6-Session Program: ADHD Psychoeducational Workshop

An in-depth online program for understanding & managing your ADHD.

Limited availability!

Starts Jan8th 2024.
Apply today

We are thrilled to inform you that Envision Mind Care is now accepting clients for our highly anticipated ADHD Psychoeducational Online Workshop! We are launching a comprehensive 6-week program, beginning Monday in the second week of January, meticulously designed to navigate various aspects of understanding and managing ADHD. Given the in-depth nature of the program and to maintain continuity and progression in the group dynamics, we strongly encourage participants to commit to attending all sessions.

Key Elements of the Program Include:

• Understanding ADHD

• Exploring diverse treatment options

• Lifestyle factors impacting symptoms

• Everyday coping strategies

• Exploring the effect of ADHD on relationships and workplace dynamics

Additional Details:

• Group Size: A close-knit group of 4-6 participants, ensuring quality interaction and individual attention.

• Cost: $560 for 6 sessions. Sessions may be covered by benefits (under Psychology). Note: all new Envision clients must pay a $190 Intake Fee in addition. Sessions are billed following the completion of each individual workshop.

• Time: Each session lasts 90 minutes with (3) 5-minute breaks, only on ZOOM.

• The first session commences in the second week of January and the program continues every Monday from 4:00 pm to 5:30 pm.

Online Concussion Treatment Group

For adults residing in Alberta, Saskatchewan, Manitoba, and Northwest Territories

See details below

Sessions will begin on Thursday November 9 2023 10am MST

Welcome to the Concussion Recovery Group! Join us online to connect with others who have experienced concussions and are on the path to recovery. Whether you're an athlete, a student, or simply someone who has had a concussion (mild traumatic brain injury), this group is here to provide support, share experiences, and offer valuable advice.

Our online platform allows you to participate from the comfort of your own home. Share your story, learn from others, and discover practical strategies for managing mental fog, emotional instability, sensory sensitivities, and other symptoms that often follow concussions.

Together, we can navigate the challenges of recovery and provide each other with the encouragement and support needed to get back on track. Join the Concussion Recovery Group today and take the next step towards a healthier, happier future!

Group sessions will take place every Thursday, beginning on November 9, 2023. Each session will be 60 minutes in length.

Registration is open to adult residents of Alberta, Saskatchewan, Manitoba, Yukon, and Northwest Territories. On request, Dr. Newton will provide confirmation of attendance and a detailed invoice that can be submitted for reimbursement to your extended health insurance plan or motor vehicle accident insurance plan.

Participants will need access to a stable internet connection and the ability to use Zoom with an enabled web camera and microphone. To get the most out of this group, you should be willing to engage in group discussions and able to practice the suggested strategies on your own between sessions.

This group will be hosted by Dr. Virginia Newton, a Registered Psychologist with a practice in Clinical Neuropsychology. Participants will also have the opportunity to schedule separate individual sessions with Dr. Newton for cognitive testing, biofeedback/neurofeedback, hypnotherapy, and/or neuropsychological counselling. Details can be found on the Newton Neuropsychology website.

6-Week Program: ADHD Psychoeducational Workshop

An in-depth program for understanding & managing your ADHD.

Limited availability!

We are delighted to inform you that Envision Mind Care is now accepting clients for our much-anticipated ADHD Psychoeducational Group, and you're invited! We are initiating an immersive 6-week program, starting Monday November 6th, meticulously designed to navigate various facets of understanding and managing ADHD. Given the in-depth nature of the program and to ensure coherence and progression in the group dynamics, we highly encourage participants to commit to attending all sessions.

Crucial Aspects of the Program Include:

• Understanding ADHD

• Exploring varied treatment avenues

• Lifestyle considerations impacting symptoms.

• Everyday coping strategies

• Investigating ADHD's impact on relationships and workplace dynamics

Additional Details:

• Group Size: A close-knit group of 6-8 participants to ensure quality interaction and personal attention.

• Cost: $540 for 6 sessions

• Time: Each session is 90-minutes. First session starts Monday Nov. 6th 2023, and ends Dec 18th 2023 (there will be no session Nov 13th). Each session runs 11am-12:30pm with (3) 5min breaks.

Your Commitment is Key As space is limited and the collective journey through the sessions provides maximal benefit, we seek participants willing to engage consistently through all eight weeks. Your dedication to the complete program will undoubtedly yield the most fruitful experiences and insights.

Secure Your Spot! To confirm your participation and enhance our session dynamics with your valuable presence, please fill in the online form below by Nov 4th, 2023.

If you have any questions or require further details, feel free to contact us at any time.

We are excited about the possibility of your participation and look forward to assisting you in this enlightening journey toward understanding and managing ADHD more effectively.

Sign Up Below

Optimize Your Brain Flow: 6-Part Online Workshop

Feeling burned out or overwhelmed?

Learn how to clear out brain fog and boost mental performance with this interactive small group workshop

Starting Thursday, October 19, 2023 (11:00 am – 12:30 pm)

‘Brain flow’ refers to a peak mental state that includes a feeling of energized focus, full involvement, effortless performance, and enjoyment. This state of flow can be disrupted by exposure to increased physical, emotional, or cognitive stress, which causes us to become distracted, disorganized, forgetful, and moody. If this sounds familiar, you might be feeling stuck or trapped by work stress, family relationships, or major life transitions. Or, you might be experiencing a stress-related medical condition, postconcussion syndrome, or a somatic symptom disorder.

In this interactive six-part online workshop, learn practical strategies for managing mental fog, burnout, and feelings of overwhelm. We will discuss the role of the central nervous system in activating physical, emotional, and cognitive symptoms of stress. Then we will explore proven methods for improving your brain’s resilience, increasing your physical and mental endurance, and regaining a sense of control and self-sufficiency.

This workshop will take place every Thursday for six weeks, beginning on October 19, 2023. Each session will be 90 minutes in length.

