarvalho, who also serves as the medical director of Hope Peace Recovery Treatment Center in Orange Park.

TMS requires patients to wear a sci-fi-like helmet that uses a small electromagnetic coil that delivers bursts of magnetic energy to the dorsolateral prefrontal cortex, which is the area of the brain where depression lies. These bursts of energy tell the brain to produce the chemicals that a depressed person's brain does not produce. It's the lack of these chemicals that lie at the heart of depression, which is why TMS, like other treatments, aims to make the brain produce them.

While the helmet delivers those bursts, unless distracted by the television or music the clinic has available to patients, a patient will hear what sounds like a woodpecker knocking on wood. Despite TMS' differences to traditional treatments for depression, DeCarvalho has based much of his practice today on it.

Years ago, DeCarvalho saw a hole in Orange Park. It had plenty of doctors, nurses and pharmacists, but it was missing one thing: psychiatry.

"Orange Park is the most underserved area in psychiatry in the country," DeCarvalho said, who opened his original psychiatry office up on Wells Road. "There are not enough psychiatrists in this area. That was why I took my business here."

In February, he opened a TMS treatment center on Jacksonville's Southside and opened the Orange Park clinic in August at 350 Corporate Way, Suite 100.

Nearly three months later, his clinic, HPR Treatment Center, has treated over a dozen patients, with nine having fully completed the treatment. A cycle of TMS treatments involves 36 treatments, five of which are administered in one week. He has seen patients who saw poor results from medication now being treated successfully for the first time in their life.

That's because where medication has only a 30 percent efficacy rate, which decreases with each new medication treatment attempted, while TMS has anywhere between a 70 and 80 percent efficacy rate.

"When you take a pill, it has to go through your gut," DeCarvalho said. "It has to bind all of the receptors in your gut and it will make you nauseous. You might possibly vomit. You might develop diarrhea for the first four weeks."

DeCarvalho said those are the acute side effects of many depression medications. He also said that doctors like himself coach patients to push through it because these symptoms eventually do dissipate.

"Once it goes away, then it goes into the liver -- it's not even working yet -- and in the liver resides enzymes that will activate medications and make them work," DeCarvalho said. "Your liver may not even have the enzymes, and that's why so many patients go through so many medications when they come to us. Then, it gets into the heart, the heart beats and boom, it's shot into the entire body."

DeCarvalho said the heart can shoot it to centers of the body that can cause weight gain, decreased libido and more. When this medication finally makes it to the brain, it kick starts the brain into making serotonin, dopamine and norepinephrine -- chemicals usually missing in depressed patients.

TMS bypasses the acute side effects that occur in the first few weeks of medication and goes directly to the dorsolateral prefrontal cortex, which houses the center of depression.

Patients must first go through a 45-minute brain scan that will reveal where the dorsolateral prefrontal cortex is in their head. Then, the first of 36 treatments can begin.

"For some patients, it takes a few times before the effects are really noticeable, but often, our patients are feeling the effects after the first treatment," DeCarvalho said. "It varies from person to person."

DeCarvalho said he's had a patient that struggled with lifelong depression. This patient had been to therapy time and time again, taken multiple medications and even attempted to take their life multiple times, but after a complete cycle of TMS, finally found themselves free from depression.

DeCarvalho admits the unconventional nature of TMS might produce skepticism, the treatment is growing in popularity.

While any person can undergo the treatment, they must first have tried at least one medication aimed at treating depression. Upon at least one of those medication's failure, they can be approved for TMS, which DeCarvalho said is covered by most insurance companies, including Tricare.

According to DeCarvalho, over 40 million Americans deal with depression daily and, in 2017, over 1,200 Clay County residents were hospitalized for depression, so the need is evident.

"The more we can educate the community about what's out there to help them, the less likely people are going to find relief using other things, like drugs or alcohol," DeCarvalho said. "[Depression] is such a huge issue in our country and people are always like, 'well how are we ever going to get better?' and it's just by doing stuff like this. This is how we can provide a care to people who are struggling and suffering.

"These machines, I believe, can really make a difference in Orange Park," DeCarvalho said.


