PAKC - TMS Therapy

Is TMS More Painful than Chronic Depression?

We all know the nuisance of suffering from depression. It is frustrating as well as painful. After all, the impact of this mental condition is not just limited to the sufferer but their family and friends also feel the same pain of suffering.   That is why; anyone who suffers from frustrating and painful depression condition is always willing to opt for a treatment that would show promising results. But when the sufferer opts for Transcranial Magnetic Stimulation therapy, he/she chooses to go with painless treatment.  

TMS is a Painless Procedure

TMS is a non-invasive therapy and is painless. However, as you go through the first few sessions, you may feel a slight or a little weird pain. In fact, this is known as one of its side effects and it is the only reported side effect of TMS therapy.   Most people, as they feel slight pain, take it as an indication of something going wrong. But the fact is; this pain is temporary and doesn’t lead to further pain or problems like tissue damage. In other words, when you opt for TMS therapy, you choose to go with the safest procedure.   TMS therapy causes no damage to your body, nerves on the scalp, head or brain. This is not only one of the safest procedures but also the one that shows excellent results in the treatment of chronic depression -   a mental condition that is way more painful and distressing than the TMS therapy itself.   Also, when you take the assistance of a professional psychiatrist, they make sure you don’t even feel the initial pain. This mild pain can be treated with Tylenol. It starts to fade away as you continue with your therapy session.   All in all, TMS is the most effective treatment to cure different psychiatric conditions. While TMS may be mild painful initially, it helps to get rid of far too distressful mental condition that may otherwise aggravate and linger on throughout your life.        

Is TMS Better Than Anti-Depressants?

Just like any other medication, the psychiatric medication is also capable of producing both beneficial and frustrating results, depending on the patient’s condition.   The STAR*D study is a multi-center large study of depression treatment and the above-stated statement is consistent with it. The STAR*D is a definitive study that was sponsored by the National Institute of Mental Health. The study was conducted on thousands of depression patients and only one patient in three experienced remissions after taking antidepressant drugs.   To your surprise, every subsequent attempt, the response rate decreased remarkably while increasing the side effects probability.  And if we study the graphical representation of the STAR*D study, the odds of remission in the 4th attempt were less than 7%.   So what is the best option than taking psychiatric medication?   Well, the answer is simple i.e. Transcranial Magnetic Stimulation or TMS. This FDA approved, non-invasive procedure shows excellent as well as progressive results in individuals, suffering from depression and anxiety for years. More than 80% of patients who have taken TMS therapy showed great improvement in achieving remissions including the elimination of symptoms.   Some of the great advantages of TMS therapy include;
  • Effectiveness: Almost 80% of individuals show a significant response
  • Non-systematic: TMS therapy produces effects precisely on the particular region of the brain and without affecting any other parts of the body
  • Non-invasive: The therapy can be conducted without any sedation, medication or even anesthesia. The patient remains awake and alert throughout the treatment session.
  • Minimal Side Effects: The side effects of TMS therapy are temporary and minimal. In fact, there are no reported side effects just like other medications like weight gain, tiredness, sexual dysfunction etc.
  In short, TMS takes charge when psychiatric medication fails to make a difference. To receive the best results in just one session, make sure that the therapy is conducted only by the well-qualified and experienced professionals.           

Schizophrenia – A Serious Mental Illness

    The latest US stats indicate that the prevalence of schizophrenia in the country is 0.3%. The number appears to be insignificant. However, many medical experts are of the view that the report has seemingly missed the unreported cases of schizophrenia. To this day, patients who have the signs of the disorder tend to keep their condition in the fear of being stigmatized by society.   A severe kind of mental disorder, Schizophrenia is a condition which negatively impacts a person's decision-making abilities, relationships, emotions, and thinking capabilities. It describes the fragmented or scattered pattern of thinking. Often occurs during late-adulthood, the condition doesn't have a definite cure to date. Since the disorder is a form of a syndrome which means that there are lots of symptoms that can be associated with it, whatever treatment is available these days is aimed at treating the symptoms.   While the onset of the disorder can be at any age, schizophrenia is rare in early adolescence or in childhood. It usually occurs in early adulthood or in late adolescence. The likelihood of a man with the disease is the same as that of a woman's. But a fascinating thing to note is that the disorder tends to present in men at an early age and also affects them severely.    


