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	<title>Comments on: More on Vagus Nerve Stimulation for Depression</title>
	<atom:link href="http://counsellingresource.com/features/2005/09/01/more-vagus-nerve-stimulation/feed/" rel="self" type="application/rss+xml" />
	<link>http://counsellingresource.com/features/2005/09/01/more-vagus-nerve-stimulation/</link>
	<description>Looking at life through the prism of psychology, philosophy, mental health and more. Originally created by counsellor, psychotherapist and philosopher Dr Greg Mulhauser, this blog is now the work of an international team of contributors.</description>
	<lastBuildDate>Mon, 22 Mar 2010 12:29:55 +0000</lastBuildDate>
	
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		<title>By: Herb Stein</title>
		<link>http://counsellingresource.com/features/2005/09/01/more-vagus-nerve-stimulation/#comment-8444</link>
		<dc:creator>Herb Stein</dc:creator>
		<pubDate>Sat, 15 Apr 2006 20:54:26 +0000</pubDate>
		<guid isPermaLink="false">http://counsellingresource.com/features/?p=129#comment-8444</guid>
		<description>Dear Greg,

I extend my apologies to you for my sometimes just being focused upon a goal and by not acknowledging your outstanding proactive efforts to inform others and your outstanding website.  Hmm!  It would be nice if I were only able to be so talented.

Thank you also for giving me the opportunity to express my views and share some information.  It seems a number of website administers Iâ€™ve encountered are overly concerned with their own personal self-aggrandizement and readership retention by not allowing the sharing of certain information that after awhile they lose sight of their original purposes.

Once again, I extend a special thank you for your efforts.

Warmly,
Herb
VNSdepression.com

.</description>
		<content:encoded><![CDATA[<p>Dear Greg,</p>
<p>I extend my apologies to you for my sometimes just being focused upon a goal and by not acknowledging your outstanding proactive efforts to inform others and your outstanding website.  Hmm!  It would be nice if I were only able to be so talented.</p>
<p>Thank you also for giving me the opportunity to express my views and share some information.  It seems a number of website administers Iâ€™ve encountered are overly concerned with their own personal self-aggrandizement and readership retention by not allowing the sharing of certain information that after awhile they lose sight of their original purposes.</p>
<p>Once again, I extend a special thank you for your efforts.</p>
<p>Warmly,<br />
Herb<br />
VNSdepression.com</p>
<p>.</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: Managing Editor</title>
		<link>http://counsellingresource.com/features/2005/09/01/more-vagus-nerve-stimulation/#comment-7937</link>
		<dc:creator>Managing Editor</dc:creator>
		<pubDate>Fri, 31 Mar 2006 11:37:12 +0000</pubDate>
		<guid isPermaLink="false">http://counsellingresource.com/features/?p=129#comment-7937</guid>
		<description>Many thanks for that, Herb -- it looks like you&#039;ve put a great deal of effort into collating information and experiences on your site. And it&#039;s very interesting and encouraging to hear a first person account of what sounds like it&#039;s been such a successful treatment.

As you say, there are no panaceas, but I&#039;m really glad to hear that in your wife&#039;s case, at least, this treatment really seems to have made a difference.

All the best,
Greg</description>
		<content:encoded><![CDATA[<p>Many thanks for that, Herb &#8212; it looks like you&#8217;ve put a great deal of effort into collating information and experiences on your site. And it&#8217;s very interesting and encouraging to hear a first person account of what sounds like it&#8217;s been such a successful treatment.</p>
<p>As you say, there are no panaceas, but I&#8217;m really glad to hear that in your wife&#8217;s case, at least, this treatment really seems to have made a difference.</p>
<p>All the best,<br />
Greg</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: Herb Stein</title>
		<link>http://counsellingresource.com/features/2005/09/01/more-vagus-nerve-stimulation/comment-page-1/#comment-7936</link>
		<dc:creator>Herb Stein</dc:creator>
		<pubDate>Fri, 31 Mar 2006 11:00:14 +0000</pubDate>
		<guid isPermaLink="false">http://counsellingresource.com/features/?p=129#comment-7936</guid>
		<description>Hi Greg and hi to your readership,

