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 Thomas Reynaldo BarkleyTms therapy in barkley  This can be a great alternative for someone who has

About TMS! Transcranial Magnetic Stimulation is an evidence-based, non-invasive brain stimulation method that utilizes pulsating magnetic fields to stimulate the frontal lobe of the brain to improve symptoms of depression. 2075 Barkley Blvd Ste 230, Bellingham, WA, 98226 . New patients are welcome. 1. Thomas Reynaldo Barkley. Greenbrook TMS is Fairlawn's most-trusted provider in Transcranial Magnetic Stimulation (TMS) therapy for the treatment of depression. New patients are welcome. NeuroStim TMS is Now Covered by Most Major Insurance Plans NeuroStim TMS Centers are considered In-Network providers for most insurance plans, including Premera Blue. Barkley has previously practiced with Jackson Family Dentistry in West Jackson. TMS is the most exciting breakthrough in treatment for depression and anxiety over the last 20 years. Transcranial Magnetic Stimulation is a safe, non-invasive treatment for depression that makes minor neurological adjustments using magnetic pulses to stimulate and re-engage neural pathways in your brain that are tied to mood control and depression. If a person has treatment-resistant depression, a doctor may. TMS therapy works by creating deep magnetic pulses that target the left prefrontal cortex of the brain. Top 10 Best Tms Therapy in Brooklyn, NY - November 2023 - Yelp - NYC Psychiatric Associates, Madison Avenue TMS & Psychiatry, Robert D Mcmullen, MD - TMS BrainCare, Sutton Place TMS Center, Dr. Clinic Hours: Monday-Friday 8:00 am-5:30 pmWe offer rotating TMS add-on specials for our clients enrolled in TMS. A metanalysis of the scientific literature. 9700 to schedule a free consultation. Sat Closed. Through a process of electromagnetic induction, this rapid. n/a Average office wait time . TMS is a form of brain stimulation, or neuromodulation, that doctors use as a treatment for depression. Treatment sessions usually last 15 to 30 minutes. 4790 Barkley Circle Building A . TMS therapy is an outpatient procedure administered in a doctor’s office or clinic, with treatments occurring five days per week for up to six weeks. Murphy or his medical staff to determine if NeuroStar TMS Therapy is an appropriate treatment option for you. TMS therapy is an outpatient procedure administered in a doctor’s office or clinic, with treatments occurring five days per week for up to six weeks. Nathan Barkley's Rating . Transcranial magnetic stimulation (TMS) is a noninvasive treatment that stimulates nerves in the brain with magnetic pulses. This provider currently accepts 33 insurance plans including Medicare and Medicaid. Extant literature generally shows similar efficacy. TMS-EEG. Lee County Medical Centre . 5. No data Filter . or Call (877) 548-8089. Dr. Palmer, MA 01069. TMS is non-systemic, which means any side effects are contained in the. 0 Courteous staff . The potential effects of TMS on mood were serendipitously discovered just 2 years later (). . Internal Medicine. classroom management, and adult cognitive behavioral therapy, and (5) accommodations, or physical changes to the environment that reduce impairments. Free from common antidepressant drug side. 4. An initial session will measure the placement of the coil on the forehead and personalize the settings that will be used. 2075 Barkley Blvd Ste 105 Bellingham, WA 98226 (360) 671-3345 . This can be a great alternative for someone who has. , have changed the world’s understanding of what it means to have ADHD and to treat it effectively. Each session may last anywhere from 20 to 50 minutes, depending on the device and clinical protocol being used. 1404 FERN CREEK DR. 6565 West Loop South, #530. TMS Therapy uses short pulses of magnetic energy to stimulate nerve cells in the brain. Dr. PA. It’s a noninvasive treatment that uses electromagnetic pulses to stimulate nerve cells, which may improve symptoms. Consult with your insurance benefits administrator to determine if you meet the eligibility requirements for NeuroStar coverage or contact NeuroStar Reimbursement Support at 877-600-7555 (option #6) or reimbursementsupport@NeuroStar. Showing 1-20 of 27 reviews. During your free consultation, a Patient Consultant will discuss any questions you may have regarding insurance coverage, costs, payments. Book an appointment today! Find Providers by Specialty. *Most consultations. Fort Myers, FL, 33907. You deserve. Treatment was based on the labeled procedures of the approved TMS device. Though results vary, TMS therapy helps 35% of treatment-resistant depression