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tredre3last Thursday at 11:55 PM1 replyview on HN

> But you pivot to TMS and you see 60-80 percent improvement rates. Esketamine is close too.

I have received both rTMS and esketamine and the providers themselves told me they saw roughly a 30-40% response rate (not remission, that's even lower!). Upon researching the topic myself, I found that the meta analysis usually agreed with this 30% figure, but recent research papers mark eskatamine even lower. Both treatments can be miraculous for a few select people and it makes a good headline, but it's a total failure for the majority of people.

I agree with you that those treatments should be easier to access, though.

> Too many therapists dismiss meds and too many psychiatrists dismiss therapy.

This is the only factually true statement in your entire comment.


Replies

burnteyesterday at 8:09 PM

In the practices in which I've worked, proper screening and expertise in treatment delivery boost outcome rates significantly. We see well over 60% success rates with the first round.

> This is the only factually true statement in your entire comment.

You read something you disagree with so you decided to call me a liar rather than discuss. I'm not wasting any more on time on you.