Category Archives: Sadness

CES Ultra is a non-drug approach to relieve feelings of sadness.

Why Psychiatry needs CES (Cranial Electrotherapy Stimulation)

INSOMNIA

Many patients benefit from improving sleep hygiene and as a treatment for insomnia.

Others may improve using a sleep phase changes or treating the underlying problem such as sleep apnea, medical conditions, alcohol abuse, etc.

For many others, recent pharmacologic treatments prove effective and have minimal side effects. Targeting melatonin receptors is a novel and promising approach.

For many persons, however, existing treatments are ineffective, too expensive, result in side effects or conflict with their desire to avoid medications. Some side effects from medications are very disturbing, such as sleep associated behaviors that result in harm to self or others. For others, there is morning sedation, drug/drug interactions or rebound insomnia. When behavioral interventions are not effective, CES could be considered prior to initiating medications.

ANXIETY

There are many non-pharmacologic interventions for reducing anxiety. Some of these include dietary supplements, acupuncture, meditation, yoga, and exercise. These interventions, however, are not employed by a large segment of society that suffers from anxiety. These persons instead seek medications from their physician to alleviate their suffering. Typical classes of medications for anxiety include the SSRI’s, benzodiazepines as well as the off label use of antihistamines and atypical antipsychotic medications and antiepileptic medications. In addition to the inherent problems with SSRI’s, there are also problems with the other classes of medications. A serious potential side effect of benzodiazepines is their potential for inducing physical and psychological dependence. In addition, withdrawal symptoms can prove life threatening, especially with the shorter acting benzodiazepines like alprazolam. When taken as directed, which is often not the case; this class of medications can result in compromised coordination, slowed reaction time, falls, disinhibition, delirium, and anterograde amnesia.

It is not uncommon to see suicide attempts involving a combination of a benzodiazepines together with alcohol and/or another sedative hypnotic. While buspirone is relatively well tolerated, it has poor efficacy and a 3 to 4 week lag time to have an effect. Medications such as gabapentin are used off label but there is no research to support its efficacy for anxiety disorders. Unfortunately, physicians have begun using the atypical antipsychotic medications to treat anxiety. This class of medications has a large and increasing number of very serious side effects. Recent attention has been focused on their causing metabolic syndrome. They frequently cause extra pyramidal side effects, sedation, elevated prolactin levels and drug/drug interactions. All of these medications should be avoided during pregnancy and used with caution in the elderly. In short, the side effect profile of current pharmacologic treatments for anxiety limits their safe use.

DEPRESSION

There is considerable controversy regarding the efficacy for evidence based treatments for depression. The controversy also involves the risk/benefit analyses of currently approved interventions. While the primary focus has been on medications, similar concerns have been raised regarding certain psychotherapies, transcranial electromagnetic stimulation, vagal nerve stimulation, ECT and herbal and dietary supplements.

Through articles published in the lay press, the general public has been apprised of the controversy involving the efficacy of antidepressant medications. For example, Time magazine recently cited Kirsch’s meta-analysis in PLoS Medicine that found little benefit of antidepressants for most patients as well as Dr. John Krystal’s findings that about 25% of patients did worse on antidepressants than on placebo”. They have been informed about the black box warnings for SSRI’s causing suicidal behaviors. One of the results of this publicity is a growing movement away from all medications to “holistic” or “folk remedies”. In fact, many patients express fears of taking medications.

There is excellent data and clinical experience however to support the safety and lack of adverse side effects from CES and it should be included in the spectrum of available treatments as it poses very low risk of harm to patients.

Excerpts from “A View from the Trenches” written by Jason Worchel, M.D.

More CES Research – https://www.cesultra.com/research-resources.php

Why Psychiatry needs CES

The prime directive – Do No Harm

The primary duty to patients should be to “do no harm”. Avoiding harm typically results in an approach that follows a spectrum of interventions beginning with treatments that pose the least risk of adverse side effects.

The harm reduction approach increases the likelihood patients will benefit without being exposed to unnecessary risks of harm. CES should be included in the spectrum of available treatments as it poses very low risk of harm to patients.

