'); G-4KHGFKKRZR Beating Severe Anxiety/Depression Episode 4 Revisited - OTR - Achieving Mental Health for Real
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Episode 4

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Published on:

6th Jun 2021

Beating Severe Anxiety/Depression Episode 4 Revisited

Learn more about what some people may call a Nervous Breakdown. Learn that you are not Crazy. How perseverance and patience will always win over the enemy of  severe anxiety and depression. Have faith that it is only a temporary state and don't be afraid. You will always win if it strikes and learn how to avoid it's occurrence.  I ask that you share this "OTR(Over the Rainbow) - Achieving Mental Health for Real" series so others can understand that they are not going crazy and that it's hard, but you will always win in the end. And it has always been my intention to make people more aware and tell the truth about Mental Illness.

Some topics discussed

Effectiveness

  • ECT: Considered one of the most effective treatments for severe depression, especially when rapid relief is needed (e.g., in cases of suicidal ideation or catatonia). Studies suggest 70–80% of patients see significant improvement, with 40–60% achieving remission. It’s also used for bipolar disorder, mania, and schizophrenia in some cases.

  • TMS: Effective for treatment-resistant depression, with about 50–60% of patients responding and 30–40% achieving remission. Newer protocols like SAINT (Stanford Accelerated Intelligent Neuromodulation Therapy) may improve outcomes further, sometimes rivaling ECT for certain patients. However, its effects typically build more gradually than ECT’s.

Side Effects

  • ECT: Can cause more significant side effects, including short-term memory loss, confusion immediately after treatment, and physical discomfort (e.g., muscle aches or headaches). These effects often lessen over time, but memory issues can be a concern for some patients. The use of anesthesia also carries minor risks.

  • TMS: Generally milder side effects, such as scalp discomfort, tingling, or mild headaches during or after sessions, which usually subside. Seizures are a rare risk (less than 0.03%), and there’s no cognitive impairment like with ECT.

Invasiveness and Lifestyle Impact

  • ECT: More invasive due to anesthesia and the hospital setting. Patients need someone to drive them home and may need time off work or other activities during recovery, sometimes up to two weeks after a treatment course.
  • TMS: Non-invasive and fits easily into daily life. Patients can drive themselves to and from sessions and resume normal activities immediately, making it less disruptive.

For severe depression also see episodes since this aired:

  • Goodbye Anxiety, Depression, Addiction & PTSD: The Life-Changing Science of Dual-Brain Psychology. March 2025
  • New Innovated Treatments - Ketamine, Infrared Therapy (Long Covid) 29 Sep 2023

For ADHD see episode:

ADHD Revealed – The Real Deal about Medication and the Condition

8 Dec 2022

Or just go through the Real episodes "best of" OCT 2024 through Jan 2025 To catch up

Please help me to help you and others.   I am looking forward to continuing and going into more details about how you can battle and beat Mental illness and get what you deserve to be happier. But I need your help to help more  people.  Thank  you and remember you are not alone. 

Dr. Heim is a clinical psychiatrist and public speaker. He post blogs and podcasts every fortnight (2 weeks) and videos on his YouTube Channel every week with focus on preventative mental health. Follow him on Instagram, Facebook or Linkedin to get Dr Heim’s daily dose.

OTR Links:

Mail            OvertheRainbowbob@gmail.com

Facebook: https://www.facebook.com/otrachievingmentalhealhfr

Instagram: https://www.instagram.com/over_the_rainbow_achieving  

Twitter:       https://twitter.com/overtherain1bown

YouTube Channel: https://www.youtube.com/channel/UChEYTddPDUaiZbFliit1r5Q

Official home page: https://bobadleman.wixsite.com/otrmentalhealth

Captivate site: https://otr-achieving-mental.captivate.fm



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About the Podcast

OTR - Achieving Mental Health for Real
This podcast offers hope for people who suffer with Depression/Anxiety, ADHD, OCD, Bi Polar, PTSD, Dyslexia and other mental health conditions. We have interviews with ordinary people that share their stories of recovery. We also have experts and coaches that offer techniques on how to achieve mental health for real. I think there is a lot of information, help and hope on the voyage home. Write me at overtherainbowbob@gmail.com Or follow on Twitter @Overtherain1bow https://twitter.com/overtherain1bow Or on Facebook at https://www.facebook.com/otrachievingmentalhealhfr /><

About your host

Profile picture for Robert Adleman

Robert Adleman

I am a 64-year-old male with ADHD, OCD, severe depression, severe  anxiety, and dyslexia. I struggled for 40 years working in the high-pressured Information technology field. Even though it was good money, I didn't have much luck in the financial department.
In 1991, at the age of 33, was when the severe anxiety attack occurred, and the support system was not there to handle it. So, I checked myself in to a mental hospital in Piscataway, NJ. That started my long road to recovery. After the attack, I was severely depressed and anxious for 6 months. This experience is detailed in episode four "Beating Severe Anxiety/Depression".