  There are no typical symptoms that can help define the existence of the disorder in a person. Over the years of study, medical experts have categorized symptoms into three major groups:    

Positive symptoms

  These are psychotic symptoms like hallucinations and delusions. They are the most visible and often the first sign of the outbreak of the disorder. A person suffering from these often clings on to false beliefs and doesn't reject his or her ideas even there is ample proof against the held beliefs.    

Cognitive symptoms

  This involves problems with memory or concentration. As a result, a person can have the further problem of disorganized speed or scattered thinking.  They are subtle to the point of being less noticeable.    

Negative symptoms

  Often misdiagnosed as either symptom of depression or side-effects of psychotic drugs, these symptoms cause a reduction in normal activities of a person.  Such people can witness a loss of interest in many things and often develop a condition called the flat affect - where a person doesn't react to anything at all.   All of these symptoms indicate the onset of the disorder. A patient can exhibit all of the symptoms discussed above.    


  Complete recovery from the condition is possible, but there are chances of relapses. Patients may be recommended to take medicines throughout their lives. Besides this, a doctor may advise a patient to undergo psychotherapy so that they can better understand how to deal with their thoughts and behaviors.    

Understanding Brief Psychotic Disorders

    As the name suggests, brief psychotic disorder is a psychiatric condition that appears all of sudden, yet lasts for a short-term. It can be for a period of 30 days or less, sometimes for even a day. While these temporary symptoms don't indicate the existence of a chronic mental health condition, they may be, in some cases, severe enough to lead a person to suicide.     Generally, brief psychotic disorder-related cases occur when individuals are in their 20's or 30's.    


  A person with this condition may exhibit some, or all, of the following symptoms:
  • Disoriented speech
  • Hallucinations
  • Memory loss
  • Delusions
  • Sleeping and eating disorders
  • Disorganized behavior
  • Showing difficulty in making decisions
  According to medical experts, women have a larger tendency to having this disorder than men. In women who have given birth, the condition may arise within four weeks of the childbirth as postpartum depression.     Normally, these symptoms don't impair or hinder a person's normal life and after one episode, people are generally able to resume their daily activities. But for people who already have a psychiatric condition or personality disorder, these symptoms may be more extreme and can be the first sign of a severe mental health condition like schizophrenia or schizoaffective disorder.    

How Is It Caused

  Medical experts haven't found a definite cause for the condition. Many link it to genetic as this condition tends to run in families. People who have a family history of mood disorders, bipolar disorder or depression are more likely to have the condition at some point.     There are two forms of the disorder: brief psychotic disorder with obvious stressors, and brief psychotic disorder without a trigger.     Brief psychotic disorder with obvious stressor occurs after an unforeseen, stressful or traumatic event. The event that causes behavioral change is called a stressor or a trigger and it can be the death of a loved one or a natural disaster or any other stressful event.     In women who have recently given birth, the condition arrives within the four weeks of giving birth to a child.     Brief psychotic disorder without obvious stressor occurs without any apparent traumatic or stressful event to which the condition can be linked.    


  Brief psychotic disorders are treatable and the person suffering from them can recover completely. However, a medical practitioner will need to detect the presence of other psychiatry conditions of which the temporary condition may be a symptom. Once the existence of a mental health problem is ruled out, medical practitioners may prescribe antidepressants or anti-psychotic medications.     For patients with mild behavioral changes, doctors will also opt for therapy. The goal of this treatment is to help patients identify the event that lead to the condition and to be in control of this reaction.    


  Usually, people who have had the first episode are able to cope with the condition in a short time after initial supervision. They can take their medications and learn how to deal with stress. Those whose condition doesn't improve within the first six months of the treatment may either experience another episode or be diagnosed with a chronic psychotic disorder such as schizophrenia.     PAKC are experienced physicians with the expertise of both medication management and psychotherapy. They take a holistic approach based on compassion and empathy to deal with mental disorders including depression. PAKC also oversees the IV ketamine treatment for treatment-resistant depression cases.    