patients go into remission (complete resolution of symptoms) and 50% of patients experience improvement in their symptoms. New patients are welcome. In 1985, Anthony Barker and his team developed transcranial magnetic stimulation (TMS) when they produced a motor response by noninvasively applying a magnetic field to the human motor cortex. n/a Office cleanliness . Each session lasts from 5 to 60 minutes depending on. The procedure uses a magnetic coil to enhance activity in specific brain areas, such as the dorsolateral prefrontal cortex. Compare Lex Barkley, OD with these Optometrists near Memphis, TN . Please fill out this short form today for a free phone consultation with NeuroStim TMS in Bellingham. Call Now Contact Us. Reviews on Tms Therapy in Berkeley, CA - Bay Psychiatric Associates, Emily Chong, AMFT, MA, Pacific Psychiatric Associates, Mindful Health Solutions, Mindpath Health Transcranial magnetic stimulation (TMS) is a treatment technique that uses a magnetic field to influence brain activity. We are focused on achieving positive, sustainable change for our patients. Be first to leave a review. New patients are welcome. Call us today at (404) 996-0037 to find out if TMS is right for you. Psychology . While completing the procedure 5 days per week achieves the fastest results, 3 to 4 days per week is the minimum time commitment required. Leave a review . TMS therapy: Targets the parts of the brain that regulate mood. Barkley is a member of Pinelake Baptist Church, and enjoys deep sea fishing, sky diving, and motorcycle. Thomas Barkley, is an Internal Medicine specialist practicing in Wilkes-Barre, PA with 4 years of experience. TMS is delivered daily, 5 days per week (Monday – Friday) in 20- or 45-minute sessions. D. Meet Your Clinical TeamTMS therapy targets the activity of nerve cells in your brain, which may alleviate depression symptoms. Acacia is excited to be providing this treatment through the OLO Trial. TMS therapy is an outpatient procedure administered in a doctor’s office or clinic, with treatments occurring five days per week for up to six weeks. You can also get help finding a provider using our contact us form or by web chat. The bottom line is that TMS helps you feel better faster. Location: Berkeley Bay Psychiatric AssociatesThe therapeutic modality of TMS is termed repetitive TMS (rTMS). 1303 SE 8th Terrace, Cape Coral, FL, 33990 . Benefits of TMS Therapy. While both ECT and TMS can be used to treat. Using TMS allows doctors to change brain activity without surgery and with minimal discomfort. It may also benefit disorders like OCD, anxiety, and. View All Listings. At Avant, we will work with your insurance provider to obtain any necessary pre-authorization before you begin treatment. TMS therapy is an FDA-approved treatment that uses a specialized magnetic device to stimulate regions of the brain associated with mood regulation. 4790 Barkley Circle Building A, Fort Myers, FL, 33907 . Mon 8:30 am - 5:30 pm. Four years later (2012), Europe approved it for treatment. transcranial magnetic stimulation (TMS), technique based on electromagnetic induction that is used to stimulate neurons in the brain cortex (the outer layer of brain tissue, or gray matter). Dr. Many patients find it more effective than medication. TMS. Using pulsed magnetic fields, TMS Therapy stimulates. 3 million were adolescents, between the ages of 12 and 17 years. SAINT or SNT stands for Stanford Accelerated Intelligent Neuromodulation Therapy. LOCATIONS. TMS therapy uses painless electrical currents and magnetic pulses to stimulate nerve cells in your brain and lessen depression. 10500 Barkley St Ste 220, Overland Park, KS, 66212 . Despite positive evidence from case studies, Russell A. That means a patient only needs to pay $150-$200 per session. Tel: (270) 408-1960. TMS Washington, Treatment Center, Seattle, WA, 98133, (206) 538-2735, Transcranial magnetic stimulation (TMS) provides safe and effective treatment for depression. com First Name* Last Name* Email* Phone* Which insurance. TMS has been. Sandhya Prashad works closely with each patient, taking the time to understand their overall health and well-being so she can develop a truly customized treatment plan. Transcranial magnetic stimulation (TMS) is a safe and effective therapeutic modality for a rapidly expanding range of neuropsychiatric indications. Email BWHTMS@partners. You should call 316-636-2888 to make an appointment to discuss the information with your Dr. 40 Barkley Cir Ste 3, Fort Myers, FL, 33907 . Contact our office at 310-571-5041 to learn more about this current TMS special. SAINT’s rapid success in treating treatment resistant depression has been widely celebrated as a breakthrough in the treatment of depression. 