TMS Therapy • Upper East Side • Manhattan
A focused TMS practice delivered personally by Dr. Aslami
Transcranial magnetic stimulation (TMS) is a noninvasive, in-office treatment that uses targeted magnetic stimulation to support brain networks involved in mood regulation. At Statera Psychiatry, P.C., TMS is provided in a discreet, boutique setting with careful screening, ongoing monitoring, and coordination with your existing clinicians when appropriate.
Statera Psychiatry, P.C. provides TMS therapy only. Psychotherapy and medication management are provided separately through Brian A. Aslami, M.D., P.C.
What is TMS?
TMS is a noninvasive treatment performed while you’re awake and seated comfortably. A specialized device delivers magnetic pulses to targeted brain regions. No anesthesia is used, and there is no systemic medication involved in the stimulation itself.
For many people, TMS is considered when symptoms of depression or obsessive-compulsive disorder (OCD) have not fully improved with standard approaches, or when medication side effects or limitations make additional options worth exploring. Appropriateness is determined through an individualized evaluation.
What to expect
Step 1: Consultation and screening
We start with a brief consultation and an in-person evaluation focused on TMS candidacy, safety screening, and treatment planning.
Step 2: Treatment planning (“mapping”)
Early sessions involve careful setup and calibration so stimulation is tailored to you. We review comfort, tolerability, and what you may notice during sessions.
Step 3: Treatment sessions
TMS is delivered as a structured course of in-office sessions over multiple weeks. Session length varies by protocol, but most visits are designed to fit into a predictable routine.
Step 4: Monitoring progress
We track symptoms over time, adjust as clinically appropriate, and coordinate with your outside clinicians (with your permission).
Step 5: End-of-course summary and next steps
At the end of treatment, we review progress and discuss recommendations for maintenance and ongoing care with your treating clinician(s).
What does TMS feel like?
People often describe a tapping sensation on the scalp during stimulation. Some notice mild discomfort early on that improves as the course continues. Sessions are performed while you’re awake; most people return to work or daily activities afterward. We’ll discuss comfort, pacing, and what to expect before you begin.
Safety & side effects
Common experiences
Some people experience scalp discomfort, brief headache, facial muscle twitching, or fatigue—particularly early in the course.
How we support comfort
We review positioning, pacing, and practical strategies to improve tolerability. Hearing protection is used during treatment.
Less common risks
As with any medical treatment, less common risks exist. A rare risk with TMS is seizure. We screen carefully to reduce risk and review your personal history in detail.
Bipolar spectrum considerations
If there is a history of bipolar disorder or manic/hypomanic symptoms, we take additional care in evaluation and monitoring.
Medical devices / metal considerations
Certain implanted devices or metal, which are ferromagnetic, near the head may affect eligibility. We review this as part of safety screening.