Paraphrenia: What You Need to Know

    Paraphrenia is a psychotic disorder which is similar to schizophrenia but not as severe as the latter in terms of personality deterioration. The onset of the disorder is during the last stages of life, so it is generally found among the elderly.     In the late 1890s, medical expert Emil Kraepelin used the terminology 'paraphrenia' to define a group of patients who were exhibiting mild symptoms of schizophrenia.     Today, medical practitioners define delusional disorder with hallucinations as paraphrenia. The condition is also one of the signs of the onset of dementia in a person. Such people experience hallucinations and may talk about things that are not happening. For example, an individual may talk about experiencing police surveillance with no evidence to back the claim.     Unlike schizophrenia, this condition is less hereditary and progresses slowly. It is also observed that people who are overly-sensitive are susceptible to having the condition.    

The Causes of the Disorder

  There can be the following two causes for the occurrence of paraphrenia:    

1. Neurological

  Any physical changes in the brain, particularly caused due to stroke, tumor or neurodegenerative process, can result in paraphrenia.    

2. Predisposing Factors

  Factors like any sensory impairment (hearing or visual), a lack of social contacts or strained relationships may not necessarily be a cause of the disorder. But their pre-existence in a person makes him or her more likely to have paraphrenia.    


  For a long time, paraphrenia was often misdiagnosed as the late-onset of schizophrenia. While the disease may be similar to this psychotic disorder, it has usually adopted the positive traits of that disorder.     The health of the person with the condition doesn't deteriorate at a fast pace. The only similarity that the two disorders may have with respect to each other is that they cause hallucinations and delusions in patients.     What makes this condition difficult to be diagnosed is the fact that a patient doesn't show significant changes in habits or personality or even intellect. They are also well-oriented and well-aware of the time and their surroundings.  They can, however, be paranoid in normal settings; have the fear of being followed or spied upon.    


  Even though it is rare, the disorder can also be temporary in nature, allowing the patient to recover fully.  In most cases, however, mostly because of the older age of patients, the disease remains with the patient for a long-term and is managed through proper medication. The treatment is simple and requires antipsychotic medications which have to be taken regularly.      

Munchausen’s Syndrome

   Munchausen’s Syndrome, also known as factitious disorder imposed on self, is a mental illness. A person diagnosed with Munchausen’s Syndrome repeatedly acts as if they have a physical, emotional, or cognitive disorder when the opposite is true. The person with Munchausen’s Syndrome is the one causing the symptoms.  

Why and How Do They Cause the Symptoms?

  People cause the symptoms of a physical, emotional, and cognitive disorder because of an inner desire to have others see them as ill or injured. However, they do not act this way for any financial gain or any other concrete benefit involved. To get sympathy and special attention and care from others, they are willing to endure painful, intensive, or risky operations and tests.     Some even go as far as injuring themselves to draw blood such as having blood in the urine or cyanosis of a limb where they cut the blood supply off to a certain part of the body, causing the skin to turn a shade a blue. Therefore, a person suffering from Munchausen’s Syndrome is dealing with severe emotional distress. Munchausen’s Syndrome can occur in children, but young adults are more likely to develop it.  

What Are the Symptoms of Munchausen’s Syndrome?

  The symptoms of Munchausen’s Syndrome include:  
  • Dramatic, but varying medical history
  • Unclear symptoms that are not controllable and that become more severe or change once treatment has begun
  • Expected relapses following improvement in the condition
  • Extensive knowledge of hospitals and/or medical terms along with textbook descriptions of diseases and illnesses
  • Presence of several scars due to surgery
  • Developing of new or more symptoms following negative test results
  • Symptoms appear only when the patient is alone or is not under observation
  • Willingness or eagerness to have operations, medical tests, or other procedures
  • History of seeking treatment at several clinics hospitals, and doctors' offices, perhaps located in a different city than theirs
  • Unwillingness by the patient to allow medical professionals to meet with or talk to family, friends, or previous medical professionals
  • Issues with identity and self-esteem
  • More comfortable staying in the hospital than others
  • Extensive medical knowledge from many hospitalizations or previous work

What Causes Munchausen’s Syndrome?

