A man discusses his treatment-resistant deperssion with his therapist
Depression, TMS Treatment

What to Do When Therapy for Depression Doesn’t Work

Have you found yourself at a standstill in your battle against depression despite engaging in traditional therapy? It’s crucial to recognize that you’re not alone in this struggle. Exploring alternative treatment options becomes paramount in regaining control over your mental health and well-being. This blog aims to shed light on one such innovative approach, known as transcranial magnetic stimulation (TMS), offering hope and renewed possibilities for people living with treatment-resistant depression.

As an experienced provider of treatment-resistant depression programs, our Gemini TMS team understands the frustration, hopelessness, and emotional exhaustion that comes with failed treatment attempts. We also know that it takes courage to seek alternative solutions when traditional methods don’t work. So, if you’re considering TMS therapy or want to learn more about this innovative treatment method, call Gemini TMS at (301) 363-1063 or schedule a consultation with our medical experts today.

Two hands hold a clipboard with the words "transcranial magnetic stimulation" on it

The Impact of Depression

When depression takes hold, its effects extend far beyond just the emotional realm. The symptoms and effects of depression can significantly disrupt various facets of a person’s daily life, casting a shadow over their overall well-being, even when depression medication has been prescribed.

Some common signs your depression medication isn’t working include:

  • Persistent Feelings of Sadness or Emptiness
  • Loss of Interest in Previously Enjoyable Activities
  • Changes in Appetite and Weight
  • Fatigue and Decreased Energy Levels
  • Difficulty Concentrating and Making Decisions
  • Insomnia or Excessive Sleeping
  • Feelings of Worthlessness or Guilgt
  • Recurrent Thoughts of Death or Suicide

When left unaddressed, these symptoms can permeate one’s personal, professional, and social spheres, leading to social isolation, absenteeism, and financial difficulties. The impact of depression is not just limited to the individual but can also affect their loved ones and relationships. Therefore, seeking effective treatment becomes crucial in managing depression’s debilitating effects and regaining a sense of control over your life.

If you are experiencing any of these symptoms, call or text the Suicide and Crisis Line at 988.

If you feel as though you might harm yourself or others, call 911 immediately.

A woman holds her hand to her face due to depression-caused fatigue

Understanding Treatment Resistance

So, what happens if you can’t treat depression? While traditional therapies such as medication and talk therapy have proven effective for many people living with depression, some individuals may experience treatment resistance. Treatment-resistant depression is defined as a lack of response to two or more antidepressant medications from different classes in an adequate dosage and duration. It’s essential to note that this doesn’t mean no other treatment options are available.

If you’re feeling like your current treatment plan isn’t returning the expected results, it’s vital to recognize that therapy resistance can manifest in various ways, impacting your mental health.

Some factors contributing to therapy resistance include:

  • Biological Factors: Variations in brain chemistry or genetic predispositions can influence how individuals respond to medications, potentially leading to treatment resistance.
  • Psychological Barriers: Unresolved trauma, negative thought patterns, or co-existing mental health conditions can impede the effectiveness of treatment strategies.
  • Environmental Influences: Stressful living environments, lack of social support, or ongoing life challenges can hinder the progress of depression therapy.

Understanding these aspects is pivotal in fostering open communication with your healthcare provider and pivoting towards a more effective, personalized treatment path that aligns with your unique needs and experiences.

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TMS as a Depression Treatment Option

Transcranial magnetic stimulation (TMS) stands as an innovative and effective treatment for depression, offering hope to individuals seeking relief from the burdens of mood disorders. TMS involves using magnetic fields to stimulate nerve cells in the brain, particularly those associated with mood regulation, presenting a non-invasive and well-tolerated therapeutic approach.

Transcranial magnetic stimulation is a cutting-edge therapy that utilizes magnetic pulses to activate specific regions of the brain, targeting areas implicated in mood regulation. This precise modulation of neural activity holds promise in alleviating symptoms of depression, even in cases where traditional treatments may have fallen short.

During a transcranial magnetic stimulation session, a specialized electromagnetic coil is gently positioned against the scalp by a medical professional who knows how to manage treatment-resistant depression, delivering focused magnetic pulses to the brain. These pulses induce tiny electrical currents within the targeted brain regions, fostering the release of neurotransmitters crucial for mood stability. The procedure is meticulously tailored to each individual’s unique neurophysiological profile, allowing for a personalized and comprehensive approach to treatment.

Research has underscored the efficacy of TMS in ameliorating depressive symptoms, with numerous studies demonstrating substantial improvements in mood and overall well-being among individuals undergoing transcranial magnetic stimulation therapy. The compelling evidence supporting TMS efficacy provides a beacon of hope for those navigating the complexities of depression, offering a path towards lasting relief and enhanced quality of life.

Transcranial magnetic stimulation is renowned for its favorable safety profile, characterized by minimal systemic side effects and negligible impact on cognitive function. The non-invasive nature of TMS renders it an appealing option for individuals seeking a treatment modality devoid of the adverse effects often associated with pharmacological interventions. Moreover, the precision of transcranial magnetic stimulation administration minimizes the risk of unintended neural interference, further bolstering its safety credentials.

In embracing the transformative potential of TMS, those struggling with depression can access a safe, non-invasive, and highly personalized therapy that addresses the unique challenges of treatment-resistant depression. This revolutionary approach to treating depression offers hope, renewed possibilities, and, ultimately, a path toward improved mental health and well-being.

A doctor explains to her patient how treatment-resistant depression can be helped with TMS

Breaking Free from Treatment-Resistant Depression with Gemini TMS

At Gemini TMS, we understand that living with treatment-resistant depression can feel isolating, disheartening, and frustrating. With our comprehensive treatment-resistant depression program, we aim to empower individuals struggling with the complexities of mood disorders because we have the expertise to know what to do if medications isn’t working for depression.

Explore the transformative potential of transcranial magnetic stimulation and take a step towards breaking free from treatment-resistant depression today. Call our friendly Gemini TMS team at (301) 363-1063 or contact us online for a consultation. Our medical experts have the knowledge, experience, and compassion to help you take back control of your mental health. Don’t let treatment-resistant depression hold you back any longer. Reach out to Gemini TMS today.

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Depression, TMS Treatment

How Does Persistent Depressive Disorder Compare to Major Depressive Disorder?

Understanding the complexities of depression is essential in our journey to find effective treatments. There are two primary types of depression: persistent depressive disorder (PDD) and major depressive disorder (MDD). While PDD and MDD have similar symptoms, they differ in duration and severity.

At Gemini TMS, our team has years of experience in treating both PDD and MDD. We understand that seeking help for depression can be overwhelming, which is why we strive to provide compassionate and personalized care for our clients. We are proud to offer transcranial magnetic stimulation therapy at our depression treatment centers Mount Airy Maryland. TMS is a non-invasive procedure that uses magnetic fields to stimulate nerve cells in the brain.

First, however, it is crucial to understand what these two conditions are and how they compare to each other.

Understanding Depression

Depression is a common and serious mental health condition that negatively affects how you feel, think, and act. It induces feelings of sadness or a loss of interest in activities once enjoyed. This emotional state is far more than just feeling “down” or experiencing sadness in response to life’s struggles and setbacks.

Depression can lead to a variety of emotional and physical problems, reducing your ability to function at work and home. Symptoms can range from mild to severe and may include feelings of sadness or hopelessness, loss of interest or pleasure in activities, and difficulty sleeping or concentrating.

