Alexandra Lindardakis RN BCN and Randy I. Pardell MD DFAPA presented a poster at the 2018 CTMSS meeting in Brooklyn on Integrating QEEG to define treatment location and response for rTMS therapy

CTMSS 2018 Poster

Dr. Pardell has been elected as Member at Large on the Executive Board of the Clinical TMS Society

On May 13, 2018 Randy I. Pardell MD was installed as Member at Large on the Executive Committee of the Clinical TMS Society.

Dr. Pardell has been very active in the society and has completed his year of Chairmanship of the Outreach Committee.  He oversaw the revamping of the CTMSS website (www.clinicaltmssociety.org), continuation of the groundbreaking web-based Grand Rounds including an on-demand CME  option, and oversaw the formation of slide decks that will be used by society members to educate lay and professional committees.  Dr. Pardell is also participating on the Education Committee and this week lectured fellow physicians and TMS providers at the Pulses Course at the annual meeting of the Clinical TMS Society in Brooklyn, NY. 

Free TMS Consult

Date: Friday June 15, 2018Randy Pardell

Time: 10:00 AM-12:00 PM

Presenter: Randy I. Pardell MD DFAPA Medical Director

Learn about this innovative non-medication treatment for Major Depression, Anxiety Disorders, Pain Syndromes and Addiction. Dr. Pardell will consult with you about whether you or your loved one is a candidate for NeuroStar Transcranial Magnetic Stimulation (TMS). TMS utilizes an MRI strength magnet to stimulate the areas of the brain that are under performing or under functioning and normalizes brain activity to treat depression, anxiety, pain and craving without the side effects of medication. Bring family and friends to see if TMS is the right treatment for you or your loved one. Contact our office and speak with our TMS Coordinator Taylor Bianchini at 845-471-1807 or email at info@riverviewpsychiatric.com to register for this complimentary consultation as spaces are limited.

TMS Center of the Hudson Valley Expands

Riverview Psychiatric Medicine, PC and the TMS Center of the Hudson Valley are  pleased to announce the addition of a second NeuroStar TMS System to our Poughkeepsie site. Randy I. Pardell MD DFAPA our Medical Director states,  “Transcranial magnetic stimulation (TMS) is a highly effective procedure and is an FDA approved treatment for depression in patients who have failed standard antidepressant mediation.  TMS has a minimal side effect burden. Currently, over 300 million people in the US now have TMS as a treatment option under their insurance policies. In a study of our own patients, 72% of our depressed patients responded favorably to TMS, and 57% became completely well. But perhaps the most powerful testimony is that our patients who have struggled with depression for much of their lives now have hope. The despair of failed medication trials is replaced with the alleviation of suffering and an improved quality of life.” Dr. Pardell holds regular complimentary TMS consultations. Please call our office to schedule a consultation at 845-471-1807 or email our TMS Coordinator Taylor Bianchini at info@riverviewpsychiatric.com

Emma Arnoff LCSW Joins Riverview Psychiatric Medicine, PC

Medical Director Randy I. Pardell MD DFAPA is proud to welcome Emma Arnoff LCSW PC to the clinical team at Riverview Psychiatric Medicine, PC.

Emma Arnoff is a Licensed Clinical Social Worker. She has spent the last ten years working with children and families in schools, residential treatment centers, and the foster care system. Emma utilizes a strength based, person centered approach when working with adults and children. The goal in this work is to help clients identify strengths within themselves and develop ways to live productive and confident lives.
Emma graduated from the Silberman School of Social Work at Hunter College. She is certified as a School Social Worker and is a member of the National Association of Social Work (NASW). In addition to working with clients individually, she has faciliated programs and groups on LGBTQ issues, bullying and social skills. As a parent herself, she knows the many skills needed for child rearing and has worked with parents individually and in groups focusing on strengthening the parenting skills needed for different developmental stages. Emma collaborates with clients to solidify their skills to manage challenges and enjoy life to the fullest. Emma is in the process of applying to insurance panels as a participating provider and is accepting new patients.  Call our office at 845-471-1807 to schedule an appointment.

Dr. Pardell recognized by Hudson Valley Magazine and Castle Connolly Top Doctor 2018

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Dr. Pardell was recognized by Castle Connolly as a Top Doctor in America in 2018. In addition, Dr. Pardell has been recognized by Hudson Valley Magazine as a Top Doctor in 2017. Dr. Pardell has been recognized for the past nine years as a Regional Top Doctor and is the only psychiatrist in Dutchess or Ulster Counties awarded with these distinctions.  Dr. Pardell also had the honor of being acknowledged by his patients with the Patient Choice Award 2011, 2013-2014, 2016 and the Compassionate Doctor Recognition 2011, 2013-2014, 2016 and Vitals On-Time Doctor Award 2014.

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Dr. Pardell is featured discussing TMS in Hudson Valley Magazine Ask The Experts

Ask the Experts
Brain Stimulation for Depression: What You Need to Know About Transcranial Magnetic Stimulation.

