The Center for Interventional Psychiatry at UPMC Western Psychiatric Hospital provides treatment for psychiatric problems or disorders that do not respond well to other treatments.
We specialize in hard-to-treat depression, mania, and schizophrenia, and also in catatonia.
We treat both inpatients and outpatients, and offer the following services:
- Electroconvulsive therapy (ECT) is used in addressing hard to treat depression, mania, and schizophrenia. It is also used in catatonia and in neuroleptic malignant syndrome. ECT is considered the most effective treatment option for depression and has made significant strides in its safety over the last few decades.
- Transcranial magnetic stimulation (TMS) is currently approved for use in hard-to-treat depression. It is less invasive and much better tolerated than other therapies.
- Esketamine Intranasal Therapy (EsKIT) is recently FDA approved treatment for hard to treat depression. It can only be received in an approved treatment setting and includes 2 hours of close monitoring post intranasal treatment.
- Ketamine Infusion Therapy (KIT) is not an FDA approved treatment for hard-to-treat depression, but has been used in patients when many other standard treatments have failed. This treatment includes a slow infusion of a low dose ketamine in a controlled setting with close monitoring of BP and level of consciousness for a period of time after the infusion.
- Deep Brain Stimulation (DBS) is a treatment approved for use in hard-to-treat Obsessive Compulsive Disorder (OCD). This treatment includes neurosurgery with electrodes being placed within specific regions of the brain and couple of pacers being placed under the skin below the clavicle.
If you become a patient of the Center for Interventional Psychiatry, you will keep your relationship with your personal psychiatrist, and he or she will continue to manage your care. Your treatment will be done as an outpatient procedure as much as possible. Some patients whose symptoms become worse or have unexpected side-effects may need to be treated in the hospital.
In addition to our treatment services, we also offer second opinions and consultations for patients who would like to learn more about their treatment options.