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CES as a safe and effective alternative

People worried about the use of pharmaceutical drugs should consider CES as a safe and effective alternative

The FDA has expressed concern as to utilization of CES without first employing more “conventional” treatments. Unfortunately, the more conventional treatments at times are not only ineffective but also in many circumstances contribute to a worsening of the condition or result in deleterious side effects.

This can result in necessary therapeutic alliance adversely impacted. Frequently, patients will mention the advertisements they see on television by various attorneys soliciting patients who have been harmed by approved medications, ECT or other treatments. They are worried about being harmed by prescribed treatments and become suspicious of their health care professionals.

There is excellent data and clinical experience however to support the safety and lack of adverse side effects from CES and it should be included in the spectrum of available treatments as it poses very low risk of harm to patients.

Excerpts from “A View from the Trenches” written by Jason Worchel, M.D.

More CES Research – https://www.cesultra.com/research-resources.php

Surprising Uses for Electromagnetic Pulse Therapy

from motherearthnews.com

By administering energy in controlled, coherent pulses, physicians can use electromagnetic pulse therapy to treat wounds, chronic pain, and alcoholism. While research supports the benefits of this type of therapy when performed by professional physicians using clinical instruments, it does not support claims that electrotherapy mats and home devices effectively treat soft tissue pain. This article, then, looks only at professionally administered therapies.

Wound Healing

Low-intensity direct current (LIDC) is safely administered by placing the electrodes from the LIDC instrument onto the surface of the skin. A very small amount of electric current flows in one direction to the site and creates a magnetic field around the wound. This creates an effect known as galvanotaxis, which causes fibroblasts and keratinocytes to travel to the wound and begin to heal tissue upon reaching the damaged area. In studies, this effect has been shown to increase the rate of healing by 100% to 150%. It also makes the resulting scar tissue more resistant to future damage.

In addition, LIDC has antimicrobial effects. In two studies, patients who received LIDC experienced no infections and less discomfort at their wound sites. Typically, treatment is administered for 60 minutes each day until the wound is healed.

Depression, Pain, and More…

ces ultra treatmentCranial electrotherapy stimulation (CES) is another type of electric procedure approved by the FDA when administered by trained physicians and health providers. In this treatment for depression, insomnia, and anxiety, electrodes that are placed on the ears send a small electric current into the brain. This deactivates certain portions of the brain, which mitigates symptoms of neural imbalance and hyperactivity by controlling neurotransmitter release and neuron signaling patterns.

This deactivation has also been shown to reduce the pain symptoms of fibromyalgia. Patients using CES devices report that they experience a decrease in chronic pain, and MRI scans confirm that this is due to a deactivation of pain signaling in the brain.[8] Fibromyalgia patients using CES have been shown to experience a 28% reduction in tenderness, a 27% reduction in pain intensity, and a 55% improvement in quality of sleep. Similarly, patients who use CES therapy for spinal cord injuries report a significant decrease in pain intensity.

Alcoholism

CES has also been used to treat the symptoms of alcohol withdrawal. Studies show that CES can help alcoholics to reduce their alcohol consumption as well as the stress and depression associated with quitting. The treatment plan consists of daily 30-minute sessions over a period of four weeks. Additional studies indicate that the calming effect of CES also reduces anxiety symptoms in alcoholics.

How To Find Effective Electrotherapy

This discussion of electrotherapy comes with two important caveats. The first is that home use electrotherapy mats are not proven to be effective at relieving soft tissue pain. The pain relief described here is a result of direct current being applied to the brain by clinical CES devices that are operated by physicians. Mats are not shown to achieve this result.

The second important note is that CES shuts down parts of the brain. This makes it an effective method for relieving symptoms, but like medication, it is not a cure or remedy. The advantage that CES has over medication is that CES does not elicit side effects. As FDA-approved treatments, LIDC and CES are available at clinics that specialize in trauma therapy and rehabilitation, and are likely to be covered by most insurance companies. Natural Health Advisory Institute has a searchable physician or practitioner directory where those practicing electrostimulation therapy can be located.

