Discover TMS Therapy , an FDA-approved treatment Provided by psychiatrists

Achieve a better quality of life with our TMS therapy, a non-invasive treatment that does not require anesthesia or sedation.

Beat depression to get your life back!

With TMS Therapy, a future free from depression is possible

Our mental health clinic cares about our community and we care about you. If you reside near Montclair or the surrounding area, we can help you get back to the life you love. Our mental health services, including TMS therapy and Esketamine, both treatments are covered by most insurance plans.

Safe & FDA Cleared

TMS is FDA-cleared with minimal side effects & effective in treating depression.

No-Drug

Can be a stand-alone treatment or used along with your existing medication.

Covered by Insurance

TMS therapy is covered by most major insurance companies, and we’ll handle the paperwork.

No Systemic Side Effects

Can be a stand-alone treatment or used along with your existing medication.

Transcranial Magnetic Stimulation (TMS): A Modern Approach to Mental Wellness

Transcranial Magnetic Stimulation (TMS) is a non-invasive, FDA-approved therapy designed to address imbalances in brain function associated with conditions like depression. During a session, a specialized magnetic coil is carefully positioned above a targeted region of the scalp—often the dorsolateral prefrontal cortex (DLPFC), an area linked to mood regulation. The coil delivers gentle, pulsating magnetic fields that generate small electrical currents in the brain, stimulating underactive neural pathways. Unlike systemic medications, these currents focus precisely on specific regions, typically penetrating 2-3 centimeters beneath the scalp, without affecting the entire brain.

Research suggests that depression and similar disorders may involve disrupted communication between neurons or reduced activity in mood-regulating circuits. TMS works by gently “resetting” these networks, encouraging neuroplasticity—the brain’s ability to adapt and form new connections. This process helps restore balance to the brain’s biochemistry, potentially alleviating symptoms over time.

A typical TMS regimen involves outpatient sessions conducted in a clinical setting, with patients seated comfortably and awake throughout the procedure. Each 15-20 minute session is tailored to the individual, using MRI-based mapping to ensure precise coil placement. While protocols vary, many treatment plans involve daily sessions (5 days per week) over 4-6 weeks, totalling 20-36 sessions depending on patient needs.

It’s particularly valued as an alternative for those who haven’t responded to antidepressants or wish to avoid systemic medication side effects. Unlike electroconvulsive therapy (ECT), TMS requires no anesthesia and carries no risk of memory loss, making it a convenient option for individuals balancing treatment with daily life.

By combining advanced neuroscience with personalized care, TMS represents a bridge between cutting-edge technology and holistic mental health solutions.

Many patients notice positive changes within 3-5 weeks of treatment.

MEET OUR TEAM

YULI FRADKIN, MD

As a psychiatric professional with over 25 years of experience, I am dedicated to providing top-quality care to my patients in New York City and Montclair, New Jersey. I have had the privilege of serving at some of the nation’s leading medical institutions, including Beth Israel Hospital in New York, Tufts Medical Center in Boston, and Yale Medical School in Connecticut.


In addition to my clinical work, I am also an assistant professor at Rutgers University, where I have the opportunity to share my knowledge and experiences with the next generation of healthcare professionals. I believe in the importance of continuing education and professional development, and I am committed to staying current on the latest advances in the field of psychiatry.


I am passionate about helping individuals and their loved ones on their journey towards mental wellness. Whether you are seeking support for yourself or a loved one, I am here to help. Thank you for considering my practice, and I look forward to working with you.

Elena Bruck, MD

I have been practicing psychiatry for nearly twenty years, first in Vienna, Austria, where I had the honor of studying medicine, then here, in New York City.

I did a year of Geriatric Psychiatry fellowship which allows me to work comfortably with elderly patients.

I also did a year of fellowship at the New York Psychoanalytic Institute and published in the fields of psychotherapy research, dementia, and Seasonal Affective Disorder .

As a psychiatrist and medical doctor, I can provide both medication management and psychotherapy, as well as non-medication treatments such as supplements and life style advice.

I offer psychopharmacology and psychotherapy services as well as holistic treatments based on scientific studies to significantly improve my patients’ well-being.

Having lived in Moscow, Vienna and New York for many years, I appreciate the beauty and relativity of all things human, and can provide treatment in these three languages.

What Our Clients Say

Frequently Asked Questions

We've Got Answers

Who is a candidate for TMS therapy?

TMS is ideal for individuals seeking a non-invasive, medication-free option or those who haven’t benefited from traditional treatments. It’s FDA-approved for treatment-resistant depression (TRD) and increasingly used for conditions like anxiety, OCD, and PTSD. Candidates typically include:

  • Patients who experience intolerable medication side effects.

  • Those with partial or no response to antidepressants.

  • Individuals preferring to avoid systemic medications (e.g., during pregnancy).
    A consultation with our clinical team will determine your eligibility based on medical history and treatment goals.

