Major Depressive Disorder (MDD) Treatment at Jaslok Hospital
What is Major Depressive Disorder?
Major Depressive Disorder (MDD), also known as clinical depression, is one of the most common and serious mental health disorders worldwide. It’s not just feeling down or going through a rough patch; MDD is a long-lasting and often debilitating condition that deeply affects how a person thinks, feels, behaves, and interacts with the world around them.
People with major depression often feel a persistent sense of sadness, emptiness, or hopelessness that doesn’t go away on its own. It can last for weeks, months, or even years if left untreated. Daily life whether it’s work, school, personal relationships, or even basic tasks like eating and sleeping can feel like an uphill battle.
What sets MDD apart from occasional sadness is its intensity, duration, and impact on functioning. Many individuals describe it as feeling emotionally “numb,” “disconnected,” or “invisible.” These are real, neurological symptoms. MDD is rooted in changes to the brain’s chemistry, circuitry, and function. Specifically, imbalances in neurotransmitters like serotonin, dopamine, and norepinephrine are commonly involved.
How Common is Major Depression?
According to the World Health Organization (WHO), more than 280 million people globally suffer from depression. In India alone, millions remain undiagnosed or untreated, despite experiencing symptoms for years. Women are statistically more likely to be diagnosed with MDD, but it affects all genders and age groups.
Symptoms & When to Seek Help
Depression is marked by persistent low mood, loss of interest in activities, and emotional distress. Its impact on quality of life and work efficiency is significant, with severe cases potentially leading to suicidal tendencies. This condition may manifest as recurrent or chronic.
Recognizing depression early can significantly improve outcomes. Consider professional care if you experience:
- Ongoing sadness or loss of interest
- Sleep issues (too much or too little)
- Changes in appetite or weight
- Trouble focusing or making decisions
- Fatigue or slowed movements
- Feelings of worthlessness or guilt
- Suicidal thoughts or recurring thoughts of death
- Early diagnosis and treatment at a center like Jaslok can change your life trajectory.
If you’ve faced these symptoms for more than two weeks, a consultation is the first step toward healing.
Not sure if you’re experiencing depression? Get a quick assessment from our experts –
What Causes Depression?
Depression isn’t just “feeling low” or having a weak mindset. It’s a real medical condition, with real biological and psychological roots.
Top Causes of Clinical Depression
Research shows that depression develops due to a combination of factors, not one single cause:
- Neurochemical Imbalances: Levels of key neurotransmitters like serotonin, dopamine, and norepinephrine influence mood, sleep, and energy. Disruption in these chemicals can lead to major depressive symptoms.
- Brain Structure Changes: MRI studies have revealed that individuals with depression often have a smaller hippocampus, the part of the brain linked to memory and emotional regulation.
- Genetic Vulnerability: A family history of depression or other mental health disorders significantly raises your risk of developing MDD.
- Chronic Stress & Trauma: Emotional abuse, grief, neglect, or long-term stress can trigger or intensify depressive episodes, even in people with no prior history of mental illness.
These factors often overlap, making each case of depression unique. That’s why a personalized treatment plan; one that looks beyond surface-level symptoms is critical for long-term recovery.
How We Treat Depression at Jaslok Hospital's RNR Department
If you’re searching for the best treatment for depression in Mumbai, you’ll hear a lot about medications and therapy. That’s because they remain the first line of defense for most patients.
Standard Depression Treatments:
- Antidepressant Medications: SSRIs (Selective Serotonin Reuptake Inhibitors) and SNRIs (Serotonin-Norepinephrine Reuptake Inhibitors) are the most prescribed. They work by balancing mood-related brain chemicals.
Limitations:
- Can take 4–6 weeks to kick in
- May cause side effects like weight gain, insomnia, sexual dysfunction, or emotional blunting
- Don’t work for everyone
Psychotherapy:
- Cognitive Behavioral Therapy (CBT) helps identify and change negative thought patterns
- Interpersonal Therapy (IPT) focuses on improving relationships and emotional communication
- These are highly effective, especially when combined with medication.
But What If These Don’t Work?
That’s where treatment-resistant depression (TRD) comes in. Roughly 30–40% of people with MDD do not respond to standard therapy or medication alone. If you’ve tried multiple antidepressants and still feel stuck, you’re not alone and there are better options now.
Advanced Intervention: Deep TMS at Jaslok Hospital, Mumbai
If medications haven’t worked or side effects have been unbearable, it’s time to look at next-generation depression treatment.
Deep Transcranial Magnetic Stimulation (Deep TMS) is an FDA-cleared and CE-approved breakthrough for Major Depressive Disorder (MDD) especially in treatment-resistant depression cases
What is Deep TMS and How Is It Different?
Unlike traditional TMS therapy, which only stimulates the outermost layers of the brain, Deep TMS goes deeper, literally. Utilizing patented H1-coil technology, it targets the deeper brain circuits which are responsible for emotion, mood regulation, and executive function.
