Deep brain stimulation for severe depression shows promising results
By Lauren Taylor (Anchor), Evan Hummel (Producer), Jake Maslo (Video Editor)
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A pacemaker for the brain helped a woman with crippling depression. It may soon offer hope to others
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Click to see story on Morning SunA brain pacemaker helped a woman with crippling depression. It may soon be available to more people
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Click to see story on Barrie 360A 2023 Gallup survey found 29% of U.S. adults reported being diagnosed with depression at some point in their lifetime, a jump of more than 10 points from 2015. Meanwhile, the share of Americans being treated for depression has reached nearly 18%, the highest rate since Gallup began measuring depression rates using its current form of data.
Additionally, researchers at Mount Sinai’s Center for Neuromodulation report that around 3 million Americans have what they call severe treatment-resistant depression. However, thanks to a scientific breakthrough, help may be on the way.
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Researchers are reportedly testing deep brain stimulation (DBS) as a remedy for people with extreme depression. Doctors said the results are encouraging, and they believe that federal approval may come soon in the United States.
The Mayo Clinic reported that the medical procedure is already being used to treat Parkinson’s, Tourette syndrome and epilepsy. Now, Abbott Laboratories, which manufactures deep brain stimulators, is looking to get the device approved to treat depression. The Food and Drug Administration has reportedly agreed to expedite the decision-making process for Abbott.
“At first I was blown away because the concept of it seems so just intense,” said Emily Hollenbeck, who is receiving the treatment for her depression. “Like, it’s brain surgery. You have wires embedded in your brain.”
Hollenbeck said her treatment-resistant depression started after her parents’ deaths. Hollenbeck said she decided to try deep brain stimulation after exhausting all other efforts.
“My family has a very long history of mental illness and depression, specifically,” Hollenbeck said. “My parents actually both took their lives before I was 30.”
According to The Associated Press, during the procedure, surgeons implant electrodes into the brain, which are attached to a device placed under the skin in the chest. The device then controls electrical stimulation and delivers low-voltage pulses.
“Very, very simple, DBS, deep brain stimulation, is a pacemaker for the brain,” said Dr. Brian Koppell, who works at Mount Sinai’s Center for Neuromodulation.
Koppell said the stimulation creates electricity that “speaks the brain’s language.” Koppell explained that in a normal brain, electrical activity resonates freely, in what he likened to a “dance.”
In a brain with depression, Dr. Koppell said that the “dancers” get stuck. DBS works to free the “dancer” or circuit, allowing the brain to function normally. For patients like Hollenbeck, the results are life-changing.
“If I hadn’t had DBS, I’m pretty sure I would not be alive today,” Hollenbeck said.
“The first day after surgery, she started feeling a lifting of that negative mood, of heaviness,” said Dr. Martin Figee, Hollenbeck’s psychiatrist. “I remember her telling me that she was able to enjoy Vietnamese takeout for the first time in years and really taste the food. She started to decorate her home, which had been completely empty since she moved to New York.”
Despite promising research, there are risks such as infections, stroke and bleeding. The Mayo Clinic warns that in rare cases, the movements involved in swimming can be affected. However, the research hospital does say that it is a low-risk surgery.
New York University Langone Health also promotes DBS for depression, which it said “may ease severe symptoms of depression not adequately controlled by therapy, medication, or electroconvulsive therapy.” However, NYU Langone advises that it is appropriate “only for people with severe depression whose symptoms do not respond to medication.”
NYU Langone also said despite FDA still needing to approve the procedure for depression, “several clinical studies have shown it can be used safely and effectively.”
Setbacks have also been a part of research involving DBS. At first, large studies showed little to no difference in treated and untreated groups.
Dr. Stanley Caroff, a professor of psychiatry at the University of Pennsylvania, said that scientists are still figuring out the exact mechanisms in the brain that create depression, which makes it difficult to pick an exact spot to stimulate and select the right patients for DBS.
“I believe from a psychiatric point of view, the science is not there,” Dr. Caroff said when discussing DBS.
However, doctors involved in testing contend that the previous research only focused on short-term results, and treatments were not personalized.
Later research in 2022 revealed that DBS provided long-term, stable relief for patients with depression. Overall, DBS for depression is associated with response rates of 60%. Now, treatments are tailored to individuals with neuroscientists using brain scanning technology to find the precise location to implant electrodes.
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“Everybody’s brain is a little different, just like people’s eyes are a little further apart or a nose a little smaller or bigger,” said Dr. Helen Mayberg, who led early research on the procedure.
