What is TMS?
Transcranial Magnetic Stimulation (TMS) is a non-medication treatment option for depression. Targeted magnetic pulses are delivered to the brain’s prefrontal cortex, which regulates mood. Patients are awake during treatment, no anesthesia or sedation is involved, and normal activities can be resumed immediately afterwards. TMS therapy is delivered via a small MRI-strength magnet applied to the top of the head while the patient sits in a reclined chair, and experiences a tapping sensation at the treatment site. TMS is delivered at our Manhattan office in approximately 36 treatment sessions, 20 minutes each, over the course of 6-8 weeks.
How does TMS work?
Brain activity is reduced in depression. The stimulation from TMS therapy helps activate the natural function of the brain’s neurotransmitters using a non-invasive magnetic field. TMS is believed to also strengthen existing connections between brain regions. For some people this results in a complete clearing of depressive symptoms. For others, it is a more subtle change: they may find that their coping skills are now more accessible in a crisis, or that things like exercise and sunshine are now able to lift their mood in a way they couldn’t before.
Who is TMS therapy for?
TMS therapy is an option for anyone with depression. It is FDA-approved and covered by most insurers. We have seen a wide range of people benefit from TMS; from those with severe and chronic depression who have tried countless medications, to relatively treatment-naive patients who have found limited success or too many side effects after only 1-2 antidepressant medication trials.
Does TMS therapy work?
YES! Ninety-five per cent of our patients had some improvement in symptoms, and none of our patients felt worse after completing treatment. According to data collected from 6/2019-6/2021, 68% of our patients have experienced a significant response in depression, and 47% of our patients have achieved total remission from depression. Compare this to data from the largest antidepressant medication study ever conducted: 27.5% of patients typically achieve remission from depression after one antidepressant medication trial, and only 6.9% of patients achieve remission by the time they get to a fourth medication trial (1)
Trivedi (2006) Am J Psychiatry; Rush (2006) Am J Psychiatry; Fava (2006) Am J Psychiatry; McGrath (2006) Am J Psychiatry
How was your experience at this practice?
“I have never met a Psychiatrist and Team that were so very patient centered and also holistically minded. My treatment was always a collaborative effort. My comfort was of primary concern. I deeply appreciated all of it. Very sharp team.”
“The staff was great at making me feel warm, welcome,
and relaxed for each treatment.”
"The staff is amazing - so warm, thoughtful and just easy to be around. The space is lovely as well, very calm and soothing. I liked having the option to watch TV but I mostly enjoyed reading my book in the comfy chair."
"This is the best place to have TMS treatments. Dr. Mednick is very knowledgable and always up to date on the latest research on TMS. I consider a foremost expert in the field."
Did TMS work for you?
“Yes! It feels like night and day.”
“Initially, I didn’t think so. However, with Dr. M‘s persistence we were
able to make me more comfortable during the treatments and find the
right spot. The Techs were also excellent. After the treatments, I was
sleeping better and felt much less heavy and burdened with symptoms of
depression and anxiety.”
“You’ll be able to notice the difference in your face because it will be
easier to smile.”
"I started noticing it was working about half way through, maybe sooner. I started feeling more clear-headed and eventually I didn't feel depressed at all. I still feel that a month after completing treatment."