What is Transcranial Magnetic Stimulation?
In Transcranial Magnetic Stimulation (TMS), we use MRI-strength magnetic fields to stimulate areas of the brain that are under-functioning in psychiatric disorders, waking them up to improve brain function. For example, our typical TMS protocol stimulates the left frontal lobe—which is the part of the brain involved in planning and other higher cognitive tasks. For those with depression, the frontal lobe underperforms, so we use TMS to stimulate the left side of the brain, thus normalizing frontal lobe performance and improving the cognitive and emotional symptoms of depression. On the other hand, for a patient suffering from anxiety, we can use TMS to encourage inhibitory activity in the right side of the brain, which has a calming impact on areas of the brain that modulate anxiety.

What specifically happens to the brain, following TMS treatment?
TMS uses a time-varying magnetic field that gently stimulates the brain electrically. This causes the stimulated nerve cells to fire and subsequently release neurotransmitters and neurotrophic (nerve growth) factors. TMS stimulates the brain’s networks, with circuit-to-circuit effects—going deep into the limbic system and brainstem. Recent studies have shown that TMS causes the brain to grow connections between nerve cells and can increase the brain’s gray matter. In other words, TMS affects both the brain’s structure and function.

What is TMS like, as a patient?
TMS is a daily procedure that occurs 5 days a week for 5-6 weeks of treatment. The typical treatment time is approximately 30 minutes. During the treatment session, our technician will place the magnetic coil gently against the patient’s front part of the scalp. Then the TMS Therapy System will deliver rapid series of “pulses” of the magnetic field—usually in 4 second intervals with 10 pulses delivered per second, with a rest interval in between. The pulses will feel like tapping on the scalp. Most patients find the sensation “different.” Some find it uncomfortable in the first few treatments, but, eventually, TMS is easily accommodated to. We are experienced in making TMS Therapy comfortable, safe and effective. During treatment, our patients relax in our European spa chair. Our private suite offers a serene environment to listen to music, audiobook, watch a movie or your favorite show on TV while undergoing TMS therapy.

How long-lasting are the effects of TMS?
The effects are long-lasting: In a recent prospective study of depressed patients successfully treated with TMS who were followed for one year, 85% were still doing well at one-year post treatment. (With a similar treatment group who responded to antidepressant medication, they had a continued response rate at one year closer to 30%.) If patients who received TMS began to fall back into depression, almost all returned to wellness with another, shorter course of TMS treatment.

How effective is TMS compared to other forms of treatment?
TMS is a highly effective procedure and is an FDA cleared treatment for depression with minimal side effect burden. Currently, over 270 million people in the US now have TMS as a treatment option under their insurance policies. In a study of our own patients, 72% of our depressed patients responded favorably to TMS, and 57% became completely well. But perhaps the most powerful testimony is that our patients who have struggled with depression for much of their lives now have hope. The despair of failed medication trials is replaced with the alleviation of suffering and an improved quality of life.

Dr. Pardell is the Founder and Medical Director of Riverview Psychiatric Medicine PC and the TMS Center of the Hudson Valley. Recognized by patients and colleagues alike for his groundbreaking work, he was selected as a Castle Connolly/US News and World Report Top Doctor. Additionally, a sought-after lecturer on innovative mental health treatments, Dr. Pardell is an Assistant Professor of Clinical Medicine at Eastern Virginia Medical School. Dr. Pardell obtained his undergraduate degree from the University of Pennsylvania—receiving Magna Cum Laude honors and election to Phi Beta Kappa. He then received his Medical Degree, with honors, from New York University School of Medicine. Dr. Pardell completed his Residency in Psychiatry at St. Luke’s-Roosevelt Hospital, where he served as Chief Resident.

Riverview Psychiatric Medicine, PC
370 Violet Avenue
Poughkeepsie, New York 12601
Phone: 845-471-1807
Fax: 845-471-1815

Psychiatric Services

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For Healthcare Providers TMS Update at Heritage Tuesday October 10, 2017

Dr. Pardell has been elected to the Board of Directors of The Clinical TMS Society

 

Randy I. Pardell MD DFAPA has been elected to the Board of Directors of the Clinical TMS Society for a 3 year term.  https://clinicaltmssociety.org/sites/default/files/election_results_2017-2018_0.pdf

CTMSS Mission Statement:

A professional association dedicated to optimizing clinical practice, awareness, and accessibility of Transcranial Magnetic Stimulation therapy.

 

In addition to his duties on the Board of Directors, Dr. Pardell has assumed the position of Chairman of the Outreach Committee to assist in supporting the awareness of this exciting and innovative treatment for neuropsychiatric conditions. 

 

Dr. Pardell has been appointed Assistant Professor of Clinical Medicine at EVMS

Dr. Pardell has been a consulting psychiatrist over the past year at the Family Center For Recovery in Lantana, Florida. He has been teaching medical students, physician assistant students and psychiatric residents during his tenure.  He has recently been appointed an Assistant Professor of Clinical Medicine at Eastern Virginia Medical School as their students perform clinical rotations at FCFR. Dr. Pardell is also the Associate Director of Harmony TMS which is located at FCFR facility and offering TMS services in Palm Beach County, Florida.