Abbott Laboratories is now reportedly scheduling a large-scale clinical DBS trial this year.
“The field is advancing quite quickly,” said Dr. Katherine Scanos, a psychiatrist with the University of California, San Francisco. “I’m hoping we will have approval within a short time.”
The Associated Press contributed to this report.
[EMILY HOLLENBECK]
MY FAMILY HAS A VERY LONG HISTORY WITH MENTAL ILLNESS AND DEPRESSION, SPECIFICALLY. MY PARENTS ACTUALLY BOTH TOOK THEIR LIVES BEFORE I WAS 30.
[LAUREN TAYLOR]
THE MENTAL HEALTH CRISIS IN THE U.S. APPEARS TO BE GETTING WORSE.
IN A 2023 GALLUP SURVEY, 29% OF U.S. ADULTS REPORTED BEING DIAGNOSED WITH DEPRESSION AT SOME POINT IN THEIR LIFETIME — A JUMP OF MORE THAN 10 POINTS FROM 2015.
THE SHARE OF AMERICANS BEING TREATED FOR DEPRESSION HAS HIT NEARLY 18%
THE HIGHEST RATE SINCE GALLUP BEGAN MEASURING DEPRESSION USING ITS CURRENT FORM OF DATA.
RESEARCHERS AT MOUNT SINAI’S CENTER FOR NEUROMODULATION REPORT — AROUND 3 MILLION AMERICANS HAVE WHAT THEY CALL “SEVERE TREATMENT-RESISTANT DEPRESSION.” BUT NOW, THANKS TO A SCIENTIFIC BREAKTHROUGH – HELP MAY BE ON THE WAY.
RESEARCHERS ARE CURRENTLY TESTING DEEP BRAIN STIMULATION AS A REMEDY FOR PEOPLE WITH EXTREME DEPRESSION –
AND SAY THE RESULTS ARE ENCOURAGING.
DOCTORS BELIEVE FEDERAL APPROVAL MAY COME SOON TO THE UNITED STATES.
THE MAYO CLINIC SAYS THE PROCEDURE IS ALREADY APPROVED FOR TREATMENT OF PARKINSON’S AND EPILEPSY.
NOW, ABBOTT LABORATORIES, WHICH MANUFACTURES DEEP BRAIN STIMULATORS, IS LOOKING TO GET THE DEVICE APPROVED TO TREAT DEPRESSION–
AND THE FDA HAS AGREED TO EXPEDITE THE DECISION-MAKING PROCESS.
EMILY HOLLENBECK, WHO SUFFERS FROM DEPRESSION– DECIDED AFTER EXHAUSTING ALL EFFORTS– TO GIVE THE NEW TREATMENT A TRY.
[EMILY HOLLENBECK]
AT FIRST, I WAS BLOWN AWAY BECAUSE THE CONCEPT OF IT SEEMS SO JUST INTENSE. LIKE IT’S BRAIN SURGERY, YOU HAVE WIRES EMBEDDED IN YOUR BRAIN.
[LAUREN TAYLOR]
HERE’S HOW IT WORKS–
SURGEONS IMPLANT ELECTRODES INTO THE BRAIN — WHICH ARE ATTACHED TO A DEVICE PLACED UNDER THE SKIN IN THE CHEST.
THE DEVICE CONTROLS ELECTRICAL STIMULATION AND DELIVERS LOW-VOLTAGE PULSES.
[DR. BRIAN KOPPELL]
VERY, VERY SIMPLE, DBS– DEEP BRAIN STIMULATION– IS A PACEMAKER FOR THE BRAIN.
[LAUREN TAYLOR]
RESEARCHERS SAY THE STIMULATION CREATES ELECTRICITY THAT “SPEAKS THE BRAIN’S LANGUAGE.”
A DOCTOR EXPLAINED — NORMAL BRAIN ELECTRICAL ACTIVITY RESONATES FREELY – IN WHAT HE LIKENED TO A DANCE.
IN A BRAIN WITH DEPRESSION, THE “DANCERS” GET STUCK. D-B-S WORKS TO FREE THE “DANCER”– OR CIRCUIT – ALLOWING THE BRAIN TO FUNCTION NORMALLY.
FOR HOLLENBACK, THE RESULTS ARE LIFE-CHANGING.
[EMILY HOLLENBECK]
“IF I HADN’T HAD DBS, I’M PRETTY SURE I WOULD NOT BE ALIVE TODAY.
[LAUREN TAYLOR]
DESPITE PROMISING RESEARCH, THERE ARE RISKS– LIKE INFECTIONS, STROKE AND BLEEDING.