Registration is open to adults (18 years of age or older) in any region who have access to a stable internet connection and the ability to use Zoom with an enabled web camera and microphone. To get the most out of this workshop, you should be willing to engage in group discussions and able to practice the suggested strategies on your own between sessions.

Workshop sessions will be presented by Dr. Virginia Newton, a Registered Psychologist with a practice in Clinical Neuropsychology. Participants who are residents of Alberta, Manitoba, or Northwest Territories will also have the opportunity to schedule separate individual sessions with Dr. Newton for cognitive testing, biofeedback/neurofeedback, hypnotherapy, and/or neuropsychological counselling.

Details can be found on the Newton Neuropsychology website.

The Therapeutic Breakthrough of Ketamine

Ketamine therapy represents a cutting-edge treatment in the realm of mental health care. Originally known for its use in anesthesia, ketamine is gaining traction for its potential in treating serious mental illnesses, including treatment-resistant depression, acute suicidality, PTSD, OCD, and anxiety disorder. Its therapeutic use aims to provide relief to patients who have experienced little to no benefit from other medications and treatment modalities.

Ketamine therapy involves administering the drug in lower doses than used for sedation. It's typically given through intravenous infusions that last about 40 minutes, but other forms include intramuscular injections, nasal sprays, and tablets that dissolve under the tongue. The frequency and course of treatment vary, but an initial course typically involves 6-8 treatments over three to four weeks.

What Does Ketamine Therapy Feel Like?

The subjective experience of ketamine therapy varies from patient to patient and often relates to the dosage used. In Envision Mind Care, we ensure individualized treatments, gradually adjusting the dosage for each person’s unique needs and tolerance level.

At an initial lower dosage , patients often report a sense of gentle disconnection from their usual ways of thinking, and sometimes from their physical bodies. This often provides what experts call a "mental timeout," allowing a beneficial interruption of distressing thought patterns.

In a moderate dosage context , the experience deepens. Patients often describe an intensified sensory perception; colors can seem brighter, and a feeling of floating outside one's physical body can occur. This disconnection, or dissociation, feels like a sensation of separation from one's body and thoughts, similar to the sensation of deep meditation, which can lead to profound insights. Patients describe feeling paralyzed unable to move their legs, experiencing “near death “ and being reborn into a new person after the session. It is not uncommon to believe it has lasted for hours when the experience itself lasts only for 20 min.

At higher dosages * , the experience of dissociation amplifies and patients may undergo what can be considered a psychedelic experience. Patients may report vivid closed-eye visual hallucinations, experiencing patterns, shapes, and symbols. It's not uncommon for patients to report a pleasant sensation of being immersed in water, soaring in the air, or seeing familiar faces or natural scenes.

• Higher Doses for Psychedelic experiences are still significantly lower than doses for sedation procedures

From surviving to thriving: how ketamine therapy can change lives

In a therapeutic environment, a ketamine experience can function as a tool which allows you to detach yourself from your everyday reality, to witness your habitual mental patterns from a whole new vantage point.

During these profound experiences, individuals grappling with mood disorders such as depression often find they can momentarily set aside their constant distress. This usually brings about moments of inner tranquillity and reflective joy, demonstrating for perhaps the first time, that a change of state is indeed within reach for the individual.

This inner expedition that psychedelic therapy encourages can make our emotions and previously elusive thoughts more accessible. It presents opportunities for in-depth self-exploration, affording crucial insights that individuals may otherwise miss out on because of the intensity of their daily struggles and experiences. It is common for those suffering from treatment-resistant depression to struggle for years and even decades. With psychedelic therapy as part of a treatment plan, it is now possible to achieve rapid and lasting relief.

These transformative experiences can be instrumental in helping individuals reimagine their lives. They breathe new life into stagnant mental states and equip individuals with the mental flexibility necessary to break free from the unhelpful cycles of thought and behaviour.

At our Envision Mind Care & Research Institute, this therapy is conducted in the presence of and under the direct supervision of skilled professionals trained to navigate these experiences, ensuring the safety and comfort of individuals at all times.

Despite the unprecedented breakthroughs many enjoy during these experiences, it's worth stressing that they're not an immediate cure-all. Instead, they are stepping stones on the path to better mental health. They should ideally be integrated into a wider, ongoing therapeutic journey to fully harness their potential. Think of it like planting a seed - to grow and flourish, it needs ongoing care and the right environment. At Envision Mind Care, we provide support during the treatment as well as provide after-care resources so that individuals can maintain activities and processes that guide them toward long-lasting mental health improvements.

Preparing for the Ketamine Experience

The impact of ketamine therapy often relates to the accompanying experience or ‘trip,' and appropriate preparation is crucial for optimizing treatment outcomes.

Before Therapy: Take time away from your daily tasks in the hours leading up to the therapy. Relaxation activities like enjoying nature, light yoga, or meditation can help clear your mind. Be sure to drink plenty of water and dress comfortably. Avoid eating 1-2 hours before the treatment. If you must eat prior, consider having a small serving of fruit to provide energy and sustenance.

During Therapy: As the therapy begins, focus on your breath and practice mindfulness. Trust in the process, and understand that while you’ll experience a sensory shift, you are safe. Remember, any challenging emotions or thoughts that arise during the therapy are temporary and may help uncover valuable insights.

After Therapy: Reflection is key after a ketamine therapy session. Journaling, talking with a professional, or sharing your experience with loved ones can help you process the experience. Make time for self-care post-therapy, listen to your body, and provide yourself space to rest and recuperate. At our Edmonton ketamine clinic, we have ample space should you need a quiet place to rest and reflect. If you intend to stay, you may want to bring food or drink items to enjoy after the experience.

How Ketamine Works: The Science Behind Ketamine Therapy

In recent years, robust scientific research has begun to illuminate how this unique therapy works. A main driver of ketamine's efficacy is its promotion of neuroplasticity – the brain's ability to reorganize and form new neurons and neural connections throughout life.

