Our NYC TMS Services

What is TMS?

Transcranial magnetic stimulation (TMS) is one of the most effective procedures available for depression. It uses magnetic pulses to activate specific areas of your brain where low activity causes depression. TMS is an effective, safe, nonconvulsive, and noninvasive brain stimulation that has been in use since 1985 and has been approved by the Food and Drug Administration (FDA) since 2008.

Major depression is largely the result of dysregulation in the brain, particularly in the outer layer of the cerebrum. Located at the front of the skull, the cerebrum is split into two distinct hemispheres–the right and left. Depression is associated with reduced activity in the patient’s left dorsolateral prefrontal cortex (DLPFC) and often increased activity in their right DLPFC.

The defining principle behind all TMS treatment is that non-convulsive, non-invasive magnetic stimulation can be used to treat depression by enhancing and normalizing brain functioning. High- and low-frequency transcranial magnetic stimulation reverses the effects of under and over excitability.

 

Unilateral & Bilateral TMS

Unilateral TMS uses high-frequency stimulation (10 Hz) pulses to increase reduced excitability in the Left DLPFC.  We also offer Bilateral TMS, which uses low-frequency stimulation (1 HZ) pulses to lower overexcitability in the Right DLPFC in addition to high-frequency (10 Hz) pulses to increase reduced excitability in the Left DLPFC.

Bilateral TMS uses the same electromagnetic coil technology as unilateral TMS, but it expands its benefits by targeting both the patient’s left and right DLPFC. Bilateral TMS normalizes the under and over excitability in each hemisphere respectively.

Bilateral TMS’ ability to regularize both of the brain’s hemispheres is particularly helpful in patients with substantial anxiety as a component of their depression. Additionally, we often recommend bilateral TMS for patients who do not respond after about 15 unilateral TMS sessions.

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Who Uses TMS?

At Mid City TMS, we offer transcranial magnetic stimulation (TMS) to patients who suffer from Major Depressive Disorder (MDD). Many of our patients have depression that has not responded to other treatments or they experience severe side effects from medication. TMS is also an alternative treatment for those who cannot receive electroconvulsive therapy (ECT) or are reluctant to try ECT.

Most of our patients receive coverage for TMS through their insurance provider. Visit our insurance page to see if your procedures are covered.

To receive TMS treatments, patients are required to have a current diagnosis of Major Depressive Disorder.

Patients who aren’t eligible for TMS treatment are those who have implanted conductive ferromagnetic, and magnetic responsive metals into their cranium such as:

  • Cochlear implants
  • Implanted electrodes/stimulators
  • Aneurysm clips/coils
  • Stents
  • Bullet fragments

Mid City TMS screens all our patients prior to treatment, ensuring that TMS is only applied safely. There are certain conditions that do not prevent the effective use of TMS but require consideration in the patient’s treatment plan.

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How Does Our NYC TMS Therapy Work?

Transcranial magnetic stimulation (TMS) involves brief outpatient procedures. Our NYC TMS sessions do not cause significant disruption to your life. Each session lasts between 20 and 40 minutes. Most patients will attend five sessions per week over five to six weeks. Because TMS is a noninvasive outpatient procedure, you should be able to travel on your own to and from appointments and return to work or your usual routine immediately after the session.

The procedure begins when we place a coil near your head. The coil is a magnetic field generator, and it uses magnetic pulses similar to those employed by magnetic resonance imaging (MRI) machines. These pulses create small electric currents in specific areas of your brain where low activity causes depression. Although you will not feel the electric currents, they activate neurons and enhance brain functioning.

You will remain awake during these short, non-convulsive, non-invasive procedures. They should not hurt, although some patients may have mild headaches or scalp discomfort. TMS does not cause memory loss, and your magnetic field exposure throughout the course of the treatment, which is less than you would receive from an MRI, is minimal.

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Collaboration

We encourage the involvement of families and loved ones in the evaluation and treatment of our patients. We also coordinate care with a patient’s psychiatrist, therapist, and/or primary care provider to enhance the benefits of TMS. In addition to communicating with clinicians to obtain information and records, we regularly update them on their patient’s progress. We also provide a written report to the referring clinician at the end of the TMS treatment course.

Having trouble making that first step to get treatment? Talk to your close friends or family about your depression. Being transparent about how depression affects your life educates people about mental health. When people who don’t struggle with depression see how the illness affects the lives of those about whom they care, it reduces the stigma around mental health.

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Hear from Our Patients

All testimonials are anonymous to protect the privacy of our patients.
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It has helped my mood a lot. I am able to plan things a little more than before and complete them. I was not planning for a while and, in many cases, if I did I just did not go or complete them (projects in my apartment etc.). Things I used to enjoy and stopped doing, I’m slowly getting back to it.

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It has helped my mood a lot. I am able to plan things a little more than before and complete them. I was not planning for a while and, in many cases, if I did I just did not go or complete them (projects in my apartment etc.). Things I used to enjoy and stopped doing, I’m slowly getting back to it.

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I am more adept at not listenting to my inner critic. Also my mood seems to be better in general.

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I definitely have more motivation and drive to get things done in my day-to-day life. I have so much I need to get done all of the time and I feel like I can handle it. I also don’t feel the need to cry for no reason now. My general mood has definitely picked up.

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Tremendous thank you to Dr. Bruno, Nick, and Cathy for providing such a welcoming and comforting atmosphere. It can be a scary undertaking, but you all helped ease my anxiety throughout the entire process. I greatly appreciate your constant patience and understanding when my depression symptoms made it hard or impossible for me to get here. Thank you for talking to me and, more importantly, for listening.

Contact Us

We are ready to help you feel better.
Get in touch with us and find out if TMS is the best option for you.

Call us today. We can answer all of your questions.

212-517-1867

280 Madison Ave, Suite 1102,
New York, NY 10016

[email protected]

Open Monday to Friday from 8:00 AM to 8:00 PM

Make an Appointment