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TMS and Spravato for Depression in Coeur d'Alene is Giving New Hope To Many

Searching for treatment options for depression in North Idaho?

We offer Spravato (Esketamine) and TMS (Transcranial Magnetic Stimulation) along with assisted therapy which has shown incredible results when other treatments have failed. Unlike other traditional treatments, Spravato and TMS works fast. Many patients report feeling better within several hours of their very first Spravato Treatment.

How Does Spravato Help With Depression?

There are at least 8 different mechanisms by which Spravato works in the brain.  The truth is nobody knows 100% why it is so helpful with depression but there are some compelling theories:  NMDA receptor blockade influences Glutamate making the brain more adaptable and able to create new pathways. This allows patients to develop more positive thoughts and behaviors that had not been seen before, even with traditional antidepressants.  On fMRI we see changes to the default mode network or DMN which we think is responsible for our narrative sense of self.  Imagine having the "self story" shut down and what may emerge?  Ketamine also seems to quiet the lateral habenula which we think is the source of negativity in the brain.

How Does TMS (Transcranial Magnetic Stimulation) Help With Depression?

Using MRI like pulses TMS is able to activate parts of the brain to relieve depression.

How TMS helps with depression

The Power of Combined TMS and Spravato!

Exciting New Combination Treatment!

There are some very compelling studies showing the benefits of a combined approach.  This combination makes sense in many ways: TMS activates dormant parts of the brain while Spravato can promote neuronal growth and disrupt circuits of negative thought.  It is also convenient to do the two together!

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