A View from the Trenches: Why Psychiatry needs CES – Part 3

Depression

There is considerable controversy involving the efficacy of antidepressant medications.
The controversy also involves the risk/benefit analyses of currently approved interventions For example, Time magazine recently cited Kirsch’s meta-analysis in PLoS Medicine that found little benefit of antidepressants for most patients as well as Dr. John Krystal’s findings that about 25% of patients did worse on antidepressants than on placebo”.

ces-treats-depression

There are also many non-pharmacologic interventions for reducing anxiety. Some of these include dietary supplements, acupuncture, meditation, yoga, and exercise. These interventions, however, are not employed by a large segment of society that suffers from anxiety.

These persons instead seek medication from their physician to alleviate their suffering. Typical classes of medications for anxiety include the SSRI’s, benzodiazepines as well as the off label use of antihistamines and atypical antipsychotic medications and antiepileptic medications.

In addition to the inherent problems with SSRI’s, there are also serious problems with the other classes of medications. A serious side effect of benzodiazepines includes their potential for inducing physical and psychological dependence. In addition, withdrawal symptoms can prove life threatening, especially with the shorter acting benzodiazepines like alprazolam. When taken as directed, which is often not the case; this class can result in compromised coordination and slowed reaction, falls, disinhibition, delirium, and anterograde amnesia.

It is not uncommon to see suicide attempts using a combination of a benzodiazepine together with alcohol and/or another sedative hypnotic. While buspirone is relatively well tolerated, it has poor efficacy for many anxiety disorders and 3 to 4 week lag time to effect often leads to premature discontinuation.

Medications such as gabapentin are used off label for anxiety disorders but there is no research to support its efficacy. Unfortunately, physicians have begun using the atypical antipsychotic medications to treat anxiety. This class of medications has a large and increasing number of very serious side effects. Recent attention has been focused on their causing metabolic syndrome.

They frequently cause extra pyramidal side effects, sedation, elevated prolactin levels and drug/drug interactions. All of these medications should be avoided during pregnancy and used with caution in the elderly. In short, the side effect profile of current pharmacologic treatments for anxiety limits their safe use. CES is a safe, initial alternative to such medications.

Insomnia
Many patients benefit from improving sleep hygiene as a treatment for insomnia. Others may improve using a sleep phase changes or treating the underlying problem such as sleep apnea, medical conditions, alcohol abuse, etc.

ces-treats-insomnia

For many others, recent pharmacologic treatments prove effective and have minimal side effects. Targeting melatonin receptors is a novel and promising approach. For many persons, however, existing treatments are ineffective, too expensive, result in side effects or conflict with their desire to avoid medications.

Some side effects from medications are very disturbing, such as sleep associated behaviors that result in harm to self or others. For others, there is morning sedation, drug/drug interactions or rebound insomnia. When behavioral interventions are not effective, CES could be considered prior to initiating medications.

By Jason Worchel, M.D., a noted psychiatrist and Director of the Hilo Mental Health Center in Hilo, HI. This post is from a paper written by Dr. Worchel in his testimony before the F.D.A. concerning the effectiveness and safety of CES from the perspective of a practicing psychiatrist.

All LIkert Scales

All scales receive the score above the X that the patient placed on each line, with the exception of the Time to Go To Sleep, in which the score is from 0 to 10, with one minute scored 0 and 50+ minutes scored 10. To get the total score for each scale just add the scores of the individual items together.

The depression and anxiety scales can be used alone for the study of those disorders, or the depression scale can be used along with the hypomania scale to study emotion swings in bipolar patients.

All 4 LIkert Scales

download them as pdf files

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cesultra-LIkert-scalescesultra-LIkert-scales

Statistical Note: These scales obviously force non linear data onto a linear scale for statistical handling. If groups of patients are studied pre and post treatment, it is best to let each group serve as its own control due to the error variance that can be best held constant in that manner

If a patient is to be individually clinically examined, then the percent change score as a result of treatment can be obtained by dividing the pre treatment score into the post treatment score and multiplying the result by 100.
Statistician. If a researcher wishes, he can email the scores in two separate groups, such as “group A” and “group B” to Ray Smith at ray.smith@Nastos.com, and he will do the statistical analysis and email the results back, usually within a couple of days.

Journal Write-up. If a researcher wishes, Dr. Smith will also write up the study for publication if the researcher will give him the name of the journal he wishes it published in so he can follow that journal’s author’s format.
Both of the above services are free for CES studies, though ethically, Dr. Smith has to append his name to the end of a published study he has been involved with.

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