0 Scheduling flexibility . Clinicians providing this treatment utilize strong magnets to deliver magnetic pulses through your scalp to improve. S. Join world-renowned ADHD expert Dr. Once in place, the coil pulses. TMS therapy is one of the few depression treatments without medications or drugs. Remember Me Forgot Your Password? 1-612-869-4444 5939 Portland Ave S, Minneapolis, MN | M-F 8:30am - 4:30pm About. This provider currently accepts 6 insurance plans. Emotional dysregulation is a core facet of ADHD from childhood. 2075 Barkley Blvd Ste 230, Bellingham, WA, 98226 . Transcranial Magnetic Stimulation (TMS) Therapy is a non-invasive, safe, and effective treatment for individuals struggling with depression, anxiety, PTSD, and more. You may watch TV, read, or use your phone during treatment. A quiet and energy-efficient coil design drives operational advantages and patented safety features ensure you are. TMS therapy uses magnetic impulses to change activity in the brain. Bentzley's research in brain stimulation has lead to breakthroughs in the effectiveness and speed of TMS treatments. 32 Barkley Cir . Approved by the US Food and Drug Administration (FDA) in 2008, TMS devices operate outside of the body and use powerful magnetic fields to stimulate nerve cells in specific areas of the brain to improve symptoms of depression and anxiety. Tel: (239) 936-5250. Summary. TMS Therapy is Not Invasive. Showing 1-2 of 2 reviews "Dr. Family Care Network . This provider currently accepts 33 insurance plans including Medicaid. Contact Denver Wellness Associates today to talk to one of our providers about transcranial magnetic stimulation, or. It is a noninvasive treatment that uses electromagnetic pulses to stimulate nerve cells, potentially alleviating symptoms of neurological or mental health disorders. 4790 Barkley Cir Ste A Fort Myers, FL 33907 (239) 275-8882 . Patients have consistently recommended TMS, rTMS or repetitive TMS therapy and give glowing reports about Dr. LOCATE TMS THERAPY. TMS Therapy was FDA approved in 2008 and has been proven to be the safest, most effective, and durable treatment available for depression and OCD. TMS is a revolutionary, noninvasive, FDA-cleared therapy used to treat depression and OCD. The NeuroStar TMS Therapy system is the first TMS device to be cleared by the U. This provider currently accepts 29 insurance plans including Medicaid. TMS or Transcranial Magnetic Stimulation is a non-invasive method with few side effects that may help patients with severe depression. 727-577-1203 Our TeamIf first-line treatments don't work, some people with depression turn to brain stimulation therapies. Obsessive-compulsive disorder ( OCD) Smoking cessation. Please fill out this short form today for a free phone consultation with NeuroStim TMS. He also served in the United States Marine Corps from 1982-1990. 2075 Barkley Blvd Ste 105, Bellingham, WA, 98226 . Find top Trauma Surgeons near you in Berkeley, IL. S. Treatments are considered outpatient procedures, with most performed right at a psychiatrist’s office under his or her supervision while you remain awake and alert. TMS is helpful for most people with depression who receive this treatment. Fort Myers Office . TMS is generally prescribed for 6 weeks, 5 days a week, with an additional 6 sessions during a 3-week taper (wind down), for a total of 36 sessions over a couple of months. 4790 Barkley Circle Building A, Fort Myers, FL, 33907 . in physics from the University of London in 1977. Please fill out this short form today for a free phone consultation with NeuroStim TMS. St. A few we offer: Counseling & Psychiatry Services, Children & Adolescent Outpatient Services and Online Addiction Treatment in Kentucky. Most importantly, research has established ECT is definitively linked to memory problems where TMS is not. Transcranial magnetic stimulation (TMS) is a non-invasive brain stimulation technique that has been approved to treat major depression. A powerful magnetic field generator is put near your head, emitting currents to help. Talley-Rostov graduated from the Washington University In St Louis School of Medicine in 1988. I highly recommend her" April 26, 2022; LOCATIONS. Book a Free Phone Consult. adults lives with a diagnosable mental disorder. TMS is a form of brain stimulation, also known as “neuromodulation,” that is used to treat depression by stimulating the brain using electromagnetic fields, completely non-invasively. 1550 Barkley Cir . 