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analysis of article text

prohibitionist hits:0 government drug warrior (prohibition_agency) hits:0 propaganda (drugwar_propaganda) hits:31 legalization hits:0 drug_reformer hits:0 reform_referenda hits:0 cannabis hits:1 stimulant hits:0 narcotic hits:0 hallucinogen hits:0
    prohibitionist     prohibition_agency     drugwar_propaganda     legalization     drug_reformer
    reform_referenda     cannabis     stimulant     narcotic     hallucinogen

incarceration/prison mentioned? NO - the issue of prison or incarceration was NOT mentioned in this article .

propaganda analysis

explicit prohibition propaganda (explicit_propaganda) hits:0 hated group (propaganda_theme1) hits:0 madness, violence, illness (propaganda_theme2) hits:22 survival of society (propaganda_theme3) hits:4 gateway, use is abuse (propaganda_theme4) hits:0 children (propaganda_theme5) hits:1 demonize, war, epidemic (propaganda_theme6) hits:0 total prohibition (propaganda_theme7) hits:4 dissent opposed (propaganda_theme8) hits:0
EXP - explicit prohibition propaganda (explicit_propaganda) GRP - hated group (propaganda_theme1) MAD - madness, violence, illness (propaganda_theme2)
SOC - survival of society (propaganda_theme3) USE - gateway, use is abuse (propaganda_theme4) KID - children (propaganda_theme5)
WAR - demonize, war, epidemic (propaganda_theme6) TOT - total prohibition (propaganda_theme7) DIS - dissent opposed (propaganda_theme8)

 drug of abuse implied / mentioned

drug related
[news] [concept]

prohibition illegal drugs  
drugwar_propaganda : a drug war propaganda event, campaign release, slogan, or themepropaganda

drugwar propaganda
[news] [concept]

propaganda theme2 propaganda theme3 propaganda theme5 propaganda theme7 Why Are Americans So Easy to Manipulate? (Bruce E Levine, 2012)
Classic Modern Drug Propaganda
Themes in Chemical Prohibition
Drug War Propaganda (kindle edition)
propaganda_theme2 : drug war propaganda theme: madness, violence, illness caused by drugsmadness, violence, illness

propaganda theme2 75%
[news] [concept]

"Crime" "depression" "libido" "suffering"22Madness Crime Violence Illness (propaganda theme 2)
Distortion 18: Cannabis and Mental Illness
No, marijuana use doesn't lower your IQ (10/2014)
propaganda_theme3 : drug war propaganda theme: survival of societysurvival of society

propaganda theme3 75%
[news] [concept]

"Americans" "community" "our country" "the country"4Survival of Society (propaganda theme 3)
The "Nation" as a Device To Create a Psychological Crowd
propaganda_theme5 : drug war propaganda theme: children corrupted by drugschildren

propaganda theme5 60%
[news] [concept]

"Child"1Children Corrupted (propaganda theme 5)
Think of the children
propaganda_theme7 : drug war propaganda theme: total prohibiton or accesstotal prohibition

propaganda theme7
[news] [concept]

"Drug-free"4Total Prohibition or Access (propaganda theme 7)
 drug of abuse

illegal drugs
[news] [concept]

 drugs 95%
[news] [concept]
various drugs  
 prohibition 85%
[news] [concept]
An Address By Senator Pierre Claude Nolin
ACLU Brief: Against Drug Prohibition
The Secret Of World-wide Drug Prohibition (PDF)
History of Alcohol Prohibition
Milton Friedman: Prohibition and Drugs
 psychoactive chemical

chemicals 50%
[news] [concept]

 psychoactive plant

[news] [concept]

[news] [concept]
 depressant intoxicant 50%
[news] [concept]
 alcohol 50%
[news] [concept]
"alcohol"1Stanton Peele Addiction Web Site
Pot Threatens Booze Profits
cannabis : cannabis (marijuana) product or usecannabis
[news] [concept]
"CannabisJacqueline"1Cannabis: Religious and Spiritual Uses
Cannabis-Driving Studies Cannabis Link DB
Schaffer Library: Marijuana
U.S. Prisons Thriving on Jim Crow Marijuana Arrests (2013)
 various drugs 95%
[news] [concept]
"Drug-free" "Drug" "drugs"7 
 local police logs

police related news
[news] [concept]

"Police Briefs" "Crime Report" "Police" "Crime"
Law Enforcement Against Prohibition
 youth 60%
[news] [concept]
propaganda theme5
[news] [concept]

st:0.01 fo:0 s:0 d:0 c:0 db:0.124 a:0.51 m:0.16 t:1.01 (f)

text of article used for CRITICAL ANALYSIS, under FAIR USE provisions of the Copyright Act of 1976, 17 U.S.C. § 107, et al.

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    article tags


    school concept
    youth concept
    police_related_news concept - local news police logs; listings of crimes in local news
    various_drugs concept - general terms for drugs
    cannabis concept - cannabis (marijuana) product or use
    alcohol concept - ethyl alcohol for intoxication
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    propaganda_theme7 concept - drug war propaganda theme: total prohibiton or access
    propaganda_theme5 concept - drug war propaganda theme: children corrupted by drugs
    propaganda_theme3 concept - drug war propaganda theme: survival of society
    propaganda_theme2 concept - drug war propaganda theme: madness, violence, illness caused by drugs
    drugwar_propaganda concept - a drug war propaganda event, campaign release, slogan, or theme
    drug_related concept - related to illegal drugs and prohibition