I just happened upon your website and Iâ€™d like to take a moment to contribute some information.  My spouse, Joyce, is one of the earliest study subjects for the VNS Therapy for TRD.  Without going into a long dissertation on this forum regarding the VNS Therapy one can always peruse our website offering sharing our experiences, research and knowledge at:

VNSdepression.com

http://www.vnsdepression.com

My spouse has benefited remarkably from the therapy.  After some 37 years of numerous medications as well as various alternative and/or adjunctive therapies weâ€™ve finally achieved a reasonable degree of control, stability and long-term remission of her severe MDD (Major Depressive Disorder).  For the first 3 years she was depression free without the use of any psychotropic medications for purposes of depression.  These last 3 years sheâ€™s been almost depression free but weâ€™ve had to utilize adjunctive therapies in addition to her VNS Therapy.

As one previous respondent mentioned that the efficacy rates appeared low I would personally feel from the standpoint of a very long time support person and health care advocate that when we ran out of options even a 1% chance to achieve wellness was a ray of hope.

There are no panaceas or cures to the best of my knowledge when dealing with severe TRD.  I first and foremost am an advocate for education in making informed and un-coerced medical decisions along with encouraging hope and persistence and when one achieves any degree of wellness from â€œthe beastâ€ as I refer to my spouseâ€™s illness, it not only achieves a degree of wellness but a vast improvement in oneâ€™s QOL (Quality of Life).

I extend my best wishes to all those challenged by â€œthe beastâ€ to find their treatment regimen that obtains wellness rapidly.

Warmly,
Herb
VNSdepression.com

.</description>
		<content:encoded><![CDATA[<p>Hi Greg and hi to your readership,</p>
<p>I just happened upon your website and Iâ€™d like to take a moment to contribute some information.  My spouse, Joyce, is one of the earliest study subjects for the VNS Therapy for TRD.  Without going into a long dissertation on this forum regarding the VNS Therapy one can always peruse our website offering sharing our experiences, research and knowledge at:</p>
<p>VNSdepression.com</p>
<p><a href="http://www.vnsdepression.com" rel="nofollow">http://www.vnsdepression.com</a></p>
<p>My spouse has benefited remarkably from the therapy.  After some 37 years of numerous medications as well as various alternative and/or adjunctive therapies weâ€™ve finally achieved a reasonable degree of control, stability and long-term remission of her severe MDD (Major Depressive Disorder).  For the first 3 years she was depression free without the use of any psychotropic medications for purposes of depression.  These last 3 years sheâ€™s been almost depression free but weâ€™ve had to utilize adjunctive therapies in addition to her VNS Therapy.</p>
<p>As one previous respondent mentioned that the efficacy rates appeared low I would personally feel from the standpoint of a very long time support person and health care advocate that when we ran out of options even a 1% chance to achieve wellness was a ray of hope.</p>
<p>There are no panaceas or cures to the best of my knowledge when dealing with severe TRD.  I first and foremost am an advocate for education in making informed and un-coerced medical decisions along with encouraging hope and persistence and when one achieves any degree of wellness from â€œthe beastâ€ as I refer to my spouseâ€™s illness, it not only achieves a degree of wellness but a vast improvement in oneâ€™s QOL (Quality of Life).</p>
<p>I extend my best wishes to all those challenged by â€œthe beastâ€ to find their treatment regimen that obtains wellness rapidly.</p>
<p>Warmly,<br />
Herb<br />
VNSdepression.com</p>
<p>.</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: Yuri</title>
		<link>http://counsellingresource.com/features/2005/09/01/more-vagus-nerve-stimulation/comment-page-1/#comment-6156</link>
		<dc:creator>Yuri</dc:creator>
		<pubDate>Sun, 22 Jan 2006 02:16:34 +0000</pubDate>
		<guid isPermaLink="false">http://counsellingresource.com/features/?p=129#comment-6156</guid>
		<description>I am a rapid cycler bipolar with mixed states and some other things thrown in for good
measure.

I am one of the first people in US to have been implanted with VNS device for treatment
of depression, after it was approved by FDA. I started the ball rolling before the approval.
So I created Yahoo group on the subject of VNS for depression. Your readers and you can join.

Click on a link below:

&lt;a&gt;http://health.groups.yahoo.com/group/vns-for-depression/&lt;/a&gt;

Thank you for your website.