0. This revolutionary FDA-approved treatment has helped up to 60% of clients feel better again. Transcranial magnetic stimulation (TMS) is a non-invasive and non-systemic treatment for several disorders. We are focused on achieving positive, sustainable change for our patients. TMS is approved by the Food and Drug Administration (FDA) as a safe and effective outpatient treatment for people with depression who haven’t responded to or cannot take standard medication therapy. TMS uses magnetic fields to stimulate nerve cells in the brain to improve symptoms of depression. Transcranial Magnetic Stimulation (TMS) Therapy is an innovative non-invasive procedure that uses magnetic fields to stimulate nerve cells in the brain to improve symptoms, restoring HOPE to those struggling to. You deserve. SAINT TMS is a cutting-edge therapy that combines Transcranial Magnetic Stimulation (TMS) with personalized, rapid stimulation patterns. Visit Website . He is also a retired Professor of Psychiatry and Neurology from the University of Massachusetts Medical Center (1985-2002) and. Barkley’s peers reflect on his impressive legacy. In the first couple of seesion TMS treatment can cause some minor discomfort. TMS is a high-tech treatment for mental health. When is TMS used? TMS might be used as an alternative treatment, or to augment pharmacotherapy or psychotherapy. TMS therapy doesn’t affect your alertness or memory, so you can even drive yourself home. By influencing these structures, TMS is able to safely regulate their neural activity, creating a more stable cadence to their activation, thereby facilitating symptom alleviation and contributing to the patient’s well-being. At TMS Spokane, we are pleased to offer “Accelerated TMS,” an application of TMS that may achieve results even more quickly than regular TMS protocols. Average treatment visits are around 20 minutes. Hospital affiliations include Shawnee Mission Medical Center. Fort Myers, FL, 33907 . Please fill out this short form today for a free phone consultation with NeuroStim TMS. Hospital affiliations include Carolinas Medical Center. If you are suffering from depression, OCD, anxiety or similar disorders, and have not had satisfactory results from pharmaceutical medications or other treatments, NeuroStim TMS may be able to help through TMS Therapy. Nurse Practitioner . Be first to leave a review. The number of sessions is dependent on response to treatment and other factors. RATINGS AND REVIEWS . Brining in payment with first claim submission is essential for maintaining good patient care and a profitable practice. Dr. Despite the different treatment modalities (ECT vs TMS and DBS) and methodological approaches (structural vs functional networks), we found a highly similar. Transcranial magnetic stimulation (TMS) is a non-invasive and FDA-approved therapy that uses gentle magnetic pulses to stimulate different parts of the brain. In rare cases, serious side effects such as seizures can occur. During the session, the patient is wide-awake while the treating clinician uses a treatment coil to deliver focused magnetic stimulation directly to the area of the brain thought to be involved in regulating mood. com. From your initial contact with our access center and throughout. Gayed is a good listener, counselor and shows his care for his patient's well being. Thank you, Joe Ryan". Joy Butler is a board-certified Family Nurse Practitioner with over eight years of experience in providing care for children and adolescents with a variety of mental health disorders and other special needs. Each TMS treatment center boasts free parking and is conveniently. Specialties: Capstone Physical Therapy is an outpatient therapy practice that offers Physical Therapy, Speech Therapy, Occupational Therapy, and Massage Therapy to the Whatcom County Community. n/a Average office wait time . Treatment for MDD in as little as 3-minute daily sessions with iTBS. The essentials of TMS therapy - including basic physiologic principles, evidence for efficacy treating depression, selection of stimulation parameters, and biological mechanism of action - are all clearly and concisely described in a fashion that clinicians will find accessible. I am pregnant or trying to become pregnant. Recommendation 2: TMS therapy is recommended for use as a subsequent option in patients who previously benefited from an acute treatment course and are experiencing a recurrence of their illness (continuation or maintenance). The treatment is comfortable, and the biggest anxiety many feel would be only prior to the first treatment. Raul J. Family Care Network . 