Millions of American are affected by mental health conditions. According to the National Alliance on Mental Illness (NAMI), about 43.8 million adults experience a mental illness in a given year. Some of the most prevalent mental health conditions include anxiety disorder, major depression, bipolar disorder, and schizophrenia. Additionally, about 10.2 million adults suffer from both mental health conditions and addiction disorders. In 2010, the National Institute of Mental Health (NIMH) estimated that 40% of adults with schizophrenia and 51% of individuals with severe bipolar disorder receive no treatment in a one-year period.
Our goal at the DENT Neurologic Institute is to expand psychiatric services and to improve psychiatric care in Western New York. We treat adult patients for a wide range of mental illnesses and addiction disorders including depression, anxiety, schizophrenia, bipolar disorder, and more. Over the years, our psychiatric team has continued to grow which has allowed for increased access to care as well as an expansion treatment modalities such as ECT, TMS, and psychotherapy.
Jessica Rimer, LCSW-R
DENT Neurologic Institute offers psychotherapy services to assist patients with managing psychiatric symptoms, behavioral issues and interpersonal difficulties. These symptoms and struggles often have a significant impact on the patient’s ability to function as well as on their quality of life. We strive to provide patient-centered, strength-focused and problem-solving approaches to help improve self-image, strengthen relationships and promote a healthy lifestyle. DENT offers comprehensive evaluations and treatment for patients with common mental health diagnoses which include anxiety disorders, mood disorders and PTSD. Providers work collaboratively with patients as well as their support systems to create and implement a treatment plan that is tailored to the patient’s specific short and long-term goals.
Horacio Capote, MD, Medical Director
Transcranial Magnetic Stimulation (TMS) Therapy is a state-of-the-art treatment utilized by our doctors to help treat adult patients with major depressive disorder. The treatment utilizes short pulses of a focused magnetic field to stimulate nerve cells in the area of the brain thought to control mood. This brief painless treatment is performed in a quiet, comfortable setting under the supervision of a psychiatrist and is done while the patient is awake and alert.
Electroconvulsive Therapy (ECT)
Sanjay Gupta, MD, Medical Director
Dent Neurologic Institute offers ECT for relief of major depression, bipolar disorder and other serious mental illness. We are proud to be the first and only in Western New York to provide this highly effective treatment in an office-based setting as opposed to the traditional hospital setting. Our welcoming atmosphere helps ease the anxiety and tension that often accompanies patients who undergo ECT. For more information about what ECT is, please read below taken from the American Psychiatric Association’s website https://www.psychiatry.org/patients-families/ect
What is ECT?
Electroconvulsive therapy (ECT) is a medical treatment most commonly used in patients with severe major depression or bipolar disorder that has not responded to other treatments.
ECT involves a brief electrical stimulation of the brain while the patient is under general anesthesia. It is typically administered by a team of trained medical professionals that includes a psychiatrist, an anesthesiologist, and a nurse or physician assistant.
The most common side effects of ECT are headaches and temporary memory problems.
Does ECT work?
Extensive research has found ECT to be highly effective for the relief of major depression. Clinical evidence indicates that for individuals with uncomplicated, but severe major depression, ECT will produce substantial improvement in approximately 80 percent of patients. It is also used for other severe mental illnesses, such as bipolar disorder and schizophrenia.
ECT is typically used when other treatments, including medications and psychotherapy, haven’t worked. ECT is also used for people who require a rapid treatment response because of the severity of their condition, such as being at risk for suicide.
Although ECT can be very effective for many individuals with serious mental illness, it is not a cure. To prevent a return of the illness, most people treated with ECT need to continue with some type of maintenance treatment. This typically means psychotherapy and/or medication or, in some circumstances, ongoing ECT treatments. Once an individual has had an acceptable response to ECT, some may not need medicine at all but only maintenance ECT. Others may need less total number of medications or reduced dosages.
To protect patients, their families and the public, New York state law requires a psychiatrist to notify proper authorities if a patient is homicidal or suicidal. Patient confidentiality does not apply in these circumstances.
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