Poughkeepsie Office Holiday Schedule 2017-2018

Riverview Psychiatric Medicine PC will be closed for patient care for the observance of Christmas and the day after Christmas: December 25-26, 2017. The office will reopen on Wednesday December 27, 2017 at 8 am.   The office will be closed for patient care for the observance of New Years Day January 1, 2018. The office will reopen Tuesday January 2, 2018. In the event of an emergency a covering clinician on these holidays can be reached at 845-431-6625

 

Dr. Pardell will be on vacation from the afternoon of December 20, 2017 and will return to the office on January 3, 2018. Covering clinicians can be reached during office hours at 845-471-1807.  After hours non-urgent messages can be left on voice mail during non-holiday schedule and will be returned on the next business day.  In the event of an emergency or urgent message a covering clinician can be reached through our answering service at 845-431-6625. If this is a life threatening emergency call 911. 

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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ASK THE EXPERTS
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Free TMS Consult

Date: Friday January 12, 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 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.

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

Dr. Pardell recognized by Hudson Valley Magazine and Castle Connolly Top Doctor 2017

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Dr. Pardell was recognized by Castle Connolly as a Top Doctor in America in 2017. 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 eight 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.

Castle Connolly Logo

 

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. 

rTMS effective for Substance Induced Cravings

Randy I. Pardell MD in colloboration with Robert Moran MD of The Family Center for Recovery presented their results at the U.S. Psychiatric and Mental Health Congress in San Antonio, Texas in October, 2016.  They found that 5 daily treatments of rTMS  using high frequency 10 Hz rTMS over left DLPFC significantly reduced craving in substance dependent individuals. On Secondary measure, a significant minority of patients experienced response and remission of depressive symptoms. These results highlight the potential of non-invasive neuromodulation as a therapeutic tool for addiction and co-existing depression.

 

http://www.psychcongress.com/posters/repetitive-transcranial-magnetic-stimulation-over-left-dorsolateral-prefrontal-cortex

Dr. Wilson goes to Washington D.C.

Kenneth WilsKen_Wilson_Portraiton MD DFAPA is a Past President and Assembly Representative for the Mid-Hudson Psychiatric Society.  For many years he has also been an active particpant at the New York State Psychiatric Association meetings representing our District Branch. On November 5-6, 2016, Dr. Wilson attended the National Assembly Meeting of the American Psychiatric Society. We are very proud of Dr. Wilson apa-new-whiteand his strong commitment to Public Psychiatry. 

Hudson Valley Magazine Top Doctors 2016

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