Fundamentally Ketamine increases Brain-Derived Neurotrophic Factor (BDNF), a protein that plays a key role in neuron health. Ketamine works by blocking the activity of the NMDA receptor, leading to an increase in Glutamate release followed by activation of AMPA receptors and finally increase in BDNF levels. In turn, this amplification of BDNF fosters neuroplasticity, enabling the brain to adapt and change, thus augmenting its resilience against the adverse effects of mental illnesses.

Recent Findings: Emphasizing the Effectiveness of Ketamine Therapy

Emerging studies consistently reaffirm ketamine's potential as a powerful weapon against severe depression.

A groundbreaking study, recently published in the British Journal of Psychiatry, discovered a promising response among patients suffering from treatment-resistant depression after receiving ketamine injections.

About 20% of the patients reported their symptoms disappeared, while a third experienced at least 50% improvement.

These results underscored the dramatic difference ketamine therapy can make when compared to placebo alternatives. The resounding impact was especially notable in patients who had failed to benefit from conventional antidepressants, talk therapy, or electroconvulsive therapy (ECT).

Further, in The New England Journal of Medicine, a robust study reveals that for some patients, ketamine could be a promising alternative to ECT. The surprise finding indicated that ketamine was more effective than originally hypothesized - it was not just as effective as ECT but surpassed it. This revelation holds significant implications, given that ECT often has side effects like temporary memory loss, muscle pain, or weakness, making it a less appealing option for patients.

The efficiency and rapidly visible results of ketamine therapy are converting more and more medical professionals to consider it as a primary tool in battling mental illnesses. Its profound potency provides hope for patients who might otherwise spend months enduring unsuccessful treatments, allowing them to return to their normal lives much quicker.

Ketamine therapies' promotion of neuroplasticity, combined with its strong potential as an effective treatment for severe, treatment-resistant depression, make it a touchstone of potential in the ongoing quest for comprehensive and efficient mental health care. Every new research study adds a brick in the building of a hopeful future where mental health disorders are understood and can be effectively treated.

References:

• C. Loo, N. Glozier, D. Barton, et al (2023) Efficacy and safety of a 4-week course of repeated subcutaneous ketamine injections for treatment-resistant depression (KADS study): randomised double-blind active-controlled trial, Cambridge University Press article here

• Amit Anand, M.D., Sanjay J. Mathew, M.D., et al (2023) Ketamine versus ECT for Nonpsychotic Treatment-Resistant Major Depression, N Engl J Med 2023; 388:2315-2325 article here

Creating Equitable Access to ADHD Care in Canada

CADDRA in partnership with CADDAC (Centre for ADHD Awareness Canada) released a proposed path to improve ADHD care in Canada.

Save on certain prescription medications

The FREE InnoviCares card is available to all Canadians

It is a collaboration between participating pharmaceutical manufacturers. Just show your card at the pharmacy and it will automatically cover a portion of the cost.

To register and download care please go to https://www.innovicares.ca/

Is it tax deductible?

Deducting Premiums Paid for a Private Health Insurance Plan

While the Medical Expense Tax Credit can significantly reduce your taxes, it is not always obvious which medical expenses are eligible. Payments of premiums for private health service plans may qualify if they meet certain criteria, while others are excluded. It is important to know if any of your payments are eligible towards this credit.

Payments of Premiums for Private Health Services Plans. As a rule, premiums that are paid to private health services plans including medical, dental and hospitalization plans are considered to be eligible medical expenses by the Canada Revenue Agency. Furthermore, any premium, contribution or other consideration — including sales and premium taxes — that you pay to a private health services plan for yourself, your spouse or your minor children, is an eligible medical expense.

However, the plan you make the payments to must qualify as an eligible private health services plan. When changes were made a few years back, the CRA adopted a less restrictive position regarding which plans are considered eligible. They now consider a plan to be eligible as long as all or substantially all of the premiums paid under the plan relate to medical expenses that are themselves eligible for the Medical Expense Tax Credit. The plan must also be an insurance plan, instead of another form of contract. To be considered as substantial, the CRA refers to approximately 90 percent or more.

Previously, the CRA’s position was that 100 percent of the premiums had to be paid to be considered as eligible medical expenses. The rule now means that plans that offer some non-eligible benefits can still be considered eligible, if these benefits are less than 10 percent of the total benefits. To determine if your plan qualifies for the Medical Expense Tax Credit, you will need to analyze the coverage it provides you with and compare it to the list of eligible medical expenses from the CRA.

Plans that are paid by an employer and most mandatory provincial health plans are not eligible to be claimed as health expenses.

Reporting Payments on Your Tax Returns

To claim the payments of your health plan premium, include them with your other eligible medical expenses and claim the credit on line 33099 of your return.

If you are paying premiums under a plan managed by your employer, you will find the exact amount paid on your T4 Statement of Remuneration slip in Box 85 of the “other information” section. If you do not have the information on a T4 slip, keep your receipts to be able to prove the amounts you paid in the event of a CRA audit.

If you have retired or left a job where your employer still pays for your health plan premiums, you will receive a T4A Statement of Pension, Retirement, Annuity and Other Income slip with the amount shown in Box 135.

What Is TMS Therapy & Is It Right for You?

Transcranial magnetic stimulation (TMS) therapy is a procedure in which electromagnetic fields are used to treat depression. During this procedure, the magnetic fields emit repetitive pulses that stimulate nerve cells in the brain. Thus, the procedure is sometimes referred to as repetitive magnetic stimulation (rTMS).

In general, the procedure isn’t used as a first line treatment for depression, but may be considered when psychotherapy, medications, and other forms of therapy fail to adequately treat the symptoms of depression.

Canadian Network for Mood and Anxiety Treatment (CANMAT) recommend TMS as a first line of Neuro-stimulation methods to be used before Electroconvulsive Therapy (ECT), TDCS therapy.

If you’re considering TMS, here are some factors to bear in mind before you go.

The Effects

TMS therapy involves the delivery of painless magnetic pulses from an electromagnetic coil to the brain’s nerve cells. These pulses stimulate the nerves and neurological regions connected to mood control. Activation in these regions are known to ease depression. Essentially, these pulses change how the brain works. As these changes occur, the symptoms of depression lessen or disappear. This reduction in symptoms can occur within the first few weeks of treatment.

