11/05/2025
Most psychiatric treatments lose effectiveness over time. Vagal nerve stimulation does the opposite.
Lucian Manu, M.D. has helped over 20 patients access VNS at Stony Brook University, many who'd exhausted every other option.
Patients don't just maintain improvement. They keep getting better. Month after month. Year after year.
In our latest Psychiatry Tomorrow episode, Dr. Manu, Carlene MacMillan, MD, FCTMSS,DFAACAP, and William Sauvé, MD break down:
• Why a scientist's observation at Lamaze class led to this breakthrough
• How VNS reduces reliance on weekly ketamine (freeing up your clinic capacity)
• Why Medicare covers it now after 15 years of insurance denials, and how to navigate appeals
• What the procedure actually involves (analogous to pacemaker implantation)
VNS creates a "floor" patients don't fall below.
As Dr. Manu puts it: "It's like acrobats at the circus; when they fall, they have that net."
This episode offers practical guidance on selection criteria, insurance navigation, and accessing the RECOVER trial's sites nationwide.
Listen now: Search "Psychiatry Tomorrow" on your podcast player or within the blog breakdown below. 🎧
What's your experience with VNS? Have you considered it for treatment-resistant patients? 👇
Vagal nerve stimulation (VNS) for depression improves progressively over 12-24 months with remarkably low relapse rates. Learn patient selection criteria, Medicare RECOVER trial access, insurance appeals process, and how VNS creates a clinical "floor" preventing deepest episodes. Expert insights fro...