4975 Alben Barkley Dr Ste 4, Paducah, KY, 42001 . Call us at (917) 388-3090 or click to request a regular or telehealth appointment. Tingling sensation in the scalp, jaw, or face. At Bright Harbor Healthcare, we work with you to address all of your health and wellness issues. In fact, many studies show that TMS therapy is just as effective as antidepressant drugs. Brain specs have shown action and inaction in different regions. 2075 Barkley Blvd Ste 230, Bellingham, WA, 98226 . Nathan Barkley is a nurse practitioner in STATESVILLE, NC. With a background in Engineering before going into Medicine and pioneering TMS in NZ more than 15 years ago, Dr Mendel has an unrivalled technical knowledge and experience in this. 4790 Barkley Circle Building A . Boston Globe via Getty Images TMS for depression The FDA approved the use of TMS to treat major. Recommendation 2: TMS therapy is recommended for use as a subsequent option in patients who previously benefited from an acute treatment course and are experiencing a recurrence of their illness (continuation or maintenance). Each TMS treatment center boasts free parking and is conveniently. Barkley, PhD, recently retired (January 1, 2022) from his position as a Clinical Professor of Psychiatry at Virginia Commonwealth University School of Medicine (2016-present). Fort Worth, TX, 76107. Advanced TMS Center provides General Psychiatry, TMS Therapy in Ladera Ranch, CA. 0 Ratings . Jose Rodriguez, MD, is an Internal Medicine specialist practicing in Fort Myers, FL with 27 years of experience. Each treatment lasts about 20 minutes. Please call Ellie directly at 949-456-4265 to schedule an appointment. Leave a review . Transcranial magnetic stimulation (TMS) offers new hope to people struggling with depression. Berkeley, San Francisco, Corte Madera and San MateoBook a Free Phone Consult. LOCATIONS. TMS treatments assist mood regulation. Transcranial Magnetic Stimulation (TMS) is a noninvasive procedure that has shown positive results in treating depression. TMS is used to treat a number of cognitive conditions at our clinics, including the following: Depression. Home to some of the world’s most profitable tech and other major companies, the Bellevue area, while beautiful, can sometimes be a stressful place to live and work. 9049 to learn more about our behavioral health treatment center in West Virginia. Tue 8:30 am - 5:30 pm. This results in significant improvement in mood, energy, focus, and general well-being. Anxious depression. Obsessive compulsive disorder (OCD) PTSD. D. Tel: (239) 938-2000 . Pros of TMS Therapy Success Rate. Careers at NeuroStim TMS. When it comes to psychedelics, some users may. While the exact cause of depression is not known, the leading scientific theory is that it is caused by an imbalance of. An electric pulse generator, or stimulator, is connected to a magnetic coil connected to the scalp. 4. TMS (Transcranial Magnetic Stimulation) Therapy® offers safe, proven, non-drug treatment for depression. Building and maintaining personal relationships. A growing number of people getting treatment for addiction are asking, “what is TMS therapy and how can it help with my treatment” Thankfully, the best TMS therapy. 314-617-2000. 3295 Poplar Avenue Suite 107. Anxiety. Meet Your Clinical Team See full list on mayoclinic. Transcranial magnetic stimulation (TMS) is a procedure that uses magnetic fields to stimulate nerve cells in the brain to improve symptoms of major depression. 42 Barkley Cir Ste 2, Fort Myers, FL, 33907 . 1-855-940-4867. Skip to content. At Coastal Turning Point we believe that wellness is derived from leading a life with meaningful relationships, satisfying work, and an ability to positively manage your emotional state. The first part of each treatment session involves a short. 4790 Barkley Circle Building A, Fort Myers, FL, 33907 . When our Seattle-Northgate neighbors ask us why NeuroStim TMS is such a vital partner in promoting mental health in the Northgate area, we are happy to provide answers! Our treatment outcomes really set us apart, with over 70 percent of patients achieving more than 50 percent improvement in their condition and 46 percent experiencing a full. Is this you? Claim your profile . Fort Myers, FL,. Schedule a Free Consultation* If you are suffering from depression, OCD, anxiety or similar disorders, and have not had satisfactory results from pharmaceutical medications or other treatments, NeuroStim TMS may be able to help through TMS Therapy. n/a Courteous staff . A TMS technician will remain in the room to ensure your comfort and care. Wed 8:30 am - 5:30 pm. Call us now at 949-768-2988 to schedule your consultation. Leawood, KS, 66211. Leave a review . TMS is non-invasive, meaning that it does not involve any anesthesia or sedation, as the patient remains awake and alert during the treatment. This type of therapy can seem intimidating to those unfamiliar with it. Overland Park, KS, 66212 . NeuroStar uses transcranial magnetic stimulation (TMS) to target key areas of the brain that are underactive in people with depression. S. Dr. Please call us at 845-471-1807 to speak with our. We offer several payment options and will work with you to help determine insurance eligibility and secure the coverage/funding needed as quickly as possible. We would be happy to accommodate your ADA needs; please call our Customer Service Department for more information at 1-800-844-8260. TMS antidepressant therapy in younger and less treatment-resistant patients is associated with better outcome: Most common adverse effects were headache, neck pain, and scalp burn No report of. Russell A. As the name suggests, transcranial magnetic stimulation (TMS) involves magnetism, and the magnets help stimulate certain parts of the brain, including the prefrontal cortex that helps with mood. Featured Results . We have appointments available today. Transcranial Magnetic Stimulation (TMS Therapy) Transcranial magnetic stimulation (TMS) is a noninvasive, outpatient treatment for depression. Thu 8:30 am - 5:30 pm. Dr. It uses a magnetic coil to stimulate nerve cells in the brain. OVERVIEW ; RATINGS & REVIEWS ; LOCATIONS ; OVERVIEW ; RATINGS & REVIEWS ; LOCATIONS ; OVERVIEW . TMS Center of Wisconsin provides the latest in depression treatments. Approved by the Federal Drug Administration (FDA) in 2008, TMS therapy is an outpatient procedure that uses pulsed magnetic fields to stimulate nerve cells. Compare Thomas Barkley, PhD with these Psychologists near Saratoga Springs, NY . Services qEEG Brain Mapping Learn About TMS. 0 Scheduling flexibility . Anthony Barker is a renowned medical researcher and the inventor of TMS therapy, a revolutionary treatment for a variety of psychiatric and neurological conditions. However, the team at Nashville Brain Institute has found that you may be able to get the benefits from TMS therapy with 10- to 15-minute sessions. ORAL AND FACIAL SURGERY OF WESTERN KENTUCKY . In fact even Russell Barkley has proposed that ADHD affects different Regions for different people and may actually be several different disorders or subgroups of the disorder going further than ADHD with or with out hyperactivity. Guillermo Ibarra, MD, is a Psychiatry specialist practicing in Overland Park, KS with 55 years of experience. This non-invasive treatment targets the specific areas of the brain responsible for mood regulation on an accelerated schedule. During the treatments, I wore noise reducing headphones and listened to audio meditations. This provider currently accepts 29 insurance plans including Medicaid. TMS therapy is generally well tolerated but may produce some side effects such as: tension headache, lightheadedness, nausea, a tingling sensation in the face or discomfort at the application site. NeuroStim TMS is an Effective New Depression Treatment Without Medication. Find reviews, ratings, directions, business hours, and book appointments online. 4. Thomas Barkley, MD, is an Internal Medicine specialist practicing in New Albany, MS with 46 years of experience. Transcranial Magnetic Stimulation (TMS) is a highly effective,. Accelerated TMS provides anywhere from 5 to 10 treatment sessions per day for 1 to 2 weeks. TMS treatment is typically provided in an office setting on an outpatient basis. Meet Russell Barkley, who has explored ADHD and its implications for half a century, looking at parental relationships, its effects on executive functioning. 5. Or, request a free phone consultation by filling out the form below. Dr. Typical TMS treatment courses consists of 5 treatments per week over a 4-6 week period. Overall, TMS-EEG offers a novel area for discovery, offering replicable indices of cortical reactivity and connectivity that should be explored by future studies. Barkley, Ph. Mental illness is the leading cause of disability in the U. 0 Courteous staff . tms is an absolutely medication free treatment. TMS Therapy is not only effective, but possibly the least intrusive depression treatment . TMS is an FDA-cleared, non-drug, non-invasive therapy for the treatment of Major Depressive Disorder (MDD) and Obsessive-Compulsive Disorder (OCD). Florida TMS Clinic - Tampa TMS Therapy Center. TMS therapy is most commonly used to treat those suffering from depression, though it is used to help people with other mental health struggles as well. 1.