The Procedure

Since TMS treatments require medical equipment, they’re usually performed in a clinic or doctor’s office. Typically, daily sessions are performed during a four- to six-week period.

Before the treatment, patients may be required to have a full psychiatric and physical evaluation. These examinations are used to determine the severity of the depression symptoms and to assess whether the patient is an ideal candidate for TMS.

Fortunately, the treatment is noninvasive and performed on an outpatient basis. Patients can return to their normal activities after a treatment session. However, there may be an adjustment period after the first few sessions, as you may feel uneasy, tingly, or lightheaded after the procedure. Each session lasts for approximately 30 minutes and involves the following steps:

·         Identification of the areas on the head that are best for placing the magnetic coil (only performed in the first session)

·         Placement of earplugs into the ears and electromagnetic coil against the head

·         Mapping or switching the coil on and off to produce pulses (you’ll hear a clicking sound and feel a tapping sensation on the forehead)

·         Increasing the magnetic dose to determine your motor threshold (your hand will twitch when the threshold is reached, and your therapist may adjust this stimulation several times during a session or throughout your treatments)

The sessions will continue for the established duration and may be accompanied or followed by psychotherapy or medication. If the symptoms reoccur, then the therapy plan may be repeated.

The Risks

Repetitive TMS is noninvasive and doesn’t require implantation or surgery. Thus, it’s safer and has fewer side effects than other forms of magnetic therapy. However, some patients may still experience some minor side effects, including:

·         Lightheadedness

·         Headache

·         Scalp irritation

·         Twitching, tingling, or spasms in facial muscles

If you would like to learn more about TMS therapy, please contact us.

Tips for Coping with ADHD at Work

Attention deficit/hyperactivity disorder (ADHD) is a chronic condition that begins in childhood and continues throughout a person’s lifetime. Unlike the old belief that it disappears once people reach 18 years of age, professionals are aware that people with ADHD will continue suffering from problems in their adult and older aPeople with ADHD are known to suffer from inattentiveness, hyperactivity and impulsiveness in varying degrees. They can also have mood swings and problems with self motivation. The condition can make it difficult to learn in a controlled environment, study, work and perform everyday tasks. For adults, it makes it especially difficult to find and hold a job. Most employers seek candidates who pay close attention to detail, are organized, have the ability to multitask and display keen focus. Unfortunately, most people with ADHD don’t possess these qualities. In fact, they often struggle to:

·         Listen and pay attention

·         Arrive or turn in work on time

·         Get organized

·         Manage time

·         Complete projects

·         Fight procrastination

Fortunately, there are some effective strategies anyone with ADHD can use to thrive in the workplace, many of which are listed below.

Tailor Your Work Life

To optimize productivity, you’ll need to work in a way that benefits you, your boss and your organization. You must play to your strengths while planning for your weaknesses. To achieve this, aim to create a balance that enables you to work comfortably and productively. This could include:

·         Breaking up large or long-term projects into smaller tasks with strict deadlines

·         Creating an alert that signals when you should start working on a task

·         Using a timer that signals when you should end a task or move on to the next one

·         Preventing brain overload by only working on one task at a time

·         Stimulating your brain before the workday by doing some light physical activity

·         Relaxing to improve concentration

·         Asking for work accommodations, such as a quieter workspace

·         Delegating certain tasks to others if you work in a team or with an assistant

·         Asking for specific deadlines that include a date and time

·         Setting aside time for distractions, like answering emails

Get Support

Support from others can go a long way in helping someone with ADHD stay on track. Being a productive employee could mean getting support from colleagues, friends and family or even a psychologist. At work, team up with your manager or colleagues to help you stay organized and meet project deadlines. Your therapist could also help you perform well in your career by working with you to create customized calendars, develop focusing strategies and gain other valuable skills for the workplace. If you are finding it difficult to do this on your own or with help from family and work colleagues, you would benefit seeking help from an ADHD Coach.

Give us a call if you want to talk to Marnie McKay, our mental health therapist / ADHD Coach, who could help you understand more about your ADHD and ways to cope.

Common Signs of Depression

Depression is a serious mental health condition that causes feelings of despair, hopelessness, apathy, and helplessness. The condition can be temporary or chronic. For many, depression results from major life changes, grief or loss, physical illness, or personal setbacks or disappointments. But for some, it’s considered a chronic, treatable medical condition.

Depression can affect your daily functioning and activities. For example, it can hinder your ability to sleep, eat, work, attend class, study, or connect with your friends and family. If left untreated, the condition worsens. Fortunately, there are signs that signal when sadness is more than just a normal mood, along with treatments available to help. Below are some of the most common symptoms of depression.

Feeling Hopeless, Helpless, and Irritable

Feelings of hopelessness and helplessness are the most common signs of depression. They may be associated with a bleak outlook, sadness, self-loathing, and feelings of worthlessness.

Irritability isn’t always seen in depression but it can be presented as feeling agitated, angry, and sometimes aggressive. In general, depression can cause people to develop reduced patience and short tempers. This irritability may also be accompanied by reckless, compulsive, or escapist behaviour, such as substance abuse. Luckily, depression treatment is designed to address these challenging feelings and behaviours.

Changes in Weight or Appetite

Depression may cause a loss of interest in ‘normal’ things, including food. For some, eating may become non-pleasurable due to feelings of disinterest. On the other hand, some depressed individuals use food as a source of comfort or coping mechanism. These appetite changes can cause significant weight gain or weight loss.

Losing Interest in Activities

Losing interest in daily or normal activities is a key sign of depression. A depressed person may especially cease to partake in activities they once considered fun or pleasurable. For example, they may stop engaging in social events, hobbies, or sex. Regular hygiene habits may also be neglected or reduced during depression. This often results from feelings of listlessness.