SETBACKS HAVE ALSO BEEN A PART OF THE RESEARCH.
AT FIRST, LARGE STUDIES SHOWED LITTLE TO NO DIFFERENCE IN TREATED AND UNTREATED GROUPS– WHILE OTHER DOCTORS CONTEND THE RESEARCH ONLY FOCUSED ON THE SHORT-TERM RESULTS– AND THE TREATMENTS WERE NOT PERSONALIZED.
LATER RESEARCH REVEALED D-B-S PROVIDED LONG-TERM, STABLE RELIEF FOR PATIENTS.
NOW, TREATMENTS ARE TAILORED TO INDIVIDUALS– WITH NEUROSCIENTISTS USING BRAIN SCANNING TECHNOLOGY TO FIND THE PRECISE LOCATION TO IMPLANT ELECTRODES.
ABBOTT IS REPORTEDLY SCHEDULING A LARGE-SCALE CLINICAL D-B-S TRIAL THIS YEAR.
Media Landscape
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A pacemaker for the brain helped a woman with crippling depression. It may soon offer hope to others
Click to see story on abc NewsA pacemaker for the brain helped a woman with crippling depression. It may soon offer hope to others
Click to see story on Sask TodayA pacemaker for the brain helped a woman with crippling depression. It may soon offer hope to others
Click to see story on Flin Flon ReminderPacemaker for the brain helps woman with crippling depression
Click to see story on EuronewsPacemaker for the brain helps woman with crippling depression. Doctors say it may soon offer hope to others
Click to see story on NBC BostonA pacemaker for the brain helped a woman with crippling depression. It may soon offer hope to others
Click to see story on Prince George CitizenBrain pacemaker helps woman with crippling depression
Click to see story on WCSHA pacemaker for the brain helped a woman with crippling depression. It may soon be available widely
Click to see story on CTV NewsA pacemaker for the brain helped a woman with crippling depression. It may soon offer hope to others
Click to see story on Hindustan TimesA pacemaker for the brain helped a woman with crippling depression. It may soon offer hope to others
Click to see story on KRDOA pacemaker for the brain helped a woman with crippling depression. It may soon offer hope to others
Click to see story on KIFIA pacemaker for the brain helped a woman with crippling depression. It may soon be available widely
Click to see story on KVIAA pacemaker for the brain helped a woman with crippling depression. It may soon offer hope to others
Click to see story on Winnipeg Free PressA pacemaker for the brain helped a woman with crippling depression. It may soon offer hope to others
Click to see story on Washington Top NewsA pacemaker for the brain helped a woman with crippling depression. It may soon offer hope to others
Click to see story on San Diego Union TribuneA pacemaker for the brain helped a woman with crippling depression. It may soon offer hope to others
Click to see story on Medical XpressA pacemaker for the brain helped a woman with crippling depression. It may soon be available widely
Click to see story on FortuneBrain pacemaker helps woman with crippling depression
Click to see story on 9NEWS DenverA brain pacemaker helped a woman with crippling depression. It may soon be available to more people
Click to see story on Daily FreemanA pacemaker for the brain helped a woman with crippling depression. It may soon offer hope to others
Click to see story on WANE-TVA brain pacemaker helped a woman with crippling depression. It may soon be available to more people
Click to see story on Santa Cruz SentinelA pacemaker for the brain helped a woman with crippling depression. It may soon offer hope to others
Click to see story on castanet.netA pacemaker for the brain helped a woman with crippling depression. It may soon offer hope to others
Click to see story on National PostA pacemaker for the brain helped a woman with crippling depression. It may soon offer hope to others
Click to see story on Gulf NewsA pacemaker for the brain helped a woman with crippling depression. It may soon offer hope to others
Click to see story on MY NorthwestPacemaker that connects to brain offers hope of treating depression. Here’s how
Click to see story on India TodayA brain pacemaker helped a woman with crippling depression. It may soon be available to more people
Click to see story on Boston HeraldRight
Untracked Bias
A pacemaker for the brain helped a woman with crippling depression. It may soon offer hope to others
Click to see story on My Mother LodeA pacemaker for the brain helped a woman with crippling depression. It may soon offer hope to others
Click to see story on Airdrie City ViewA pacemaker for the brain helped a woman with crippling depression. It may soon offer hope to others – The Morning Sun
Click to see story on Morning SunA brain pacemaker helped a woman with crippling depression. It may soon be available to more people
Click to see story on Nashoba Valley VoiceA pacemaker for the brain helped a woman with crippling depression
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