Now, let’s talk about the prevalence of depression. According to the National Institutes of Health, more than 264 million people of all ages suffer from depression worldwide. It is the leading cause of disability and can affect anyone, regardless of age or background.

It’s important to note that depression is not a sign of weakness or something that one can “snap out of”. It’s a real, treatable medical condition, and the first step to getting appropriate treatment is understanding the condition itself.

Remember, if you or someone you know is struggling with feelings of depression, it’s crucial to seek professional help. There are many effective treatments available, including psychotherapy, medications, and other methods like transcranial magnetic stimulation. These treatments can be tailored to meet your individual needs, ensuring the most effective path to recovery.

What Is Moderate to Severe Depression?

So, what does moderate depression mean, as well as what does severe depression mean?

Depression is a complex mental health condition that varies in intensity, with moderate to severe depression representing the more intense end of the spectrum. This form of depression can significantly impact your daily life, inhibiting your ability to work, study, eat, sleep, and enjoy activities you once found pleasurable.

So, how does moderate to severe depression differentiate from other forms of depression? The main distinguishing factor lies in the intensity and duration of the symptoms. While all forms of depression share common symptoms like persistent sadness, loss of interest in activities, and feelings of hopelessness, individuals with moderate to severe depression experience these symptoms in a much more intense and prolonged manner.

In cases of moderate depression, symptoms are challenging enough to be noticeable to others and begin to interfere with your daily activities. Severe depression, on the other hand, is the most debilitating form of the condition. Here, the symptoms are so intense that they significantly disrupt your ability to participate in daily activities. You may find it virtually impossible to get out of bed or carry out simple tasks.

It’s important to understand that depression is not a monolith; it manifests differently in every individual. Thus, treatment plans should be individualized and tailored to each person’s unique needs and circumstances.

Persistent Depressive Disorder Explained

Persistent depressive disorder, also known as dysthymia, is a chronic form of depression that can significantly affect your quality of life. Unlike major depressive disorder, which might involve severe depressive episodes, PDD is characterized by long-term, persistent symptoms that may not be as disabling but can prevent you from functioning well or feeling good.

If you are living with PDD, you may experience a depressed mood that lasts for at least two years. During this time, you may have periods of relative happiness, but these periods are often interspersed with episodes of major depression.

What are the long-term effects of depression?

Common effects of PDD include a loss of interest in daily activities, feelings of hopelessness, low self-esteem, and an overall feeling of inadequacy. You may also experience changes in appetite, lack of energy, and difficulty concentrating or making decisions.

Major Depressive Disorder: An Overview

MDD, also known as clinical depression, is a significant mental health condition that affects millions of people worldwide. This disorder goes beyond occasional feelings of sadness or having a “blue” day. It is a persistent, severe, and pervasive form of depression that can significantly impact your daily life.

If you are living with MDD, you are experiencing a constant state of low mood or loss of interest in activities you once enjoyed. These feelings are accompanied by a range of physical and psychological symptoms that persist for at least two weeks.

Additional common symptoms associated with major depressive disorder are:

  • Persistent feelings of sadness, hopelessness, or emptiness
  • Loss of interest or pleasure in activities once enjoyed
  • Significant changes in appetite or weight
  • Sleep disturbances, including insomnia or sleeping too much
  • Fatigue or loss of energy
  • Feelings of worthlessness or excessive guilt
  • Difficulty thinking, concentrating, or making decisions
  • Frequent thoughts of death or suicide

If you are experiencing any of these symptoms, call the Suicide and Crisis Lifeline at 988.

If you feel as though you might hurt yourself or others, call 911 immediately.

Comparison Between PDD and MDD

As we delve into the world of mental health, it’s essential to understand the nuances that differentiate one disorder from another.

Firstly, the duration and severity of symptoms set PDD and MDD apart. If you are experiencing PDD, also known as dysthymia, you’re dealing with a chronic form of depression characterized by a depressed mood that lasts for at least two years. However, the symptoms may not be as disabling as those of MDD, but they persistently linger, creating a long-term depressive state.

On the other hand, if you are living with MDD, you are experiencing more severe symptoms that persist for at least two weeks. The intensity of these symptoms can significantly disrupt your ability to function in daily life, making MDD a more acute form of depression compared to PDD.

The impact of each disorder on the quality of life varies as well. PDD, with its persistent but less severe symptoms, can lead to a consistent feeling of unhappiness or dissatisfaction, affecting your relationships, work performance, and overall enjoyment of life. It’s like a gray cloud that constantly hangs over you.

In contrast, MDD can be profoundly debilitating. The severe symptoms can make it extremely difficult for you to perform daily activities, maintain relationships, or even care for yourself. It’s akin to a storm that might come and go but leaves significant disruption in its wake.

Despite these challenges, there is hope. Transcranial magnetic stimulation, a non-invasive procedure that uses magnetic fields to stimulate nerve cells in the brain, has shown promise in treating both PDD and MDD. It’s a safe and effective treatment option that can be tailored to your unique needs, helping you manage your symptoms and improve your quality of life.

Exploring Transcranial Magnetic Stimulation

Transcranial Magnetic Stimulation, or TMS, is an FDA-approved treatment for depression that uses magnetic fields to stimulate nerve cells in the brain. The procedure involves placing a small magnetic coil against your scalp and delivering focused magnetic pulses to the part of the brain responsible for mood regulation. This stimulation helps improve communication between nerve cells, ultimately reducing symptoms of depression.

Since TMS is a non-invasive procedure, it involves no surgery or medication. The treatment typically occurs in an outpatient setting and does not require hospitalization or anesthesia. This means that you can continue your daily activities immediately after each session, making it an ideal option for those with busy schedules.

Benefits of TMS Treatment

There are significant benefits of TMS treatment, such as:

Safety and Non-Invasiveness

Transcranial magnetic stimulation is a non-invasive procedure, meaning that it does not involve any surgery or incisions. This makes it a safe treatment option for individuals who may have other medical conditions that prevent them from undergoing invasive procedures.

Effectiveness in Treating PDD and MDD

TMS has been shown to be an effective treatment option for both persistent depressive disorder and major depressive disorder. Studies have shown that TMS can significantly reduce symptoms of depression, leading to an improved quality of life.

Supported by Research

The use of transcranial magnetic stimulation for the treatment of depression is backed by numerous studies and research. The American Psychiatric Association, the World Health Organization, and other prominent medical organizations recognize TMS as a safe and effective treatment option for depression.

Explore Treatment for Depression Mt Airy Maryland at Gemini TMS

At Gemini TMS, we understand the unique nature of each individual’s struggle with depression. That’s why our team of expert healthcare providers tailors each treatment plan to meet your specific needs, ensuring the most effective path to recovery. Some people ask our team, “Can I be depressed and not know it?” The answer is yes. But rest assured that our Gemini TMS team can tell you more about how to get diagnosed for depression. Find out more by contacting Gemini TMS online or calling us at (301) 363-1063. Make today the day you begin to ease symptoms of depression at Gemini TMS.

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Are You Living With Treatment Resistant Depression? Here Are Some Tips:

For many people around the world, depression becomes a part of their mental health journey. 