Interruptions in Sleep Patterns

Depression can also lead to insomnia. It’s a symptom that works like a double-edged sword: in many cases, depression causes insomnia, and insomnia also increases depressed feelings. Depression can also cause sleep disturbances, resulting in strange dreams and an inability to stay asleep or go back to sleep. People with depression may also experience early waking or oversleeping. Additionally, performing tasks or activities may cause feelings of fatigue or heaviness. These feelings can make it harder or more time-consuming to complete tasks.

Try scoring yourself by completing the Depression Quiz below:

PHQ – 9

Little interest or pleasure in doing things

•  Not at all

•  Several days

•  At least half of the days

•  Nearly every day

Feeling down, depressed, or hopeless

•  Not at all

•  Several days

•  At least half of the days

•  Nearly every day

Trouble falling or staying asleep, or sleeping too much

•  Not at all

•  Several days

•  At least half of the days

•  Nearly every day

Feeling tired or having little energy

•  Not at all

•  Several days

•  At least half of the days

•  Nearly every day

Feeling bad about yourself - or that you are a failure or have let yourself or your family down

•  Not at all

•  Several days

•  At least half of the days

•  Nearly every day

Trouble concentrating on things, such as reading the newspaper or watching television

•  Not at all

•  Several days

•  At least half of the days

•  Nearly every day

Moving or speaking so slowly that other people could have noticed? Or the opposite - being so fidgety or restless that you have been moving around a lot more than usual

•  Not at all

•  Several days

•  At least half of the days

•  Nearly every day

Thoughts that you would be better off dead or of hurting yourself in some way

•  Not at all

•  Several days

•  At least half of the days

•  Nearly every day

Would you be interested in having TMS Therapy?

If you can identify with some of the signs and symptoms mentioned here, help is a phone call away. Contact us today.

How is Anxiety Treated?

Anxiety is an overwhelming feeling or condition that can make it difficult to function in the world. It affects not only the mind but also the body, the emotional state, and social interactions. Thus, the condition can make it challenging to find or keep a job, friends, and even housing. Since it’s so difficult to function in the outside world with anxiety or an anxiety-inducing condition, most individuals need specialized treatments. There are numerous options for treating anxiety, and often, the best treatment is the one that works effectively for you. In many cases, professional care can make a world of difference for those suffering from the condition. Below are two of the most common treatments for anxiety.

Psychotherapy

In some circles, psychotherapy is considered the best treatment for anxiety and is typically the first approach. It creates the greatest benefit for the individual by helping them develop their own coping mechanisms for tackling anxiety. Most psychotherapy treatments include the use of CBT, or cognitive behavioral therapy, which is also considered one of the greatest forms of psychotherapy.

CBT works particularly well for anxiety because it’s a method of therapy that helps to change thought patterns. It helps the individual work through the negative thoughts and feelings that cause or contribute to anxiety. The therapist helps the patient develop strategies to change those thoughts, thereby reducing anxiety over time. Moving from a more negative world view; for example, into a more positive world view is a thought pattern often used to combat anxiety. Exploring worst-case scenarios with a professional therapist can also help patients develop new neural pathways that can support coping mechanisms for anxious thoughts.

Medication

Medication is usually prescribed in the form of an antidepressant or an anti-anxiety medication. These medications can help relieve many of the physical symptoms associated with anxiety. Medications can also help with social functioning by removing debilitating thoughts or feelings that often come up in social situations. However, medication is usually only recommended when psychotherapy is ineffective or when the level of anxiety is particularly problematic. In many cases, medication may be prescribed in conjunction with psychotherapy, or after a few months of sessions.

Transcranial Magnetic Stimulation (TMS)

TMS is a novel form of treatment that was approved by Health Canada in 2002 and the FDA in 2008.

TMS has a very good evidence base for treating patients with Depression and Anxiety Disorders. TMS is a neuro stimulation method with very good efficacy and less side effects. All patients are treated on an outpatient basis, and psychiatrists are increasingly using TMS to help when patients don’t respond to medications and talking therapy.

Please contact us if you want help with your anxiety with novel treatments like TMS.

Signs It's Time to Get Help for Your Anxiety

Chronic anxiety can have a devastating impact. It causes overwhelming worry and fear related to social situations, certain activities, or other stimuli. For many, these issues result from a disorder such as: social anxiety disorder (SAD), generalized anxiety disorder (GAD), and panic disorder (PD).

SAD is characterized by bouts of fear and worry relating to social situations or relationships, while GAD manifests as chronic fears or worries related to many types of personal situations. Anxiety caused by GAD can last for months. Panic disorder, on the other hand, is characterized by a spontaneous and overwhelming sense of fear.

Any of these conditions can worsen if left untreated. While it may be challenging to know when to get help, seeing a professional is the first step in restoring your quality of life. Below are some common signs that it’s time to seek anxiety treatment.

Interferes with Daily Life

If your daily life becomes affected by anxiety, it’s time to seek help. The impact on daily life can manifest in many ways and to varying degrees. For example, it may begin with insomnia, minor health problems, and relationship challenges. It can then escalate to an inability to perform at work, chronic nervousness, isolation, and even depression. Eventually, it may lead to extreme nervousness when leaving the house, thinking about certain situations, interacting with others, or performing certain tasks.

Causes Chronic Fatigue

Anxiety is exhausting, especially when you’re facing it on your own. Over time, it may even cause chronic fatigue. Unfortunately, this fatigue enhances the symptoms of anxiety, spurring a vicious cycle in which your tiredness makes you more anxious and nervous. Eventually, the body will become depleted, as anxiety is a heightened state that isn’t sustainable over prolonged periods. If you experience chronic fatigue associated with anxiety, seek anxiety therapy as soon as you can.

Leads to Stress and Irritation

Irritation is an often-overlooked symptom of anxiety. Nervousness can cause preoccupation, and interruptions can lead to blow-ups. It can also create a need to control your environment, and the presence of others in that environment can become irritating. Moreover, anxiety often makes it difficult to rationally face and resolve issues. Fortunately, a professional can help you develop healthy coping mechanisms to put an end to anxiety-related irritation.