  Even though researchers have not been able to determine the exact cause behind Munchausen’s Syndrome, they think that both psychological and biological factors may have a part in the development of this. Some researchers have even theorized that a history of neglect and abuse as a child or a history of falling ill and being hospitalized may be responsible for its developments. Researchers are also trying to find links of Munchausen’s Syndrome with personality disorders, which people with this syndrome commonly suffer from.    

It’s a False Life – How Delusional Disorder Affects People

      Do you know anyone who is living in the constant fear that someone will harm him or her? Have you ever heard to someone talk for hours about things that don't exist? There is a high possibility that a person who is exhibiting these signs is suffering from a rare medical condition called delusional disorder.     It is a condition in which the sufferer cannot intelligently distinguish between imaginations and reality. Such a person will cling to false beliefs and refuse to give up, even when presented with facts. While these people do not behave in a definitive odd manner in public, they often have the tendency to get lost in their own thoughts, thus secluding themselves within a crowd.     For the condition to be termed as a mental disorder, the signs need to exist for more than a month. For example, in a conflict-affected zone, a person complaining about hearing gunshots is not suffering from the disorder. The reaction is merely an effect of the environment he or she has been exposed to. But if the condition persists for more than one month, the person may require psychiatric help.    

Classification of Delusions

  Delusions are called 'bizarre' when people within the same environment cannot recognize them. For instance, a person talks about witnessing a snowfall in the desert region.  'Non-bizarre' delusions, on the other hand, relate to the incident which can exist but there is no sufficient evidence of their occurrence.    

Different Forms of Delusions

  Spotting the signs of delusional disorder can be tricky as the person with the condition usually carries out their routine activities in an efficient manner. And save the delusions, there is no apparent change in behavior. Generally, a person who shows the following signs is diagnosed with the disorder:     Grandiose – having the wrong perception of being special.     Somatic – having the wrong perception of suffering from a medical condition.     Jealous – being afraid that someone they trust will cheat on them.     Erotomanic - falsely believing that someone of a higher social standing is in love with them.    


  One of the most difficult aspects of the treatment of this disorder relates to a patient's denial. An individual who has a delusional disorder doesn't seek medical treatment. For people who seek professional help, experts may opt for psychotherapy or antipsychotic medications, depending on the nature of the disorder.    

What is Dissociative Stupor?

      Dissociative stupor is the rarest form of stupor, as there are many forms of it. The symptoms of dissociative stupor are difficult and complicated to resolve. A person experiencing dissociative stupor disorder cannot feel external pain and cannot move, but they are not unconscious or sleeping. Experiencing dissociative stupor can be an extremely traumatic experience for several reasons.     For instance, sensory deprivation resulting from this can open a person to develop other mental disorders. Stress remains the leading cause of a person developing dissociative stupor. In rare instances, it can be a result of undergoing surgery.     In short, the exact cause of how a person develops dissociative stupor differs from person to person. There is also a high risk to develop other mental disorders after experiencing an episode of dissociative stupor. For this reason, going for dissociative stupor treatment in Kansas City is essential for people experiencing it or know someone who is.    

The Symptoms of Dissociative Fugue

  When a person experiences an episode of dissociative stupor, they are neither unconscious or asleep. Even though they are cannot speak or move due to a disturbed consciousness, they are aware of their surroundings and what is happening around them. Blurred vision and a tingling sensation are two other indications that commonly show up in people who experience dissociative stupor. Here are the symptoms of dissociative stupor:  
  • Loss of sensitivity to pain
  • Blurred vision
  • Loss of feeling
  • Partial or complete paralysis
  • Lack of speech
  • Tingling sensations
  • Not responding to external stimuli
  For several people, having these symptoms is extremely frightening, which is why, they should go see a medical professional providing dissociative stupor therapy in Kansas City.    

Dissociative Stupor Treatment

  People experiencing dissociative stupor can seek counseling and psychotherapy. In doing so, they will learn how to deal with their emotions better before they develop depression, which would further worsen their medical condition.     The affected individuals should reach out to a medical professional with experience in providing dissociative stupor treatment in Kansas City.      