While depression is the leading mental illness across the globe, treatment resistant depression affects around 30% of those diagnosed

Being constantly stuck in a dark hole of depression can feel like there’s no way out. It’s hard to keep up hope that things will get better and trying something new for relief may be overwhelming. The discouragement felt when reaching out for help only to have it fail can be especially heartbreaking. 

However, we want to offer some encouragement– if you have tried to relieve yourself from symptoms of depression and so far have been unsuccessful, we want to invite you to continue reading for more information and resources.

How Do You Know If You Have Treatment Resistant Depression?

Treatment resistant depression is a serious condition that can be difficult to identify because symptoms are often similar to those of regular depression. 

Therefore, in order to know definitively if you or someone you care about has treatment resistant depression, it is important to know the criteria that one must meet before being formally diagnosed with this disorder. 

Generally, it is determined that an individual has treatment resistant depression when they have had two different antidepressant medications take effect within 8-12 weeks and are still exhibiting symptoms of moderate to severe depressive episodes. 

For treatment resistant bipolar disorder, there is no true standard criteria, however, many follow the same guidelines as treatment resistant depression. 

Back view of businessman with black umbrella and black cloud above
Back view of businessman with black umbrella and black cloud above

Treatment Resistant Depression Symptoms:

Treatment resistant depression criteria can be difficult to identify as symptoms vary from person to person. 

Common treatment resistant depression symptoms include:

  • A persistent low mood
  • Lack of interest in activities that were once enjoyed 
  • Fatigue or low energy
  • Feelings of worthlessness or guilt
  • Difficulty concentrating on tasks
  • Changes in sleep or appetite. 

In some cases, people may also experience physical discomfort due to depression or thoughts of harming oneself. 

If you are noticing any of these symptoms that do not improve even after trying different treatments, you may have treatment resistant depression and should discuss this with your healthcare provider.

How To Live With Treatment Resistant Depression:

Living with treatment resistant depression can be incredibly debilitating, but it’s important to keep exploring possibilities and maintaining hope. 

With advances being made in the medical community and science constantly evolving, there may be solutions that weren’t previously available. 

One helpful step may be to talk to an array of different doctors or specialists to discover their unique perspectives on treatment-resistant depression and develop a plan tailored for you. 

By revealing new options for relief, those who are struggling with depression can continue striving towards a more positive outlook on life.

Stimulants for Treatment Resistant Depression:

Antidepressants are typically the first line of defense in treatment, however, stimulants are increasingly becoming an option for those who don’t show a positive response to antidepressants. 

Stimulants for treatment resistant depression appear to be providing effective relief for this resistant form of depression, and many people with this condition are unaware that this alternative is available to them. 

With the advancement of new technology and resources, patients have more options than ever before when it comes to managing their mental health conditions. Stimulants are proving to be a vital part of the equation. 

Researchers are continuing to study how effective these compounds can be in treating treatment-resistant cases of depression and helping individuals regain control over their lives.

Transcranial Magnetic Stimulation Therapy:

Transcranial magnetic stimulation therapy (or TMS Therapy) is slowly becoming renowned as one of the most effective emerging treatments for those suffering from treatment resistant depression. 

This form of treatment is non-invasive, and with the help of an electromagnetic coil, focuses magnetic pulses towards certain parts of the outer layer of the brain. 

This stimulation is believed to be a game changer for those who haven’t seen relief from traditional treatments such as psychiatric drugs or psychotherapy. 

It has been helping sufferers all around the world find respite from their symptoms by stimulating neuron growth, balancing chemical levels in the brain and strengthening neural pathways that are affected in people struggling with depression. 

With research backing up that TMS Therapy could be a literal life saver, it only continues to grow as one of the best hopes for those living with this mental illness.

Lifestyle Changes:

With treatment resistant depression on the rise, it is important to consider the role that lifestyle changes could play in giving individuals some relief. While many people ask their doctors for a magic cure, they often don’t take into account how their daily habits may be influencing their moods. 

Recent research suggests that our gut health, amount of exposure to sunlight and eating habits can all be linked to depression, and making small changes in each of these areas can create a cumulative effect which could provide significant relief to those suffering from treatment-resistant depression. 

It is important to note that these lifestyle changes alone won’t necessarily cure the symptoms of this condition – but they can certainly help by providing enough relief for traditional therapies to have greater effect.

Don’t Let Treatment Resistant Depression Keep You Stuck:

Treatment resistant depression can be a frustrating battle, however there is cause for hope. 

In recent years medical science has advanced rapidly and many new treatments are being developed. Stimulants for depression and transcranial magnetic stimulation (TMS) are two examples of this; both of which were boundary pushing treatments just a few years back. 

Combining these treatments with lifestyle improvements such as diet, exercise, and sleep can result in a greatly improved condition. 

Don’t give up hope – doctors and therapists specializing in treatment resistant depression are dedicated to finding solutions for you, so take the steps to seek help today. 

Contact us at GeminiTMS.com for further assistance managing your treatment resistant depression.







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Depression Concept with Human, Broken Brain and Heavy Rain

How Much Does Depression Treatment Cost? A Look At Both Time and Money

When researching the possible options for depression treatment, it’s important to look at more than just cost. Sure, every option can come with a different price tag, but what you really need to consider is the long-term cost of each possibility as well as how much time and effort must be invested.

Mood disorders such as depression can be managed both without drugs (such as through transcranial magnetic stimulation) or with medication.

This means you’ll have to weigh your financial situation against your mental health needs before making a decision on what kind of treatments best suits you.

This article will help you take a look at all the options available so you can make the most well rounded decision possible.

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Does Getting Diagnosed With Depression Cost Money

While a diagnosis of depression is not free in the United States, there are numerous resources available to those who may not be able to afford it. Many mental health clinics and even some hospitals offer sliding scale fees based on one’s income, making them more accessible for people without insurance or with limited access to

Additionally, there are many online sites offering help and assistance with obtaining a diagnosis for depression. These cyber-consultations can be just as accurate as traditional doctor visits and you don’t necessarily have to leave the comfort of home!

Ultimately, cost should never be a barrier to getting the right diagnosis and understanding what kind of help you need.

Thinking Short Term vs. Long Term:

When it comes to depression, there are pros and cons to thinking in the short-term and
long-term when selecting a treatment. If a sufferer is focused mostly on the short-term, they may be able to alleviate some symptoms quickly and then move on with their day-to-day life. However, they should remember that depression is best treated with long-term therapy or medication management. Long-term plans have greater potential for success while ensuring that depression does not return.

There are options and resources available where depression sufferers can find information on depression treatments and decide which will be most beneficial in both the short and long term.

Comparing The Top 3 Treatments For Depression:

If you’re considering depression treatment, you may be wondering about the cost associated with different options.

There are a variety of treatments available for depression, including talk therapy, medication, and TMS therapy.

Let’s talk a look at each one in terms of time and money when making a decision and compare both short-term and long-term effects on your wallet and overall mental health.

Talk Therapy:

Cost: $120 an hour (on average)
Time: 1 hour sessions, multiple sessions over long periods of time.

Talk therapy is often recommended as a first line of defense against depression. It can be done either one-on-one or in group sessions with a licensed therapist or counselor.
The cost of talk therapy varies depending on the type of insurance coverage you have; some plans cover all or part of the cost while others do not provide any coverage. For those without insurance coverage, session fees range from $50 – $300 per hour depending on the provider’s experience level.

Talk therapy is usually an effective short term option but may require multiple sessions to achieve long term success; thus increasing overall costs over time.