Yuri</description>
		<content:encoded><![CDATA[<p>I am a rapid cycler bipolar with mixed states and some other things thrown in for good<br />
measure.</p>
<p>I am one of the first people in US to have been implanted with VNS device for treatment<br />
of depression, after it was approved by FDA. I started the ball rolling before the approval.<br />
So I created Yahoo group on the subject of VNS for depression. Your readers and you can join.</p>
<p>Click on a link below:</p>
<p><a>http://health.groups.yahoo.com/group/vns-for-depression/</a></p>
<p>Thank you for your website.</p>
<p>Yuri</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: Managing Editor</title>
		<link>http://counsellingresource.com/features/2005/09/01/more-vagus-nerve-stimulation/comment-page-1/#comment-5829</link>
		<dc:creator>Managing Editor</dc:creator>
		<pubDate>Fri, 06 Jan 2006 09:46:59 +0000</pubDate>
		<guid isPermaLink="false">http://counsellingresource.com/features/?p=129#comment-5829</guid>
		<description>Hi Carol,

My understanding is that Medicare will pay for vagus nerve stimulation &lt;em&gt;for epilepsy&lt;/em&gt; (its original use), where it is indicated as medically necessary -- but I am not personally aware of whether Medicare will cover the procedure in this very new use for treating depression. I understand that most insurance companies are presently reluctant to fund the full cost, which can range up to $40,000.

All the best,
Greg</description>
		<content:encoded><![CDATA[<p>Hi Carol,</p>
<p>My understanding is that Medicare will pay for vagus nerve stimulation <em>for epilepsy</em> (its original use), where it is indicated as medically necessary &#8212; but I am not personally aware of whether Medicare will cover the procedure in this very new use for treating depression. I understand that most insurance companies are presently reluctant to fund the full cost, which can range up to $40,000.</p>
<p>All the best,<br />
Greg</p>
]]></content:encoded>
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		<title>By: Carol Linnemann</title>
		<link>http://counsellingresource.com/features/2005/09/01/more-vagus-nerve-stimulation/comment-page-1/#comment-5815</link>
		<dc:creator>Carol Linnemann</dc:creator>
		<pubDate>Thu, 05 Jan 2006 18:16:10 +0000</pubDate>
		<guid isPermaLink="false">http://counsellingresource.com/features/?p=129#comment-5815</guid>
		<description>Does Medicare pay for the implantation of the  Vagus Nerve Stimulator....if not, when is it expected to do so.</description>
		<content:encoded><![CDATA[<p>Does Medicare pay for the implantation of the  Vagus Nerve Stimulator&#8230;.if not, when is it expected to do so.</p>
]]></content:encoded>
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	<item>
		<title>By: Managing Editor</title>
		<link>http://counsellingresource.com/features/2005/09/01/more-vagus-nerve-stimulation/comment-page-1/#comment-4492</link>
		<dc:creator>Managing Editor</dc:creator>
		<pubDate>Thu, 27 Oct 2005 10:38:29 +0000</pubDate>
		<guid isPermaLink="false">http://counsellingresource.com/features/?p=129#comment-4492</guid>
		<description>Hi Jane,

There&#039;s nothing like first hand, real life experience! If you (and your insurance company) do decide to go through with VNS, and if you feel like commenting here again on your experience, I imagine our readers would welcome the chance to hear about it.

All the best,
Greg</description>
		<content:encoded><![CDATA[<p>Hi Jane,</p>
<p>There&#8217;s nothing like first hand, real life experience! If you (and your insurance company) do decide to go through with VNS, and if you feel like commenting here again on your experience, I imagine our readers would welcome the chance to hear about it.</p>
<p>All the best,<br />
Greg</p>
]]></content:encoded>
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		<title>By: Jane</title>
		<link>http://counsellingresource.com/features/2005/09/01/more-vagus-nerve-stimulation/comment-page-1/#comment-4490</link>
		<dc:creator>Jane</dc:creator>
		<pubDate>Wed, 26 Oct 2005 22:48:51 +0000</pubDate>
		<guid isPermaLink="false">http://counsellingresource.com/features/?p=129#comment-4490</guid>
		<description>I am activley seeking VNS therapy for depression. It is being submitted to my insurance company. I would like feedback from anyone who has had this done.</description>
		<content:encoded><![CDATA[<p>I am activley seeking VNS therapy for depression. It is being submitted to my insurance company. I would like feedback from anyone who has had this done.</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: Managing Editor</title>
		<link>http://counsellingresource.com/features/2005/09/01/more-vagus-nerve-stimulation/comment-page-1/#comment-4218</link>
		<dc:creator>Managing Editor</dc:creator>
		<pubDate>Mon, 17 Oct 2005 18:41:26 +0000</pubDate>
		<guid isPermaLink="false">http://counsellingresource.com/features/?p=129#comment-4218</guid>
		<description>Hi Anthony,

