Millions of Americans 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 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 one year. The DENT Behavioral Center additionally is home to DENT Interventional Psychiatry and DENT Addiction Medicine.
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.
DENT Interventional Psychiatry
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 uses 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 beneficial 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 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.
Ketamine Infusions are now a part of DENT Interventional Psychiatry. This is an anesthetic that has been used for over 52 years, and today is used to help treat headaches, pain management and depression.
Its ability to anesthetize patients quickly and safely, with few side effects, was quickly realized by the medical community; it was approved by the Food and Drug Administration (FDA) in 1970.
It rapidly became a necessity for doctors all over the world because it doesn’t depress patients’ breathing or circulatory systems like other anesthetics. It is also commonly used as a pain killer for this reason, especially for severe injuries and in crises, since slowing respiration and circulation is a significant problem with alternatives, such as opiates and barbiturate analgesics. It’s also very fast-acting.
What are the benefits?
In the last 15 years, Ketamine has gradually been used more in non-traditional ways; treating depression and other mood disorders, Complex Regional Pain Syndrome (CRPS/RSD), and other pain conditions. In the last decade, a great deal of clinical research has been conducted by leading institutions all over the world, proving IV (intravenous) ketamine’s efficacy in the treatment of these conditions, regularly reporting around a 70% success rate or higher. Yale University, Stanford University, The Cleveland Clinic, USC, UCLA, NYU, The National Institute of Mental Health, Massachusetts General Hospital, and The Black Dog Institute are just a few of those institutions.
When will you feel better?
For mood disorder patients, some will begin to feel better within 1 hour of their first infusion. Patients with thoughts of self-harm or suicidal ideation often notice those thoughts and feelings dissipate first, and almost immediately. There is usually a dramatic relief of dread and hopelessness.
Other patients may not notice any improvement in mood until the day after their 2nd or 3rd infusion. Some patients will require more infusions and more time following their infusions before feeling significantly better. It is important to note that the results of ketamine can be sudden and dramatic, but they are not always. It is more common for patients to see gradual, subtle improvement.
Enaame Farrell, MD, Addiction Medicine Specialist
Currently, 20 million Americans suffer from addiction. Deaths from overdoses occur all over Erie County, including our suburbs. Unhealthy substance use and addiction is the nation’s largest preventable health problem, yet only about 10% of patients receive treatment for it.
Addiction Medicine is concerned with the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction, of those with substance-related health conditions, and of people who show unhealthy use of substances, including nicotine, alcohol, prescription medications, and other licit and illicit drugs.
Our goal at DENT is to help eliminate the personal and public health consequences and the stigma associated with addiction by reinforcing that it is a preventable, treatable disease, and by providing patients with access to credentialed physicians.
What is an Addiction Medicine Specialist?
An Addiction Medicine Specialist is certified to offer services for the treatment of substance use disorders in adults. They demonstrate by education, experience, and examination the requisite knowledge and skills to provide prevention, screening, intervention, and treatment for substance use and addiction. Also, addiction specialists can recognize and treat the psychiatric and physical complications of addiction.
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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