According to a 2017 study on average therapy rates per hour, the results along the east coast were as follows:

State: Average Price Per Hour

Maryland $120
Delaware $111
New Jersey $150
New York $125
Connecticut $120
Washington D.C $150
Pennsylvania $120
Rhode Island $120
Vermont $120


Medication is another option for treating depression, but it comes with its own set of financial considerations.

Cost: $20-200 a month depending on insurance
Time: A year or longer

Anti-depressant medications typically range from $20 – $200 per month depending on the type prescribed and whether generic versions are available; however, many insurance plans cover a portion or all of these costs which can significantly reduce out-of-pocket expenses.

While anti-depressants can be effective for treating depression in the short term, they also carry potential side effects that must be monitored closely by a physician – potentially leading to additional doctor visits and/or lab tests which could result in increased costs over time.

Since your time is valuable, it’s important to know that depression medications often take around 2-3 weeks to begin working.

After your symptoms begin to get better it’s recommended to continue taking them for 4-5 months. Once your depressive symptoms have fully subsided your doctor will likely have you keep taking them for 3-6 months. Overall you may end up on them for nearly a year before you fully reap the benefits.

It’s important to remember that depression medications are meant to be used in tandem with therapy or other forms of treatment – one should never solely rely on medication to get better.

Transcranial Magnetic Stimulation Therapy:

Cost: $10-$70 (with insurance)
Time: Number of sessions will vary per individual

TMS therapy is becoming increasingly popular among depression sufferers due to its cost effectiveness and undeniable results.

But, how much does TMS therapy cost? It costs significantly less than traditional depression treatments, such as antidepressants or therapy sessions, both in terms of price tag and time commitment.

TMS therapy requires much fewer in-person sessions and typically leads to increased success in alleviating depression symptoms quickly, which is the biggest incentive for depression sufferers.

The good news is that many big name insurance companies now offer partial or full coverage for TMS depression treatments. Though the cost of care may vary from provider to provider, it’s safe to say that TMS treatment is a wiser monetary decision when compared to other depression therapies, especially since its effects are long-lasting.


What is transcranial magnetic stimulation?

Transcranial magnetic stimulation (TMS) is a type of noninvasive therapy used to treat
depression and other mood disorders. TMS works by using electromagnetic fields to stimulate the neurons in the brain, creating this chain reaction which helps manage mental health issues. This breakthrough therapy has been found to be effective in treating PTSD and can offer promising results with its relatively low TMS treatment cost. It’s usually done within an outpatient setting and the frequency of TMS treatments vary depending on the condition. TMS has brought newfound hope for those suffering from mental illness who had yet to find a successful treatment plan.

How does transcranial magnetic stimulation work?

Put simply, TMS works by using electromagnetic induction to stimulate neurons in the brain. A device is held up against the patient’s skull and a brief electrical current is fired into their brain. This pulse of energy effectively “resets” the neural pathways responsible for mood regulation, enabling people to think more clearly and cope better with psychological challenges such as depression and anxiety.

What are the benefits of transcranial magnetic stimulation?

Research has found that TMS provides great relief to those suffering from severe depression and can even reduce symptoms altogether. Not only this, but it can help eliminate the need for medication and its associated side effects. Furthermore, unlike other treatments such as electroconvulsive therapy, TMS doesn’t result in confusion or memory loss and doesn’t require hospitalization nor does it interfere with daily activities.

Are there any side effects of transcranial magnetic stimulation?

TMS therapy is making waves in the health sector due to its efficacy as a modern treatment for depression without risk of serious side effects.
That’s right, you don’t need to worry about any dangerous side effects when undergoing this therapy. While some people may experience headaches or scalp discomfort after having TMS sessions, these are usually mild and clear up quickly.
After several sessions, many patients even report feeling happier and better able to focus! With such minimal side effects coupled with the fact that the procedure is non-invasive, it’s no wonder many depression sufferers are turning to TMS therapy as a treatment option.

Consider TMS Therapy For Your Depression:

Depression treatment can come with significant financial considerations no matter which route you take. It’s important to research your options carefully before deciding what’s best for you both financially and medically in order to get the best possible outcome for yourself over both the short and long terms.

TMS therapy is becoming increasingly popular as a cost effective solution to certain mental health issues, with TMS centers in Maryland making it accessible and affordable. Many individuals have reported finding immediate relief from TMS therapy while saving in the long run–as compared to continuing on medication or spending money on talk therapy over time.

TMS therapy is able to rewire your brain differently than medication, making it more efficient and effective without the side effects of medicine. Talk to your insurance about what’s covered under your health plan and ask questions about any additional fees that may apply so that you have all the information needed when making your decision about which treatment path is right for you!


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Anxiety, Depression

Is There a Link Between Anxiety and Depression?

When you think of anxiety, what comes to mind? Probably something related to a heightened state of arousal (due to adrenaline pumping through the body). 

Now, when you think of depression, what comes to mind? Depression symptoms often look like fatigue, burnout, or an overall state of apathy. 

Despite anxiety disorders being considered a ‘high energy’ condition, and major depressive disorders being considered a ‘low energy’ condition, these two mental illnesses actually have quite a bit in common. 

If you feel as though you’re experiencing both, you might be overwhelmed by your treatment options.

Let’s talk about the relationship between depression and anxiety and what you can do to gain control over your mental health. 

What Causes Anxiety?

There are various forms of anxiety however the most common and broad diagnosis given to a majority of patients is generalized anxiety disorder

This type of anxiety is characterized by a chronic state of fear, worry, or stress about everyday life. In some cases, their anxiety may be triggered by seemingly nothing at all!

Since every person’s experience with anxiety is unique, it can be difficult to pinpoint exactly what causes it. However, there are a few known reasons anxiety can occur:

Past or Childhood Experiences:

Childhood is an extremely sensitive stage in life, and going through any sort of trauma during these developmental years can follow you into adulthood. Many people that suffer from anxiety have a history of physical or emotional abuse, neglect, bullying, or racism. 

Current Situations:

Ongoing problems in life can also cause anxiety to form. These events can include (but are not limited to):

  • Marriage
  • Divorce
  • Exhaustion 
  • Burnout
  • Stress
  • Sudden change 
  • Financial problems 
  • Losing someone 
  • Abuse 

Other Causes:

Here are other common reasons anxiety may begin to take over:

  • Sleeping difficulties
  • Other mental illnesses (such as depression) 
  • Genetics
  • Alcohol or drug use
  • Diet
  • Certain medications
  • Physical health problems 

What Causes Depression?

Depression is known as a chronic low mood made up of feelings of hopelessness, emptiness, frustration, guilt, and despair. Many people that experience depression may not know exactly why they feel depressed, they just know they do. 

Depression can make an individual lose sudden interest in things that once made them happy, while simultaneously avoiding social events and gatherings that may have previously attended. 

Thankfully, much research has been done on why depression occurs. These factors can vary greatly from person to person, and some people have more than one. Just with anxiety, depression is unique from person to person however common similarities remain. 

Past or Childhood Experiences:

Early trauma can become integrated into our subconscious, making us view the world in a cynical, negative manner even if we don’t remember the event as an adult. 

Experiences of abuse, neglect, assault, or unstable family life can all contribute to depression later on. 

In addition, children that experience many smaller challenges in life are more at risk for developing depression than children who only experience one or two stressful events. 