For anxiety, you may have already sought help from family physicians and a psychologist. You might have benefited partially from antidepressants and talking therapy, such as CBT. If you are still unwell and are looking for new solutions or treatments with less side effects, you might want to consider Transcranial Magnetic Stimulation (TMS). If you would like to learn more about how TMS may be of benefit to you, please contact us.

What to Expect and How to Prepare for TMS Treatment

It’s frustrating when your depression treatment isn’t effective. When you’ve tried antidepressants and gone through therapy without any improvements, you may start to lose hope. Fortunately, there are now more options and new technology available to help treat depression. TMS especially has gained popularity as a treatment for major depressive disorders and treatment-resistant depression. But what can you expect from TMS treatment?

To help you prepare, here’s everything you need to know before beginning TMS treatment.

What is TMS?

Transcranial magnetic stimulation (TMS) is a relatively new treatment for depression, mood, and anxiety disorders. It’s a non-invasive treatment that’s proving to be effective for treatment-resistant depression. 

TMS treatment works similarly to antidepressants except that TMS doesn’t affect brain chemistry. Instead, it directs a magnetic pulse into a patient’s brain to stimulate neural impulses and promote brain activity. According to Psychology Today,TMS has been “proven to treat clinical depression even when prior conventional methods have failed.” 

Before You Begin

Before starting TMS treatment, you’ll have to undergo a physical and psychiatric evaluation to determine if it’s an appropriate treatment. Typically, TMS will only be recommended for people who suffer from major depressive disorders or have been unsuccessful with antidepressants.

Before you begin treatment, make sure to tell your doctor if you:

• Have a medical history or family history of seizures

• Have any implanted metal devices for example:

  • Stents

  • Implanted stimulators

  • Electrodes for monitoring brain activity

  • Cochlear implants

• Are taking any medications

• Are pregnant or thinking of becoming pregnant

What to Expect

TMS is a safe and tested form of treatment and many people experience relief from the symptoms of their depression. The research in this exciting field is ongoing, and studies continue to show how effective and safe it is.

Your First Appointment

During treatment, your doctor will place an electromagnetic coil against your head. At your first appointment, your doctor will need to determine where to place the magnets and what dose of magnetic energy will work best for you. The doctor will then use magnetic fields to stimulate specific areas of your brain. You’ll be awake during treatment and will likely feel a slight tapping sensation against your forehead and hear a loud clicking noise. 

Following Appointments

In order to effectively treat depression, you’ll need to undergo treatment for about 4-6 weeks. A 2016 CANMAT study found that: “clinical trials and naturalistic studies have found maximal effects at 26 to 28 sessions.” 

Your regular appointments will be around 20 minutes long. Aside from this, you can expect treatments to mirror your initial appointment. Keep in mind it may take your doctor a couple appointments to find the best areas of your brain to stimulate and determine the perfect level of magnetic energy.

After Your Treatment

Once you finish treatment, the symptoms of depression should either improve or disappear. Remember, you probably won’t feel better after your first appointment; it’ll take several weeks to experience relief. CANMAT’s 2016 study states: “Clinical experience concurs in suggesting 20 sessions before declaring treatment failure, with extension to 25 to 30 sessions if improvements occur.”

Some people continue TMS treatment after their symptoms have gone away to help prevent the return of their depression and any symptoms.

Possible Side Effects

Unlike other treatments for major depressive disorders, TMS doesn’t tend to have any serious side effects.  During and immediately following the treatment some people experience some slight discomfort along their scalp and may experience a mild headache.

Some research has found that in very rare cases, TMS may cause:

·     Seizures

·     Mania (especially in people with bipolar disorder)

·     Hearing loss (if you don’t have adequate ear protection)

In order to avoid these side effects, please make sure you share your medical history with your doctor before starting treatment.

If you’re looking for TMS treatment in Edmonton, come to Envision Mind Care. Our team of experts is ready to look after your mental health and make sure you feel your best. Get in touch with us to set up an appointment.

Using TMS to Treat Anxiety and Depression

You or someone you know have likely experienced depression or anxiety at some point. If that’s true, you probably know the symptoms and the immense effect they can have on your life. What you might not know is that sometimes traditional medications aren’t effective for treating these disorders.

In the last decade, more psychologists have begun moving away from traditional treatments for depression and anxiety. Instead, they’ve begun treating patients with transcranial magnetic stimulation (TMS) and repetitive transcranial magnetic stimulation (rTMS). The Canadian Network for Mood and Anxiety Treatments (CANMAT) found a ~40% to 55% response and ~25% to 35% remission rate for people with treatment-resistant depression.

Depressive Disorders

Depression is a mental illness that affects a person’s ability to live a normal life. People with depression don’t just experience mental distress; they’ll often experience physical symptoms as well. Some symptoms of depression include: 

• Feelings of sadness, hopelessness, and worthlessness

• Irritability

• Anxiety

• Low energy

• Constantly feeling tired

• Headaches

• Digestive problems

The most common method of treating depression is with antidepressants, which work to alter a person’s brain chemistry. Unfortunately, antidepressants aren’t an effective treatment for every patient. 

Anxiety Disorders

Anxiety disorders are caused by an excessive and uncontrollable worry that persists in every area of a person’s life. Anxiety may be caused by environmental factors, genetics, medications, and brain chemistry. Some of the symptoms of anxiety are:

• Excessive fear and worry

• Restlessness

• Difficulty concentrating

• Inability to sleep

• Muscle tension

Traditionally, patients with anxiety are prescribed antidepressants or go through cognitive behavioural therapy (CBT) to help manage their symptoms. Unfortunately, these aren’t always effective long-term solutions. Similar to depression, some people are resistant to these treatments.

Using Antidepressants

Depression and anxiety can both be caused by a chemical imbalance in the brain. Antidepressants attempt to correct these imbalances. Typically, antidepressants have serotonin norepinephrine reuptake inhibitors (SNRIs). SNRIs try to improve communication in the brain by normalizing your brain chemistry. For some people, changes in brain chemistry don’t have the effect of fully treating the imbalances.  