Cyclothymic Disorder

    Cyclothymic disorder, a milder form of bipolar disorder, are episodes of hypomanic symptoms — elevated mood and euphoria — and depressive symptoms that prolong for at least two years. Medical professionals do not classify this disorder as a full-blown hypomanic or depressive episode because the number, severity, and duration of the symptoms is less.  

How Do Doctors Diagnose Cyclothymic Disorder?

  For doctors to diagnose a person with cyclothymic disorder, the person should have experienced hypomanic and depressive symptoms at different times in their life for at least two years. Cyclothymic disorder begins at adolescence or early adulthood with a 15% to 50% probability of the person to develop bipolar I or II disorder.   However, the risk of a person developing bipolar I because they suffered from cyclothymic disorder is still less, as most people tend to recover and do not experience any hypomanic and depressive symptoms in the future. In both males and females, cyclothymic disorder is common.  

The Symptoms of Cyclothymic Disorder

  For children and adolescents, cyclothymic disorder symptoms last for one year, but generally, the person should exhibit its symptoms for at least two years for doctors to diagnose them with it. The symptoms of cyclothymic disorder and hypomanic disorder are the same with the only difference being the duration they last.   The symptoms of cyclothymic disorder do not last long and are less severe. Since cyclothymic disorder’s symptoms are a combination of both hypomanic and depressive disorder, it is important to look at both before diagnosing a person with cyclothymic disorder.  

Symptoms of Hypomanic Disorder

  • A lasting duration of behavior that is different from usual
  • Abuse of drugs, sleeping medications, and alcohol
  • Being more talkative than usual or feeling pressure to continue talking
  • Denial that something is wrong
  • Distractibility, inability to concentrate
  • Excessively euphoric mood
  • Impractical beliefs in their abilities and powers
  • Increased energy, anxiety, and activity
  • Increased sex drive
  • Irritability
  • Poor judgment
  • Provocative, invasive, or aggressive behavior
  • Racing thoughts and speech, jumping from one idea to another
  • Sleeping less
  • Impulsive spending behavior

Symptoms of Depressive Disorder

  • Unable to concentrate, remember, and decide
  • Excessive sleepiness or unable to sleep
  • Fatigue or lethargy
  • Feelings of worthlessness, hopelessness and, or, guilt
  • Loss of appetite and weight loss OR overeating and weight gain
  • Loss of self-esteem
  • Persistent sadness
  • Persistent thoughts of death
  • Withdrawal from activities that were once enjoyed
  • Withdrawal from friends
  The treatment for cyclothymia disorder is similar to the treatment of bipolar I and II disorder and the duration of the treatment depends on the severity of the symptoms.    

Obsessive Compulsive Disorder – What You Need to Know!

    Obsessive-compulsive disorder (OCD) is a mental illness. Anyone suffering from OCD has;
  • Obsessions - unwanted thoughts regarding disease and dirt, the occurrence of terrible things, violence, sex, or religious themes
  • Compulsion – overwhelming urge to perform different activities like checking, praying, counting and cleaning
The mental illness can affect anyone, belonging to different age groups, and commonly starts in childhood.   The cause of OCD is yet to be known. However, according to some evidence, the illness usually runs in families.  

Effects of OCD

  The illness can instantly become all consuming as well as physically disabling. The sufferers usually have a poor quality of life as the condition rules the day. Also, the signs of OCD are quite troubling for family and friends.   As the sufferer tries to stop the unreasonable obsessions, the efforts only increase the anxiety and distress of the person.  

Medication Treatment for OCD

  The most commonly used medication is the selective serotonin reuptake inhibitor – SSRI. One example of this is Fluoxetine (brand name Prozac). This medication helps to reduce compulsions and intrusive thoughts in addition to related depression.   If the sufferer doesn’t respond to an SSRI, the physician may revert to clomipramine. Oftentimes, clomipramine and SSRI are combined in treatment. Moreover, atypical antipsychotics have also proven to be effective but in low doses. Generally, medication helps the patient to get into a suitable mindset to help in conjunction with ERP (Exposure Response Prevention) therapy.  

Need to See a Psychiatrist

  OCD is a serious mental condition that needs treatment from a reputed psychiatrist.  OCD and can be treated through different therapies while the patient continues to take the prescribed medication.