Current Situations:

Large changes in day-to-day life as an adult can make you feel completely overwhelmed, and cause your body to shut down. This can cause feelings of depression and hopelessness. 

Circumstances include:

  • Losing a job 
  • Unemployment 
  • Financial burdens 
  • Death of a loved one
  • Marriage 
  • Divorce 
  • Abuse or assault 
  • Bullying 

Other Causes:

Just like anxiety, there are other reasons depression may occur such as:

  • Genetics
  • Other mental illnesses (such as anxiety)
  • Physical health problems 
  • Diet
  • Sleeping difficulties
  • Alcohol and substance use

Looking At The Connection Between Anxiety and Depression:

Now that we’re clear on what causes anxiety and depression we can see a direct connection between the two. These two mental illnesses, while anxiety and depressive symptoms differ - have the same causes. This is why depression and anxiety often occur simultaneously in many patients. 

The relationship between anxiety and depression is cyclical. This means one can easily cause the other. 

Anxiety disorders cause more than just fear and worry. They can cause an internal battle of low self-esteem, disgust, and negative thoughts. All of these can trigger depression. 

Nevertheless, depression is more than just feeling sad. It can bring about feelings of losing control, restlessness, or irritability. All of these can increase stress and cause anxiety to form. 

This cyclical relationship is even more prominent if either disorder is left untreated. Unmanaged anxiety can turn into major depressive disorder as each day seems like a never ending internal battle. On the other hand, unmanaged depression can manifest into anxiety as an individual may begin to feel completely overwhelmed with day to day life. 

Are Medications The Best Treatment For Anxiety and Depression?

Many people will tell you to turn to medication for your anxiety and depression. While medications have been used for decades with success, there are many harmful side effects that can occur. 

Some of the most common include:

  • Shakiness
  • Feeling nauseous 
  • Indigestion 
  • Diarrhea or constipation 
  • Loss of appetite 
  • Weight loss or weight gain 
  • Dizziness 
  • Blurred vision 
  • Dry mouth 
  • Dependence 

If you feel as though you need medication it’s often highly encouraged to engage in another form of treatment such as therapy. While medications may work in the short term, they aren’t a long-term solution nor do they get to the root of the problem. 

In addition, antidepressant medications may not be recommended for use with other prescriptions, while pregnant, or while breastfeeding. This means you may find yourself having to quit cold turkey at some point in the future, which can lead to even more problems. 

What Is The Best Treatment Option For Anxiety and Depression?

Here at Gemini TMS we desire to heal your mind from the inside out. Instead of pushing potentially harmful medications and sending you on your way, we work to provide relief from anxiety and depression without risky side-effects. 

But how do we do this?

Transcranial Magnetic Stimulation is how. TMS is an FDA-approved, long-lasting treatment option for patients with both anxiety and/or depression. It’s a non-invasive way to target the centers of the brain associated with both mood and mental illness. 

TMS is an excellent option for residents of Elkridge, Maryland who feel as though their anxiety and depression have become unresponsive to other forms of treatment, or who are searching for an alternative to traditional antidepressant medication.

If you struggle with the debilitating impact anxiety and depression have on your life, TMS may be the key. Finding freedom and healing from mental illness is possible. In fact, it just may be the best decision you ever make.


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A depressed man sitting on steps

How Does Depression Feel?

Depression can be incredibly difficult to live with. It can be so severe that a person can struggle to function in their daily life and complete regular tasks, as they might have been able to do before. It can even leave a person bed-ridden, as they find it impossible to get up and lack the energy to do much else. Depression is characterized by prolonged feelings of sadness and depressed mood. For depression to be diagnosed a person must present symptoms for at least two weeks and have changes in levels of functioning.  

The World Health Organization estimates that 3.8% of the global population is affected with depression, including 5% among adults and 5.7% among adults older than 60 years. It is believed that approximately 280 million people of all ages struggle with depression.  

There is often a misconception that those struggling with depression are just simply sad and this is not true. While sadness is a part of depression, there is a deep persistent feeling of unhappiness and emptiness that can become all-consuming for a person to the point that there is an impairment in functioning. Occasional sadness is a normal aspect of the human experience, but depression has a more significant impact and changes the way people feel, think, and act in their daily routine.  

Understanding what depression is and what it feels like can be an important first step to recognizing you have it and lead you to take steps to seek help in overcoming your depression.  

What Is Depression?

Major Depressive Disorder is a serious medical condition that severely affects a person’s life in multiple way. Major Depressive Disorder is classified as a mood disorder and is the most common form of depression that people experience. Depression and depression symptoms can range from mild to severe, depending on the person.  

As stated, depression can seep into all parts of a person’s life, to the point that it affects them at work, in school, in their social life, or in their family life. It can also lead to a range of physical health problems and drive a person to suicide at its most severe point, with a twenty percent lifetime risk of suicide among those with untreated depressive disorder.   

When it comes to the causes of depression, the research suggests that it is a culmination of biological, genetic, environmental, and psychological factors. Depression can also be triggered by sudden or long-term, adverse life events. These events could be things like loss of a job, loss of a loved one, abuse, and other traumatic situations. 

Depression is not something that people can just “get over,” and it often requires professional help. When a medical professional or mental health specialist treats someone with depression, they will usually use two conventional methods. These methods are the combination of therapy and antidepressants. The most common form of therapy for depression is cognitive-behavioral therapy, which is a type of talk therapy that focuses on changing negative thoughts and behaviors.  

Is Anger a Sign of Depression

While people who are not familiar with the symptoms of anger may not associate anger with depression, it can definitely be a sign of depression. Those who have been deeply, negatively impacted by depression and the triggers of their depression can harbor significant anger. People can be angry at the world or angry at themselves for having these feelings and not being able to function at the level they may have been at before they became depressed.  

This anger can cause people to lash out at others, including loved ones who may be trying to help. Uncontrollable or maladaptive anger can be very destructive and alienate others, which can make the person with depression feel even worse. It is thought that this kind of anger is linked to the imbalance of neurochemicals in the brain that regulate emotions. Anger with depression can manifest as irritability, hostility, and intense anger that seems to come out of nowhere all of a sudden. Therapy can help people learn how to better manage this anger. 

Is Insomnia A Sign of Depression

Unfortunately, depression does have a negative impact on sleep, both in terms of the amount of sleep and quality of sleep a person gets. About 75% of those with depression report having trouble being able to fall asleep and/or stay asleep. Depression can also be triggered because people are having a hard time getting enough sleep and this leads to a decrease in ability to regulate emotions.  

Those with depression can often ruminate about things that may be causing them stress in their daily life and it may prevent them from falling asleep or cause them to wake up more frequently during the course of the night. If you are experiencing sleep problems, related to depression, then talk to your doctor, as there may be treatment options. Keep in mind these options may not be a long-term solution and it is important to seek help for the root cause of the sleep problems. Cognitive-behavioral therapy is shown to have a significant positive impact on depression related sleep problems. 

Is Loss of Appetite a Sign of Depression

Some people who have depression also lose their appetite and find food less appealing. Significant weight loss can happen in those with depression because they have lost interest in eating. It can also be hard for anyone with depression to eat if they are too tired to cook an entire meal and it seems easier to skip the meal completely. Of course, not eating also leads to low energy levels and it creates a cycle that is difficult to break. 

