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Back from the Abyss: Psychiatry in Stories

Treatment resistant depression: Ketamine vs ECT vs TMS with Dr. Daniel Fisher

Back from the Abyss: Psychiatry in Stories

Craig Heacock MD

Psychiatry, Bipolar, Suicide, Depression, Ketamine, Psychotherapy, Science, Psychedelics, Health & Fitness, Addiction, Medicine, Psychology, Mental Health

4.8452 Ratings

🗓️ 14 January 2022

⏱️ 77 minutes

🧾️ Download transcript

Summary

ECT (electroconvulsive therapy) has long been the last stop for severe and treatment resistant depression, but now there are at least two other good options for those who don't respond to meds and therapy. Dr. Dan Fisher, an ECT expert, founder of Colorado's Guerra Fisher Institute , and Craig's go-to psychiatrist for tough cases, joins BFTA to discuss how and when to think about ECT vs ketamine vs TMS (transcranial magnetic stimulation) .BFTA on Instagramhttps://www.instagram.com...

Transcript

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0:00.0

Welcome to Back from the Abyss. I'm Dr. Craig Ecock.

0:16.0

Sometimes in the course of psychotherapy, there can come a point where the therapist says something so real, so raw, so deeply true, so unexpected, and soul-stirring that the client, the patient, just begins to pour tears.

0:40.3

Their face twitches.

0:42.6

They find themselves kind of struggling to breathe.

0:46.5

And it's the most powerful thing to witness

0:49.6

or to experience it.

0:50.8

I've been on both sides.

0:53.1

And to experience is to feel so known, so heard,

0:59.9

and so surprised, because again, what I think brings forth these tears is when the therapist is

1:05.2

able to point out something that the patient or client didn't fully see themselves. And this actually happened to me a few weeks ago.

1:14.6

I was reading an iTunes review of all things of Back from the Abyss. And let me read it.

1:20.5

But the effect was, and again, whoever wrote this, thank you so much. It was, well, you'll hear what happened.

1:28.1

So I read this and I just started crying.

1:32.3

I just cried and cried.

1:35.8

And then I read it a few minutes later to my wife and I cried.

1:40.7

And I read it to my mom and I cried. And it was because it was so true and unexpected,

1:49.0

and it was just like what happens in therapy, I think, when you have somebody point something

1:53.2

out that you didn't really know, but so true. So here's what it says. This is a review from

1:59.0

December 6th, 2021.

2:03.8

Dr. Hecock's work, I'm back from the abyss,

2:08.2

captures something that I've never been able to articulate in a succinct or concise way,

2:11.5

which is everything I love about psychiatry and why.

...

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