What does "treatment-resistant" mean?

A condition is labeled “treatment-resistant” if symptoms persist despite trying multiple evidence-based therapies. For example, depression is considered treatment-resistant after failing at least two antidepressant medications (at adequate doses and durations) combined with psychotherapy. This doesn’t mean you’re “out of options”—it simply guides us toward advanced therapies like TMS.

Is TMS backed by scientific research?

Yes. TMS has been studied for over 30 years and is FDA-approved for depression (since 2008) and OCD (since 2018). It’s endorsed by organizations like the American Psychiatric Association (APA) and the National Institute for Mental Health (NIMH). Thousands of peer-reviewed studies confirm its safety and efficacy, with ongoing research exploring its use for chronic pain, PTSD, and more.

What side effects should I expect?

Most patients experience only mild, short-lived effects, such as:

  • Scalp discomfort or tingling during treatment (often resolves after the first few sessions).

  • Temporary mild headache or fatigue.
    Serious risks like seizures are extremely rare (<0.1% of cases) and typically occur only in those with pre-existing risk factors (e.g., epilepsy, certain medications). We screen thoroughly to minimize risks and monitor you closely throughout treatment.

Can I continue my current medications during TMS?

Yes! TMS can be safely combined with most medications. In fact, many patients use it alongside antidepressants or mood stabilizers. Never stop or adjust medications without consulting your prescribing provider first.

How long is a TMS session, and what does it feel like?

Each session lasts 15–30 minutes. You’ll sit comfortably, awake and alert, while the magnetic coil delivers gentle pulses to targeted brain regions. Most describe the sensation as a light “tapping” on the scalp. You can listen to music, read, or relax during the process—no anesthesia or recovery time is needed.

How soon will I notice results?

Improvements often begin within 2–3 weeks, with peak benefits appearing by weeks 4–6. However, responses vary: some report rapid mood lifts, while others see gradual progress. We track symptoms weekly to personalize your treatment plan.

Is TMS covered by insurance?

Most private insurers (e.g., Aetna, Cigna, Blue Cross) and Medicare cover TMS for FDA-approved conditions like TRD. Coverage depends on your plan and prior authorization requirements. Our team handles insurance verification, prior authorizations, and offers flexible payment plans for self-pay patients.

Will I need maintenance sessions after my initial treatment?

Some patients opt for periodic “booster” sessions to sustain results, similar to follow-up therapy or dental cleanings. We’ll create a personalized maintenance plan based on your progress and long-term goals.

Can TMS be combined with therapy or other treatments?

Absolutely! Many patients pair TMS with cognitive-behavioral therapy (CBT), lifestyle changes, or nutritional support for enhanced results. We collaborate with your existing care team to ensure a holistic approach.

Are there any contraindications for TMS?

TMS is not recommended if you have:

  • Metal implants in or near the head (e.g., cochlear implants, aneurysm clips).

  • A history of seizures unrelated to controllable triggers.

  • Certain neurological conditions (e.g., Parkinson’s, ALS).
    We conduct a detailed screening to ensure your safety.

What makes TMS different from ECT (electroconvulsive therapy)?

Unlike ECT, TMS requires no anesthesia, doesn’t induce seizures, and has no risk of memory loss. It’s gentler, with minimal downtime, making it easier to integrate into daily life.

How do I prepare for my first session?

  • Avoid caffeine beforehand (it can heighten scalp sensitivity).

  • Remove magnetic-sensitive items (e.g., jewelry, credit cards).

  • Wear comfortable clothing—you’ll relax in a chair during treatment.

What is the success rate of TMS?

  • Studies show 50–60% of TRD patients achieve significant symptom reduction, with about 30% experiencing full remission. Success rates are higher when combined with therapy and lifestyle modifications.

Can adolescents or older adults receive TMS?

  • TMS is FDA-approved for adults 18+, but emerging research supports its use for adolescents under strict supervision. Older adults are excellent candidates, provided they meet safety criteria.

Still have questions?

  • Contact our TMS coordinators at [email protected] for a free consultation. We’re here to help you make an informed, confident decision about your care!

We've Got Answers

Studies of TMS have examined its therapeutic potential for treating various diseases, with depression being the most thoroughly studied. In the late 1990s, researchers worldwide published more than 20 randomized, controlled trials studying TMS as a depression treatment.

 

Now, more and more research continues to emerge around the many beneficial uses for TMS, for depression and beyond. Research indicates TMS Therapy to be beneficial in treating depression, anxiety, obsessive-compulsive disorder, post-
traumatic stress disorder, attention deficit hyperactivity disorder, bipolar disorder, dementia, and more!

MAJOR DEPRESSIVE DISORDER

ANXIETY

SMOKING CESSATION

AUTISM SPECTRUM DISORDER

Attention-Deficit / Hyperactivity Disorder

Post-traumatic stress disorder

STROKE REHABILITATION

PARKINSON'S DISEASE

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