Advanced Psychiatric Perspectives provides psychiatric services to treat mood disorders, psychosis, ADHD/ADD, memory disorders and memory loss prevention. We strengthen the mind-body connection with individual and group psychotherapy, cutting edge pharmacological interventions as well as health coaching and medically supervised weight loss and personal or group training in collaboration with NY Fitness Pros.
Our office is proud to offer Neurostar TMS treatment and Spravato (Esketamine) for treatment of severe, treatment-resistant depression. Our Full services include:
– Evaluation & Medication Management
– NeuroStar Advanced TMS Therapy
– Spravato
– Biote
– Lifestyle Therapy with NY Fits Pros
Evaluation and Management for Adult and Geriatric Patients
Major Depressive Disorder
Bipolar Disorder/Mood Disorders
Anxiety Disorders/OCD
Schizophrenia/Psychotic Disorders
Experts in oral and long-acting injectable medications
Dementia and Behavioral and Psychological Symptoms associated with Dementia
Attention Deficit Disorders (ADD)
Attention-deficit hyperactivity disorder (ADHD)
Pseudobulbar Affect
Motivational Behavioral Interviewing
Cognitive Behavioral Therapy
Supportive Psychotherapy
How it works?
In patients experiencing depression, there is often significantly less activity throughout regions of their brain. This is believed to be a possible cause of the depression itself. Neurostar TMS focuses on treating the source of the depression. It sends magnetic pulses which electrically stimulate the brain and increase activity.
For more information on why to choose NeuroStar and how it works, visit our NeuroStar Advanced TMS page.
How it works?
Spravato (Esketamine) is a nasal spray used to treat severe, treatment-resistant depression. The treatment is believed to work by affecting glutamate, an excitatory neurotransmitter in the brain. Researchers believe the medication allows new synapses (connections) to be created between neurons. This can allow for drastically new behaviors and ways of thinking to be formed. Spravato has been seen to have potential additional benefits when used in tandem with TMS (transcranial magnetic stimulation).
What to Expect
To begin treatment, patients must take Spravato twice a week for the first four weeks and then once a week for the next four weeks. After those initial eight weeks, they will talk to the doctors to decide what schedule is best for them. Treatments are administered in-office to patients. It’s similar to taking any regular nasal spray. There is no IV administered for this treatment.
Before Treatment
Patients should not eat the hour before treatment and should not operate heavy machinery or drive the day they receive the medication.
During Treatment
-During the two hour monitoring period, patients must stay in the office but can watch television, take a nap, listen to music, or whatever is most comfortable for the patient.
-Patients can experience an out-of-body experience and some drowsiness from the treatment which should resolve within two hours.
After Treatment
After treatments, patients must be monitored by the staff for two hours before they can leave. Spravato acts quickly to alleviate the symptoms of depression and patients can feel the effects as quickly as a few hours after the initial treatment. The full effects are usually seen after two weeks of treatment.
Is Spravato Right For You?
Spravato is meant for use in patients with severe, treatment-resistant depression. It is only approved for patients who have failed multiple medication trials.
Insurances Covering Spravato
These insurances cover Spravato treatment in our office:
Spravato Client Reviews
Biote’s hormone replacement therapy offers a personalized approach to restoring hormonal balance. Utilizing bioidentical hormones, this treatment aims to alleviate symptoms associated with hormonal imbalances, such as fatigue, mood changes, and sexual health concerns. Tailored to each individual’s unique needs, Biote’s therapy promotes overall well-being and an enhanced quality of life.
Evaluation and Management for Adult and Geriatric Patients
Major Depressive Disorder
Bipolar Disorder/Mood Disorders
Anxiety Disorders/OCD
Schizophrenia/Psychotic Disorders
Experts in oral and long-acting injectable medications
Dementia and Behavioral and Psychological Symptoms associated with Dementia
Attention Deficit Disorders (ADD)
Attention-deficit hyperactivity disorder (ADHD)
Pseudobulbar Affect
Motivational Behavioral Interviewing
Cognitive Behavioral Therapy
Supportive Psychotherapy
How it works?
In patients experiencing depression, there is often significantly less activity throughout regions of their brain. This is believed to be a possible cause of the depression itself. Neurostar TMS focuses on treating the source of the depression. It sends magnetic pulses which electrically stimulate the brain and increase activity.
For more information on why to choose NeuroStar and how it works, visit our NeuroStar Advanced TMS page.
How it works?
Spravato (Esketamine) is a nasal spray used to treat severe, treatment-resistant depression. The treatment is believed to work by affecting glutamate, an excitatory neurotransmitter in the brain. Researchers believe the medication allows new synapses (connections) to be created between neurons. This can allow for drastically new behaviors and ways of thinking to be formed. Spravato has been seen to have potential additional benefits when used in tandem with TMS (transcranial magnetic stimulation).
What to Expect
To begin treatment, patients must take Spravato twice a week for the first four weeks and then once a week for the next four weeks. After those initial eight weeks, they will talk to the doctors to decide what schedule is best for them. Treatments are administered in-office to patients. It’s similar to taking any regular nasal spray. There is no IV administered for this treatment.
Before Treatment
Patients should not eat the hour before treatment and should not operate heavy machinery or drive the day they receive the medication.
During Treatment
-During the two hour monitoring period, patients must stay in the office but can watch television, take a nap, listen to music, or whatever is most comfortable for the patient.
-Patients can experience an out-of-body experience and some drowsiness from the treatment which should resolve within two hours.
After Treatment
After treatments, patients must be monitored by the staff for two hours before they can leave. Spravato acts quickly to alleviate the symptoms of depression and patients can feel the effects as quickly as a few hours after the initial treatment. The full effects are usually seen after two weeks of treatment.
Is Spravato Right For You?
Spravato is meant for use in patients with severe, treatment-resistant depression. It is only approved for patients who have failed multiple medication trials.
Insurances Covering Spravato
These insurances cover Spravato treatment in our office:
Spravato Client Reviews
Biote’s hormone replacement therapy offers a personalized approach to restoring hormonal balance. Utilizing bioidentical hormones, this treatment aims to alleviate symptoms associated with hormonal imbalances, such as fatigue, mood changes, and sexual health concerns. Tailored to each individual’s unique needs, Biote’s therapy promotes overall well-being and an enhanced quality of life.
Dr. Lidia Lidagoster is a psychiatrist in New Rochelle, New York. She received her medical degree from Santiago Univ of Technology School of Medicine and has been in practice for more than 20 years.
Specialty: Psychiatry
Psychiatrists diagnose and treat mental illness, such as depression, anxiety disorders, substance abuse, and schizophrenia. Most psychiatrists rely on a mix of medications and psychotherapy.
To learn more about if APP Health Group is right for you, and what to expect, Contact us Today!