Practice Statement

Dr. Cohen’s practice offers comprehensive treatment for mood and anxiety disorders. In addition to psychopharmacology and psychotherapy, Dr. Cohen’s office offers Transcranial Magnetic Stimulation (TMS), a medication-free alternative treatment for depression and other disorders; Ketamine, a cutting-edge psycho-pharmacological approach to depression; and pharmaco-genetic testing to help guide the approach to medication. 

TMS Therapy NeuroStar

At Principium Psychiatry, we utilize state of the art technology and have partnered with NeuroStar. To ensure we provide the best results for our patients, we use NeuroStar transcranial magnetic stimulation (TMS) to conduct treatment sessions.

NeuroStar as an Antidepressant and Mental Health Treatment

NeuroStar can address many kinds of mental health symptoms. TMS therapies like NeuroStar have FDA approval for depression and obsessive-compulsive disorder treatment. Studies on TMS also demonstrate results for people with conditions such as:

  • Generalized anxiety disorder (GAD)
  • Social anxiety disorder (SAD)
  • Post-traumatic stress disorder (PTSD)
  • Bipolar disorder

The NeuroStar Treatment Experience

Here’s what you can expect from a NeuroStar Advanced Therapy (TMS) session:

Before treatment

NeuroStar Advanced Therapy: Patient reclines in treatment chair

  • You’ll recline comfortably in the treatment chair
  • A small, curved magnetic coil will be positioned lightly on your head

During treatment

TMS Therapy: Patient in chair receiving treatment

  • NeuroStar delivers focused magnetic stimulation directly to the target areas of the brain
  • You’ll hear a clicking sound and feel a tapping sensation on your head

After treatment

NeuroStar Advanced Therapy: Depending on your doctor’s recommendation, each treatment takes between 19 and 37 minutes

  • You can resume normal activities immediately
  • Because there are no effects on alertness or memory, you can drive yourself to and from treatment sessions

In-office treatment with NeuroStar TMS Therapy takes 19-37 minutes and is administered five days a week for approximately 4-6 weeks.*

What Is NeuroStar TMS Therapy?

Transcranial Magnetic Stimulation, or TMS, is the latest generation of direct brain stimulation therapy for the treatment of depression. Using non-invasive technology, this therapy stimulates the regions of the brain implicated in depression to treat the debilitating symptoms of this condition. TMS does not involve medication and is performed on an outpatient basis. During NeuroStar therapy, a metal coil sends magnetic pulses to certain areas of the brain. These pulses stimulate activity in the affected parts of the brain to aid with mood regulation processes.

Our Personalized Care Model

  • Dr. Cohen offers TMS in a discreet, private office setting in the heart of Manhattan on W 57th St, with a view towards Central Park and NYC Landmark Alwyn Court.
  • Dr. Cohen will provide a full consultation on the indications for TMS as well as review psychopharmacology history and options.
  • Dr. Cohen works closely with each patient’s primary psychiatrist, TMS technician, and the device manufacturer, Neuronetics, Inc., to provide optimal treatment outcomes.

Common Myths About TMS Treatment Using Neurostar

As a newer mental health treatment, NeuroStar TMS has plenty of myths surrounding its use and effects. Consider these facts about NeuroStar:

Myth #1: NeuroStar Therapy Only Has Preliminary Research

Fact: TMS has more than a decade of evidence supporting its effectiveness and Food and Drug Administration (FDA) approval.

The FDA approved of NeuroStar in 2008 — more than one decade ago. NeuroStar also has the most clinical studies for TMS in depression supporting its treatment effects.

Myth #2: Health Insurance Doesn't Cover NeuroStar and TMS Therapy

Fact: Most commercial and government health plans will cover NeuroStar therapy for depression.

NeuroStar currently has FDA approval for treating depression, making it eligible for insurance coverage. Your insurance may not cover off-label TMS treatment for conditions such as anxiety.

Myth #3: TMS Works Like Electroconvulsive Therapy (ECT)

Fact: TMS resembles a magnetic resonance imaging (MRI) procedure more than it does ECT.

TMS uses magnetic pulses with the same type and strength as those used for MRIs. Unlike ECT, TMS does not require sedation or affect cognition.

Myth #4: TMS Causes Mental Health-Related Side Effects

Fact: TMS treatments like NeuroStar have fewer side effects than antidepressants, and these tend to involve only minor discomfort.

The most common side effects of NeuroStar therapy include temporary pain and discomfort at the treatment site. About .01% of people have a risk of seizure during TMS.

Myth #5: TMS Therapies Like Deep TMS Work Better Than NeuroStar TMS

Fact: NeuroStar treats depression just as effectively as other TMS therapies and there is more data supporting the efficacy of TMS.

Studies show no significant difference between the positive effects of NeuroStar and other TMS therapies on depression. Different TMS therapies may have specific effects on other mental health conditions like OCD. Neurostar TMS is supported by randomized clinical trials involving hundreds of patients.

Reasons to Visit Principium Psychiatry for TMS Therapy

Patients in New York City rely on the team at Principium for mental health treatment for benefits such as:

  • Innovative therapies: At Principium, we use the latest evidence-based treatments for mental health conditions. TMS and ketamine therapy make just two of the services we offer to our patients.
  • An experienced care team: Dr. Cohen and the Principium team have extensive experience across mental health care specialties. They can develop a customized treatment plan that consists of trusted psychiatry services.
  • Travel convenience: You can visit our discreet and private office near Columbus Circle and Carnegie Hall. It has close access to multiple subway lines.

Discover Your NeuroStar Treatment Options in Midtown Manhattan

Find out if you could benefit from NeuroStar by scheduling an appointment at Principium.