Depression is also often accompanied with anxiety, which can cause gastrointestinal issues and may leave a person with little desire to eat. While it can be difficult to eat with depression, it is important to try to eat a balanced diet. Having a balanced diet can help with some depression symptoms.  

Is Sleeping A Sign of Depression

Excessive sleeping is highly common in those with depression, as the disorder often leaves people feeling constantly tired and drained of energy. Even when a person has gotten enough hours of sleep, they may continue feeling tired. This is how people with depression can end up bed-ridden, as they lack any energy to get up, or unable to perform daily activities like showering, getting dressed, going to work, or doing household chores. Oversleeping is a symptom in about 15% of people who are diagnosed with depression. It is important to note that other sleeping problems, like sleep apnea, can be comorbid with depression and is not a direct result of the depression. Disruptions or delays in the circadian rhythm are linked to depressed people sleeping past their alarm and struggling to wake up in the morning. 

How to Ask for Help with Depression

Depression is not something to be ashamed of or embarrassed by and you deserve to be able to live a full and happy life. The stigma around mental health problems is thankfully starting to shrink, as more and more people are having conversations about the topic and many notable people have come out with their own stories about their struggles with mental health. If you have been struggling with depression and are ready to seek help but are not sure where to start then please do not worry, we are here to help.  

If you are struggling to ask for help then a good place to start is by talking with a trusted friend or loved one, as they can be a great source of support. It makes a real difference having someone simply listen to you, encourage you to take care of yourself, and keep you company if you are feeling lonely. The internet is also a valuable source to be able to find a therapist or a hotline number to call and talk to someone. Seeking professional help is an important step in the process to overcoming depression. Medical professionals can help you access antidepressants, or even offer a referral to a psychologist, therapist, or licensed counselor. Finding a therapist that is the right fit for you can have one of the greatest impacts, as they can help you develop the life skills and tools that you need. 

Need Help For Depression?

If you are looking for therapy services for mental health concerns, or if you have any questions regarding our services, call Gemini TMS today! Our highly skilled mental health professionals are experienced in treating various mental and behavioral health concerns. They offer both individual and group therapy. Plus, there are no wait times to join groups. Call (301) 363-1063 and speak to our staff to schedule your appointment today! 

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How to treat postpartum depression

Bringing home a new baby can be an exciting and scary event. Family members often find themselves having difficulty learning how to adjust to this dynamic in the early days of an infant. The new mother’s hormones are still fluctuating as well as the emotions of the family members. It is not uncommon for there to be bouts of frustration, anger, and sadness. Eventually hormones do level-off and individuals develop a new rhythm to their daily routines. For some mothers, the feelings of sadness and frustration do more than linger. They become more severe, and the depression becomes more long lasting. When these symptoms last longer than two weeks and become more severe, the new parent is suffering from Postpartum Depression (PPD). 

Women experiencing postpartum depression may have difficulty regulating their mood, inability to sleep, intense rage, excessive crying, and feelings of hopelessness. Postpartum depression primarily effects new mothers, but it can affect new fathers as well. New fathers may experience severe anxiety, drastic changes in their behavior, feeling overwhelmed and/or fatigued. In both cases, the chances of experiencing postpartum depression increase when you have a history of depression prior to the birth of a child.  

If you believe you’re experiencing postpartum depression you do not have to be embarrassed. It is a common event that many new parents experience. It is important to reach out to loved ones or medical professionals if you experience any of the following: 

  • Your symptoms last more than two weeks 
  • Your symptoms are getting progressively worse 
  • Your symptoms prevent you from taking care of yourself 
  • You have thoughts of harming yourself or your child 

This condition may require mental health intervention to regulate the tumultuous swing of emotions. Speaking to a medical professional can help. You may be wondering how to treat postpartum depression. A medical professional can provide you with information on how to manage your postpartum symptoms and recommend the appropriate treatment. An increasingly preferred method of treatment is TMS (transcranial magnetic stimulation). Many new mothers appreciate the benefits of TMS because it is non-pharmacological and non-invasive. They are able to comfortably breast feed their child without fear of any medication passing through breast milk (even if it is a low level). The non-invasive treatment takes a small fraction of time, allowing new parents a large amount of time to still bond with their infant. TMS treatment can be used by both new mothers and new fathers. Parents can begin finding relief for their postpartum and depression symptoms with TMS therapy. 

What Is TMS? 

Transcranial magnetic stimulation is an FDA approved treatment for chronic depression. The region of the brain that controls depression symptoms also control anxiety symptoms. Transcranial magnetic stimulation (TMS) has been recognized by clinicians as a promising treatment for individuals suffering from depression.  

If you are suffering from postpartum depression and looking for an effective treatment that does not rely on medication, TMS can help. Transcranial Magnetic Stimulation (or TMS) is a noninvasive form of brain stimulation. The nerve cells that are connected to anxiety and depression are stimulated, effecting and altering the brain’s neurotransmitter levels.   

TMS therapy is an intensive approach which has shown to activate regions of the brain that have become dormant. The treatment requires several sessions over a period of time, with relief being provided after a few.    

TMS is a a non-drug treatment that helps provide relief from severe depression and anxiety without the physical side effects associated with medications. This therapy is an outpatient procedure that allows patients to maintain their daily routines while receiving treatment for their anxiety.   

Patients are not prevented from participating in their daily routines from their TMS treatment for depression. New mothers who are breastfeeding won’t have to agonize over fear of their depression medication being potentially transmitted to their infants. (It is important to note that if your psychiatrist recommends you staying on depression medication you should discuss with them your concerns and options. Mental health clinicians would never recommend to abruptly stop ANY treatment.) Patients can utilize TMS treatment for their depression by itself or in conjunction with a medication regimen and talk therapy. Each person is different and the nature of their postpartum symptoms may vary.  

If you are struggling with Postpartum Depression and are confused about where to start looking for help, please call Gemini TMS (301) 363-1063. We are a team of mental health professionals who can help treat and manage your depression symptoms.  

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What Depression Does To The Brain

Everyone “feels blue” now and then. You may be going through a rough patch in your personal life. A difficult project or task may make your job particularly stressful.  

Your days begin to feel tense and frustrating. Your anxiety peaks. Typically, when the catalyst for your depressive episode is removed, the “blue feelings” begin to fade.  

But what happens when “feeling blue” is a constant in your life? What if every day you are consumed with dark thoughts? And they are suffocatingly heavy? You may be experiencing Major Depressive Disorder (MDD). 

Individuals who experience major depression like MDD suffer from a type of mood disorder that severely impacts their emotional state. They are overwhelmed with constant feelings of sadness and disinterest in daily life. Severe depression like this won't just “go away.” Emotional and behavioral health become dysregulated and dysfunctional. What is needed is a combination of therapies and medication to effectively address this behavioral health concern. 

Symptoms of Major Depressive Disorder 

The symptoms of MDD can be felt daily. The intensity of the symptoms may fluctuate, but they happen with a regular occurrence. They can also be severe enough to disrupt your daily routines and life. The most common symptoms of MDD are: 

  • Feelings of hopelessness or emptiness 
  • Intense irritability 
  • Angry outbursts 
  • Difficulty falling asleep/sleeping too much  
  • Appetite disturbances 
  • Feelings of worthlessness 
  • Anxiety 
  • Loss of interest 
  • Suicidal ideation/thoughts 
  • Suicide attempts  

These symptoms can be very serious and very scary. Depression is a mental illness that can be incredibly debilitating with grave side effects on your personal life. While the majority of these symptoms are emotional manifestations of MDD, depression affects you physically as well. 