According to a study on Functional Recovery in Major Depressive Disorder by Habert et. al (2016), “less than half of those treated for [Major Depressive Disorders] with antidepressant drugs achieve remission.”

What is TMS Treatment?

TMS is a completely non-invasive treatment for depression and anxiety. Certain parts of the brain, like the prefrontal cortex, are less active in people with depression. Essentially, TMS relies on a series of magnetic pulses to stimulate these areas of the brain. Similar to antidepressants, TMS attempts to improve brain activity. The only difference is that TMS does this by creating a magnetic field. 

TMS has very few side effects and doesn’t require any extensive hospital visits or medical procedures. Treatment is quick and easy, and you can drive yourself home right after a session. 

Is TMS an Effective Treatment?

TMS has recently become a more common treatment for major depression disorders, treatment-resistant depression, and treatment-resistant anxiety. TMS is a much less invasive treatment option than electroconvulsive therapy (ECT). It has been found to have fewer side effects and doesn’t require any hospital visits. 

Since 2010, the American Psychiatric Association has recommended TMS treatment for people who haven’t benefited from traditional antidepressant treatment. According to Psychiatric News, clinical trials have found that “TMS quadrupled the odds of remission after six weeks when compared with a sham procedure.” 

If you want to learn more about TMS treatment and how it can help with your depression and anxiety, visit our recent article: Everything You Need to Know About TMS Treatment for Depression.

Your mental health matters to us. If you’re looking for safe, reliable TMS treatment in Edmonton, come to Envision Mind Care. Our psychologists will carefully assess your unique needs and create a treatment plan that can help you feel your best. Book your first appointment to get started.

Busting Common Myths About Depression

One in six people will experience depression at some point in their life (American Psychological Association, 2017). It’s one of the most common mental health problems people experience today. You likely know someone who is dealing with depression right now. 

In spite of this, what you think you know about depression might not be true. There are a lot of misconceptions about depression, including what it is, its symptoms, and its treatment. To help clear up some of these misconceptions we have gathered – and busted – some of the most common depression myths.

Depression Isn’t a Real Sickness

Many people think that because you can’t see the physical symptoms of depression, it isn’t a real disease. Depression is a very real health problem and it has a very real impact on peoples’ lives. People with depression have to deal with a number of symptoms and side effects, the same way people have to deal with the symptoms of any other illness. 

Unfortunately, there’s no easy test to determine whether someone has depression and there’s no straightforward cure. This makes it hard for many people to grasp the reality and severity of depression. Remember, depression is a disease and needs to be treated as one.

Myth: People are Depressed Because They Feel Sad

Everybody feels blue sometimes; not everybody has depression. It’s true depression is a mood disorder and can be brought on by a bad situation. But depression is much more than just a feeling. It’s a mental illness that alters a person’s brain chemistry, and it goes much deeper than just being sad. 

According to the Royal College of Psychologists:

“Your feelings [of sadness] don’t lift after a few days – they carry on for weeks and months. [These feelings] are so bad they interfere with your life.” 

 This severe mood alteration can cause changes in personality, appetite, sleeping patterns, and more. Depression can affect a person at any time or place regardless of their emotions.

Myth: People with Depression Can Just Snap Out of It

Nobody chooses to be depressed, just like nobody chooses to catch a cold. You can’t just ‘snap out’ of a cold, and you also can’t just ‘snap out’ of depression. Depression is caused by a chemical imbalance and is an illness. This means that no amount of positive thinking or will power will be able to cure someone of depression. While treatment plans do often focus on shifting the thoughts and behaviours of a person who’s been diagnosed, it’s only one part of the process and it doesn’t happen overnight. 

Myth: You Can Help by Cheering Them Up

Many family members and friends believe they can help a loved one with depression by trying to cheer them up. People with depression don’t just need to be cheered up because they aren’t just sad or feeling down. What they’re experiencing is a result of an illness and they need professional treatment.

Myth: Depression Only Affects Women

The World Health Organization states that: 

“Unipolar depression, predicted to be the second leading cause of global disability burden by 2020, is twice as common in women.

Depression is not only the most common women's mental health problem but may be more persistent in women than men. More research is needed.”

 While the statistics tend to indicate women suffer from higher rates of depression than men, it doesn’t exclude men from having depression.  

The misconception that men don’t suffer from depression is brought about by our society’s expectations for men. Most men in our society aren’t comfortable discussing their feelings, and that’s largely a result of culture. Some men actually have been convinced to believe it’s a sign of weakness and so they don’t seek treatment for things like depression. This has led to the false belief that only women are affected by depression. Remember, depression isn’t a sign of weakness and both men and women can experience depression.

Myth: Antidepressants Will Alter Your Personality

A lot of people believe that because antidepressants are designed to affect your brain chemistry, they’ll actually change your personality. Fortunately, this isn’t true. Antidepressants will alter your brain chemistry. Their job is to help correct the chemical imbalances in your brain that are causing your depression. When prescribed and taken correctly, antidepressants should only affect those chemicals and nothing more. Research shows that most people who use antidepressants to treat their depression feel more like themselves again, not like a completely new person. 

Keep in mind that some people have treatment-resistant depression, which means their symptoms and illness doesn’t respond to typical treatments like antidepressants or therapy. In these cases, or in cases where a patient would like to try an alternative treatment to medication, Transcranial Magnetic Stimulation (TMS) can be effective. 

Have you noticed any symptoms of depression in yourself or someone you love? Are you looking for an expert team to help with depression treatment in Edmonton? If you are, get in touch with the team at Envision Mind Care. We’re to make sure every person suffering from mental illness in Edmonton finds a treatment plan that truly works for them. Contact us today to set up an appointment and learn more about the many treatment options available.  

What is Depression?

Depression is a serious mental illness that affects many people worldwide. Its impact on a person’s life, health, thought patterns, and activities can be devastating when left untreated. According to the World Health Organization, about 4% of the world’s population suffered from depression in 2015.  