This depth of stimulation matters. For people with long-standing or severe depression, surface-level stimulation isn’t enough. Deep TMS reaches the medial prefrontal cortex and anterior cingulate cortex areas closely linked to depressive symptoms. Patients who have failed rTMS have benefited from Deep TMS
Another advantage is wider coverage offered by coil, as compared to routine rTMS by figure of 8 coil. This ensures more confidence in offering the treatment and stimulating the target structures.
Why Deep TMS is Gaining Global Attention?
Clinically Proven Results:
- Up to 75% remission and 82% response rates in patients with treatment-resistant depression
- Supported by over 60 peer-reviewed studies and trials
- Used by top hospitals and neuroscience centers worldwide
Non-Invasive and Painless:
- No surgery, sedation, or systemic side effects
- You’re awake, alert, and can return to your day immediately
- Sessions last just 20 minutes, typically 5 days a week for 4 to 6 weeks
Who Should Consider Deep TMS?
You may be a candidate if you:
- Have not responded to 2 or more antidepressants
- Want to avoid long-term medication side effects
- Prefer a non-drug, non-invasive depression treatment
- Are experiencing relapse despite therapy or medication
This isn’t just an alternative. For many, Deep TMS is the first treatment that actually works.
The most commonly reported mild side effects include:
- Mild pain or discomfort at the treatment site (25%)
- A tapping sensation or tightness in the treated area (19%)
- Temporary scalp discomfort (10.2%)
These effects usually fade shortly after the first few sessions as the body adjusts to the therapy. Patients are encouraged to relax in our comfortable treatment rooms and are free to resume their daily activities immediately after each session.
Your Personalized Treatment Journey
Every patient’s experience of depression is unique. At Jaslok Hospital, we follow a structured yet personalized care plan:
- Initial Evauation
A thorough clinical consultation with our psychiatrist evaluates your medical history, past treatment response, and current symptom profile.
- Brain Mapping & Assessment
Precise brain targeting is done based on established stimulation protocols. If needed, neurocognitive assessments and rating scales are used to track baseline symptoms.
- Customized Treatment Plan
Your Deep TMS sessions are scheduled; standard (1/day for 4–6 weeks) or accelerated (multiple/day for faster results), depending on your needs and availability.
- Progress Tracking & Support
Regular follow-ups ensure you’re progressing as expected. Adjustments are made if required. After completing the initial sessions, a maintenance plan may be suggested to ensure lasting benefit.
This entire process is OPD-based. After each session, patients rest for 10–15 minutes before leaving, ensuring they feel relaxed and cared for.
“I struggled with depression for two years and found no relief with oral medications. After starting (dTMS) under Dr. Paresh Doshi at Jaslok Hospital, my depression and anxiety vanished midway through the treatment. I feel positive, confident, and like myself again. I’m grateful to Dr. Doshi and his team for giving me my life back.” – Anonymous
Is Depression Curable?
While depression may not always be “cured” in the traditional sense, it is highly manageable. With the right intervention, many patients go into complete remission and resume fully productive lives. Deep TMS offers hope where medications and talk therapy alone haven’t succeeded.
Many of our patients report significant improvements in mood, energy levels, and overall quality of life. What makes Deep TMS unique is its ability to bring about neuroplastic changes; it doesn’t just manage symptoms but helps retrain the brain to regulate mood naturally again.
FAQ's
- Is Deep TMS painful?
No. Patients usually feel a gentle tapping sensation on the scalp during stimulation. It’s well tolerated.
- Do I receive shocks or electrical impulses?
No. Deep TMS uses magnetic pulses & not electric shocks and there is no sensation of being “shocked.”
- Is Deep TMS safe?
Yes. It is FDA-cleared and CE-certified. It has been widely used globally and has a low risk of side effects.
- Is anesthesia needed?
No anesthesia or sedation is needed. You stay fully awake and alert.
- Is it OPD or IPD based?
Deep TMS is a completely outpatient (OPD) procedure. Hospital admission is not required.
- Can people with metal implants undergo treatment?
It depends on the implant. Devices like pacemakers or cochlear implants may be contraindicated. Always consult with your doctor.
- How many sessions are required?
Usually between 20 and 30 sessions over 4–6 weeks, followed by maintenance if needed.
- What is the recovery time?
There is no downtime. Patients are advised to rest for 10 minutes post-session but can resume normal activities immediately.
- Is it suitable for teens or elderly?
Yes, with doctor’s discretion. Generally offered to individuals aged 14 and above.
- Will it cure depression completely?
Deep TMS helps manage and significantly reduce symptoms. Complete remission is possible, especially with a combination of therapies.
Take the First Step Toward Recovery
At Jaslok Hospital’s R&R Medicine Department, we believe in science-driven healing. Our Deep TMS unit, highly experienced psychiatrists, and personalized treatment plans ensure the highest standards of care for patients struggling with depression.
Whether you’re newly diagnosed, or seeking alternatives after years of medication, we are here for you.