Where Does Depression Come From?  

Major depression is a serious mental health concern and should not be ignored. With significantly low moods you may feel like you have no energy to participate in activities and have no interest in doing so. You may feel physically exhausted all the time without knowing why. But what causes depression?  

Depression can be a complex and complicated condition that affects the brain and your emotional state. A chemical imbalance, life experiences, and genetics all can play a role in your mental health deteriorating.  

If the parts of the brain that control mood and emotion do not function properly there will be a chemical imbalance that can cause the depression. There are three main neurotransmitters responsible for depression symptoms that occur with MDD; dopamine, norepinephrine, and serotonin.  

These neurotransmitters communicate signals to the brain’s nerve cells, and whether to increase or decrease the levels. If these levels become disrupted depression treatments with medication will be needed.  

Antidepressants are one example of medications used to alter the brain’s chemistry. The most common antidepressant prescribed are Selective Serotonin Reuptake Inhibitors (SSRI’s). They block serotonin from being reabsorbed into the brain’s neurons. When they remain available in the body, the individual is able to have chemically balanced neurotransmitters, preventing a depressive episode.  

For others, painful memories and experiences may be the source of their depression. These causes operate as catalysts for severe episodes of depression that impact your life. Let’s say you experience the death of a loved one. You may find it difficult to process the emotions and move forward. You may even become catatonic. And unfortunately for some, they may have a genetic disposition to major depressive disorder. Just like other hereditary health conditions that can negatively impact your life, MDD deserves to be monitored and treated.  

Whatever the “root cause” of your debilitating depression, the physical changes it causes should be noted. It is important to understand all the ways major depression changes and alters your brain in order to better treat it.  

How Depression Alters The Brain 

Experiencing severe depression is extremely difficult. Repeated episodes of depression can cause you to struggle. But it can also cause damage to your brain in the long term. Early treatment is critical so you can avoid long lasting harm.  

Your brain becomes physically altered after the prolonged burden of major depression. It can wreak havoc on its corporeal structure. Regions of your brain can become inactive and ‘go dark,’ unable to produce “feel good” chemicals to combat the “sad” chemicals.  Other areas like the prefrontal cortex and hippocampus become effected, losing volume and exacerbate your serious symptoms. And brain inflammation becomes apparent as well.  


This part of your brain releases stress hormones like cortisol. Under normal conditions, cortisol being released is not problematic. However major depression will flood the brain and body with cortisol, damaging the neurons and preventing the growth of new ones. Too much cortisol can also contribute to shrinking the size of the hippocampus destroying your abilities for memory retention.  

Brain Inflammation: 

Experts have been able to establish a connection between brain inflammation and major depression. Individuals who suffer from major depression have increased protein levels that contribute to inflammation. This can lead to damaged brain cells, brain cells dying, and the brain being aged prematurely.  

An easily overlooked affect that depression has on the brain is what it does to the central nervous system. The central nervous system (CNS) is located in the nerves of the brain and the spinal cord. Your CNS is responsible with the way your body absorbs information through your senses (ex. A frightening sight will encourage your CNS to release heightened fear signals through the body so you remain on alert). 

Increased anxiety from your depression will flood your brain cells with fear signals. Your central nervous system becomes overactive, battering your body into remaining in a state of heightened fear. Your brain becomes accustomed to this constant chemical release as “the new normal” permanently changing the chemical balances of your brain.   

Preventing Damage To Your Brain 

While it has been demonstrated how severe depression can cause damage to the physical structure of the brain, this damage does not have to be permanent. There are steps you can take to prevent damage and begin reversing any existing changes that may have occurred. Here are a few things you can begin doing: 

Reducing Stress: 

Learning to develop healthy coping skills can help you significantly reduce stressors in your life. You will be able to manage and navigate difficult situations and help prevent the onset of a depressive episode.  


There are various medications you can take that can support your brain’s chemical imbalance. Prescribed by a psychiatrist, you doctor will develop a specific medication regimen that will better support you from falling into depressive episodes.  



Sessions with a skilled and certified mental health therapist can provide great insight to your depression and its causes. Being able to define your stressors can assist you with learning to avoid them. You will also learn mindfulness techniques and healthy coping skills to better manage your depression. With improved cognitive behavioral skills, you can begin your recovery from major depression.  


Transcranial Magnetic Stimulation:

TMS is a minimally invasive treatment that delivers stimulation to targeted regions of the brain. The treatment is focused to these regions because of their relationship to mood and depression. TMS can improve your depression by activating the stagnant areas of the brain, encouraging the growth of new brain cells that will encourage normal brain functions and balanced moods.  

As scientists learn more about the brain, its structure, and how it functions, we can establish that it is possible to reverse the harm Major Depressive Disorder causes on the body. MDD can be an isolating and painful experience and too many people suffer every day. Better understanding the brain and the physical impact major depression has, you can begin the depression treatments that best fit your needs and concerns. Depression should not be ignored; it should be treated (just as any other condition is). There can be hope for you again on your path of recovery from debilitating depression. 

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Can TMS Treat High Functioning Depression?

Depression is an illness that affects millions around the world. Depression also affects those millions of people very differently. Manifested in varied ways, depression can mean different things for many. But what does the face of depression look like?  

Depression is a mood disorder that negatively affects your thinking and your emotional health. You may lose interest in once loved activities or feel unable to participate in your daily life. Depression symptoms may be mild and only experienced for a short amount of time. For others, symptoms may be severe and your depression experienced for a greater length of time.  

There are different types of depression that can be experienced. But what types of depression occur? What is major depression? What does high functioning depression mean? And why is this difference important?  

Long lasting depression, or Major Depressive Disorder (MDD) may render individuals completely paralyzed by their symptoms. If not long lasting, MDD can produce incredibly severe symptoms, even if it just for a few months. 

Patients become completely limited, if not incapacitated by their symptoms. High functioning depression (also referenced as dysthymia) is not a diagnosis or disorder, but has been popularized recently to better characterize how some people experience depression. What is dysthymia? The term dysthymia is used to describe individuals who suffer from high functioning depression for at least two years. If you are someone experiencing high functioning depression you are experiencing Persistent Depressive Disorder (PDD). 

PDD, or high functioning depression, is a chronic form of depression where the individual suffering seems to be able to function at a normal level, all the while suffering inside.  

Those suffering from high functioning depression may rely on their own coping mechanisms to push through their dark feelings each day, suffering in silence, and without any mental health help. 

Typically, many people who experience depression (mild or severe) may find themselves unmotivated to participate in daily life. There is difficulty in thinking and concentrating, with an increase in purposeless activity. In more severe cases, an individual suffering from depression may find themselves having suicidal thoughts or a fixation on death. If you, or someone you know who is struggling with suicidal ideation, it is important to reach out to a mental health professional, dial 911, and/or go to your nearest hospital.  

If you suffer from depression for longer than a few weeks, you may be suffering from major depression. The DSM-5 (Diagnostic and Statistical Manual of Mental Disorders) is used by mental health professionals to determine and diagnose your depression symptoms. They may consult this manual to determine if your symptoms fit the specific classifications for depression.  

If you experience depression symptoms for longer than two weeks, it is very important to schedule an appointment with a psychiatrist or therapist for an evaluation.  