Actually, many researchers would be ecstatic to find a response rate differential of roughly a factor of 2 (i.e., 27 percent versus 13% is roughly &lt;em&gt;twice&lt;/em&gt; as effective)...

If you have a peek at the September 2005 &lt;em&gt;Biological Psychiatry&lt;/em&gt; issue cited above, it may offer some of the latest details available in print. One &lt;em&gt;very&lt;/em&gt; significant problem with the early studies is that they have not been RCT (randomized controlled trials), considered by most researchers to be the &#039;gold standard&#039; in terms of judging clinical effectiveness.

I guess the upshot is that some of the numbers look promising, but in my view personally, they are far far &lt;em&gt;far&lt;/em&gt; from conclusive!

All the best,
Greg</description>
		<content:encoded><![CDATA[<p>Hi Anthony,</p>
<p>Actually, many researchers would be ecstatic to find a response rate differential of roughly a factor of 2 (i.e., 27 percent versus 13% is roughly <em>twice</em> as effective)&#8230;</p>
<p>If you have a peek at the September 2005 <em>Biological Psychiatry</em> issue cited above, it may offer some of the latest details available in print. One <em>very</em> significant problem with the early studies is that they have not been RCT (randomized controlled trials), considered by most researchers to be the &#8216;gold standard&#8217; in terms of judging clinical effectiveness.</p>
<p>I guess the upshot is that some of the numbers look promising, but in my view personally, they are far far <em>far</em> from conclusive!</p>
<p>All the best,<br />
Greg</p>
]]></content:encoded>
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		<title>By: Anthony Murawski</title>
		<link>http://counsellingresource.com/features/2005/09/01/more-vagus-nerve-stimulation/comment-page-1/#comment-4184</link>
		<dc:creator>Anthony Murawski</dc:creator>
		<pubDate>Sun, 16 Oct 2005 17:16:33 +0000</pubDate>
		<guid isPermaLink="false">http://counsellingresource.com/features/?p=129#comment-4184</guid>
		<description>You state in your article that according to the Rush second multicenter trial, &quot;[o]ne rating scale showed a 27.2 percent reduction in symptoms among participants and a 15.8 percent remission rate at years end . . . .&quot;  To be more accurate, the response rate was 27.2 percent (i.e., that percentage of subjects had at least a 50% reduction in sypmtoms).  However, in a subsequent article in the Journal of Biological Psychology (dated 7-28-05), Rush compared the same 205 patients to a group of similar patients who continued to receive treatment as usual (TAU) and not VNS.  The response rate for the TAU group was 13% (I don&#039;t know what the remission rate was). In other words, the response rate for the VNS group was only 14% higher than the TAU group.  Not very impressive . . .</description>
		<content:encoded><![CDATA[<p>You state in your article that according to the Rush second multicenter trial, &#8220;[o]ne rating scale showed a 27.2 percent reduction in symptoms among participants and a 15.8 percent remission rate at years end . . . .&#8221;  To be more accurate, the response rate was 27.2 percent (i.e., that percentage of subjects had at least a 50% reduction in sypmtoms).  However, in a subsequent article in the Journal of Biological Psychology (dated 7-28-05), Rush compared the same 205 patients to a group of similar patients who continued to receive treatment as usual (TAU) and not VNS.  The response rate for the TAU group was 13% (I don&#8217;t know what the remission rate was). In other words, the response rate for the VNS group was only 14% higher than the TAU group.  Not very impressive . . .</p>
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