Unfortunately, many people don’t understand depression or know how to help those who suffer from it. Even those who are affected might not know what’s going on, how they’re being impacted, and what to do about it. Envision Mind Care is dedicated to providing accurate and useful information about mental health disorders so more people can understand what the symptoms are, how and when to get an assessment, and how they can be treated.

A Definition

Depression can be a confusing concept because there are so many varied symptoms. Different people are impacted in unique ways, making it difficult to diagnose and even treat. So to start, let’s define what depression is. 

According to the Canadian Association of Mental Health, a depressive disorder is a complex mood disorder caused by various factors. Typically, it disables motivation and interferes with a person’s normal functioning in daily life. Depression is not just the ups and downs we experience every day, or a feeling of sadness; it’s a very real health condition that has major consequences for men, women, and even children. 

What Are the Symptoms?

Recognizing depression and its common symptoms is extremely important. Psychiatrists, psychologists, and doctors need to be able to diagnose and treat the illness early on to prevent the risk of impairment or even suicide. 

As with most mental disorders, there are warning signs to look for in yourself and others. According to the Government of Canada, some of the common symptoms of depression include:

• Depressed mood

• Feelings of guilt, worthlessness, helplessness, or hopelessness

• Loss of interest or pleasure in usually-enjoyed activities

• Change in weight or appetite

• Sleep disturbances

• Aches and pains

• Decreased energy or fatigue without physical exertion

• Thoughts of death

• Poor concentration

• Difficulty making decisions

If you consistently notice these signs of depression in yourself or someone else for a period of two to three weeks, it’s a good idea to visit a doctor. He or she will ask you some questions and may be able to make a diagnosis and help you access treatment avenues. 

Are There Risk Factors?

While depression can affect anyone, some people actually have a higher chance of developing it. Here are some factors that the American Psychiatric Association says will affect whether or not a person will experience depression:

• Biochemistry. These are the specific chemicals in your brain. They can affect or cause symptoms of different mood disorders.

• Genetics. If your family has a history of depression, doctors find that you’re more likely to be affected by it.

• Personality. Individuals with a low self-esteem or who have an increased sensitivity to stress are more at risk.

• Environmental factors. This can include increased exposure to violence, neglect, abuse, or poverty.

Depression Treatment Options

As with any medical condition, when it comes to treating depression, there are a few options to consider. As part of your treatment you may be given a physical exam to rule out any other medical conditions. After, your treatment options will likely include:

• Medication such as antidepressants. These can take several weeks to take effect but tend to be quite effective in helping maintain an improved mood. They’re also not habit-forming or addictive.

• Psychotherapy. This tends to be the preferred treatment option because it allows patients to create strategies during therapy that actively help them deal with their mood disorders. 

• Non-invasive neurostimulation therapies like TMS, which relies on electromagnetic stimulation to help patients. While this is a more recent treatment method, studies have already begun to prove its effectiveness. To learn more, visit our TMS page.

The earlier you begin treatments, the more effective the treatments will be and the lower your chances of relapsing. Make sure to visit a doctor or psychologist if you suspect you’re suffering from a mood disorder. Depression shouldn’t stop you from living a normal life when treated, so be sure to talk to a doctor or psychiatrist to discuss your treatment options.

Are you suffering from depression? Is someone you love showing symptoms? Get one-on-one help now by calling Envision Mind Care. We have psychologists and psychiatrists on staff who can answer your all your questions about depression.

Everything You Need to Know About TMS Treatment for Depression

Depression is at an all-time high. More and more people are being diagnosed and seeking effective treatment options. While many people find that antidepressants help them manage their depression, there are people with major depressive disorders who aren’t helped by traditional depression treatment methods. Because of this, doctors and patients are beginning to look at TMS as an effective option for treating depression. 

What is TMS?

Repetitive transcranial magnetic stimulation (TMS) is a relatively new, non-invasive treatment method for depression. It stimulates the brain using a magnetic pulse. The FDA approved TMS treatment in 2008 and it’s been growing in popularity ever since. The spike in popularity is mostly because TMS is a safe treatment for treatment-resistant depression. It’s appealing because it’s a minimally invasive procedure and doesn’t require any anaesthesia or hospital stays – unlike treatments like electroconvulsive therapy (ECT). 

How Does it Work?

For treatment, a TMS device will use magnetic fields to create electrical currents targeted to stimulate specific areas of your brain. This stimulation causes neurons in the brain to begin firing. The increased brain activity can alleviate the symptoms of depression. Some research is also showing that TMS may be useful in pain management and in treating:

• Strokes

• Parkinson’s

• Migraines

• Auditory Hallucinations

What Does Treatment Involve?

TMS is a completely non-invasive form of treatment for major depression. It allows you to continue living as normal during treatment. 

During your first treatment you’ll have your motor threshold measured. This is the minimum amount of stimulation you need for your thumb to twitch. Because everyone’s brain and body are different, the amount of stimulation you require will be different. Once your therapist knows this, they’re able to personalize your treatment for you, so you get the exact amount of energy you need to stimulate your brain.

The treatment times for different patients vary, but treatments typically last less than one hour. Your first appointment for TMS will likely be slightly longer and will need to be followed up by treatments for as many as 5 days a week. Most patients need at least several treatments before feeling the full effects. For example, you may have as many as 20-30 treatments in order to help your depression. All of this will be determined by your TMS therapist in an initial consultation, and as your treatments progress. 

Many people will feel the positive effects of TMS for months or even a full year following treatment. However, like most depression treatments, you’ll likely need to continue TMS treatments to experience continued success.

Is TMS an Effective Treatment for Depression?

TMS therapy is an effective method for treating depression, especially for people who have treatment-resistant depression. According to Harvard Health Publishing:

“Approximately 50% to 60% of people with depression who have failed to receive benefit from medications experience a clinically meaningful response with TMS.” 

 If you or someone you know is suffering from depression, be sure to visit the team at Envision Mind Care. We’re experts in psychology in Edmonton. We have the TMS machines and expert therapists to create a well-rounded treatment plan for depression for your unique needs. Call now to book your appointment