Symptoms of depression may include: 

  • Difficulty sleeping 
  • Feeling “down” for the majority of your days 
  • Feelings of worthlessness 
  • Feelings of hopelessness 
  • No interest in previously enjoyed activities 
  • Weight loss/weight gain 
  • Suicidal thoughts 

The severity and length of time these symptoms are experienced will determine the type of depression you are experiencing. Major depressive disorder and persistent depressive disorder may be similar but they are not the same. Is your depression getting worse? If you have been experiencing symptoms of depression for longer than two years, but have been managing to cope, you may be suffering from PDD. If your symptoms are much more severe, and you have had an inability to cope (even if it has only been a few months) you may be suffering from MDD. 

Unfortunately for those suffering from major depressive disorder, there is no “high functioning” version. MDD is debilitating and can really impair a person’s quality of life. PDD can also impair quality of life, but to a lesser degree. Regardless of the type of depression someone suffers, it is critical for these individuals to reach out for a psychiatric diagnosis and treatment.  

Ignoring depression symptoms can be damaging and dangerous. An accurate diagnosis and immediate treatment are vital. If your symptoms are not being treated or managed, it can impact your stress and relationships.  

Treatment For Depression 

If you feel like you are suffering from depression, you should reach out to a mental health professional. After a mental health evaluation, they will be able to diagnose your symptoms and create a treatment plan to help alleviate your depression.  

The treatment of your symptoms and mental health conditions will be contingent on the severity of your depression. If your therapist or psychiatrist believes you are suffering from PDD they may offer different options to help reduce and mitigate your depression symptoms.  

Some treatment options for PDD may include talk therapy, medication, and/or transcranial magnetic stimulation. 

Talk Therapy 

A mental health professional, usually a trained and certified therapist, will engage in talk therapy with you to identify the stressors or “triggers” you may experience in your life. You and your therapist may discuss certain difficult moments in your life, how your varied experiences may have affected you, and provide you with healthy coping skills when dealing with your stressors.  

Your therapist can make recommendations for positive alternatives to help encourage a change in your thinking. These strategies can build upon themselves, provide the individual suffering from depression with insight on their behavior, and make them self-aware on how to cope with every day challenges.  


Others suffering from depression may find their symptoms alleviated with medications. A psychiatrist will evaluate your symptoms and work with you to develop an appropriate regimen of medications they will prescribe. Common medications used to treat depression are antidepressants, benzodiazepines, and antipsychotics.  

The most common antidepressants used to treat depression are SSRI’s (selective serotonin reuptake inhibitors). What do antidepressants do? They block serotonin from being reabsorbed into the brain’s neurons, improving your brain’s chemical messaging, enhancing mood boosting sensations.  

Benzodiazepines are used to treat depression because of their relaxing properties. Colloquially referred to as “benzos,” their chemical composition allows relief from the anxiety symptoms caused by the depression.  

Antipsychotics for depression are also a commonly prescribed medication for treatment. They can be combined with antidepressants because of their mood enhancing affect.  

Transcranial Magnetic Stimulation 

A progressive treatment for PDD patients, transcranial magnetic stimulation (TMS) has been a great alternative to traditional methods when dealing with depression. A noninvasive form of brain stimulation, TMS encourages activation of the neurons directly responsible for mood. Magnetic pulses target specific regions of the brain to encourage the cells to activate and release mood enhancing signals. This can gradually alleviate the depression symptoms, providing you with relief.  

Is It Depression If You Feel Like You Can Manage? 

As stated earlier, depression can and does look different for many people. The intensity of your symptoms may vary. Not everyone becomes catatonic. But that does not mean you should minimize the symptoms you are experiencing. Your depressive symptoms and experiences with depression are valid and should be treated as such.  

Recognizing that even if you have been “coping” without any professional mental health intervention does not mean you should continue to do so. Many patients who suffer from high functioning depression should still reach out to professionals who can help monitor and manage their symptoms. Their depression does not become “less than” just because the severity may not be as intense.  

You cannot “will” yourself to recover from mental health illnesses. They require more care than that. You require (and deserve) more care than that.  

If you are struggling with persistent depressive disorder and are confused about where to start looking for help, please call Gemini Health (301) 363 - 1063. We are a team of mental health professionals who can help treat and manage your depression symptoms.  

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LGBTQ+ and Depression

Lesbian, Gay, Bisexual, Transgender, Queer, and Questioning individuals (LGBTQ+) span across several diverse communities. While this may be a large community of individuals, the LGBTQ+ community has been routinely, and unfairly marginalized in society. While societal attitudes have grown and improved, this marginalized group still experiences depression at a higher rate than the heterosexual population. This may partially be a result of lingering and antiquated attitudes. Some of these negative beliefs have been internalized by many LGBTQ+ individuals (and their families) for such a long time it may be a challenge to undue the thought process.  

How Depression Affects the LGBTQ+ Community

Depression affects millions of people, but the LGBTQ+ community experiences depression (and depression symptoms) at a disproportionate rate. Misplaced, and antiquated cultural stigmas can make non-heterosexual individuals targets of bullying, abuse, and assault because of their sexual and gender expression. Personal confusion on identity and preference can contribute to these symptoms.  

Hostile and repressive environments can cause several challenges for many LGBTQ+ youth and adults. These environments support a greater chance for individuals to experience depression and anxiety.  

With this in mind, it is important to create systems of support and develop coping methods. For some LGBTQ+ individuals, their depression may be rooted from trauma experienced due to their orientation. The victimization they experienced as youths can establish itself as treatment resistant depression.  

This marginalized group may have already utilized therapy and medications. Talk therapy and antidepressants may be part of their treatment for their depression. Unfortunately for some, they may not find any relief from their symptoms. Their depression may have a strong chemical root in their brain making relief difficult to find.  

This is where TMS can help.  

TMS is an ideal treatment method for LGBTQ+ individuals who suffer from lingering and severe depression. When anyone experiences persistent depression, the body becomes accustomed to receiving a constant release of anxiety and depression signals from the brain.  

Transcranial Magnetic Stimulation (or TMS) is a noninvasive form of brain stimulation. A specialized cap is placed over the patient’s head that sends out magnetic pulses to specific areas of the brain. The nerve cells that are connected to mood and depression are stimulated, effecting the brain’s neurotransmitter levels. TMS therapy is an intensive approach which has shown to activated regions of the brain that have decreased activity. The treatment requires several sessions over a period of time, with relief being provided after a few.  

TMS stimulates the areas of the brain that have been inactive, and thus unable to release the serotonin that can combat the depression signals. It is absolutely critical to note that TMS is NOT ECT (electroconvulsive therapy). Establishing this distinction is important because of the fraught history of ECT being used to “treat” homosexuality. Shock therapy was cruelly used on LGBTQ+ individuals as a means to “cure them.”  

While society has grown and the DSM has been updated, this collective memory still exists in the community. The electromagnetic stimulation that TMS provides is to provide relief from treatment resistant depression. TMS can begin alleviating the heavy veil of depression and anxiety, helping patients begin living full lives. 

Patients can utilize TMS as a treatment by itself or in conjunction with their medication and talk therapy. Each person is different, and the nature of their severe depression can vary. But TMS makes long-term remission possible. TMS is a non-drug treatment that helps prevent relief from severe depression without the side effects associated with antidepressant medications. 

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