Services We Offer

EXOMIND is an advanced form of transcranial magnetic stimulation (TMS) designed to non-invasively stimulate targeted areas of the brain involved in mood regulation, focus, emotional control, and executive function.

Unlike medication, it does not circulate through the whole body. Treatment is performed in our Boca Raton office while you sit comfortably and stay awake, with no anesthesia and no procedural downtime.

What it may support

• Mood. Depression is one of the most underrecognized contributors to memory complaints, including forgetfulness, poor concentration, and slower thinking.
• Brain fog and mental clarity. Targets networks involved in attention, cognitive control, and emotional regulation.
• Focus, motivation, and executive function. Supports prefrontal networks tied to planning, attention, and follow-through.
• Cognitive support. Research on repetitive TMS has shown promising findings in people with mild cognitive impairment.

What to expect

• A consultation with Dr. Cichowicz to review symptoms, history, medications, and goals
• Each session fits into a single office visit
• Return to normal activities immediately afterward

Who may not be a candidate

• A history of seizures
• Metal implants in or near the head, or certain implanted medical devices
• Unstable neurological conditions or certain types of brain injury

The Neuronic Neuradiant 1070 is a transcranial photobiomodulation device, also called near-infrared brain light therapy. It delivers 1070-nanometer near-infrared light to targeted regions of the head through a wearable helmet.

The brain is an energy-hungry organ. Photobiomodulation is being studied because near-infrared light may influence cellular energy pathways, including mitochondrial activity.

What it may support

• Mental clarity and focus
• Cognitive performance, including memory and processing speed
• Mild cognitive symptoms, an area of active research
• Mood, sleep, and fatigue, as one supportive tool within a broader plan
• Mitochondrial and cellular energy processes

How COGNITIVA uses it

• Brain health intake covering goals, symptoms, medications, and vascular risk
• Baseline cognitive testing when appropriate
• A personalized recommendation on whether the helmet fits your plan
• Supervised in-office sessions, or help obtaining a helmet of your own through our affiliate program
• Follow-up tracking of symptoms, function, and cognitive performance

Is it safe?

Near-infrared light is non-invasive and generally well tolerated. The most commonly reported side effects are headache and mild warming of the scalp.

EMSELLA is a chair-based treatment that uses high-intensity focused electromagnetic energy to stimulate deep pelvic floor muscle contractions. You remain fully clothed and simply sit on the chair.

The goal is to help restore strength, coordination, and neuromuscular control in a way that is difficult to reproduce with traditional pelvic floor exercises alone.

What it may help with

• Urinary incontinence. Leakage with coughing, laughing, sneezing, exercise, or lifting.
• Urgency and frequency. A frequent or sudden need to urinate.
• Pelvic floor weakness. After pregnancy, childbirth, menopause, prostate treatment, surgery, or general deconditioning.
• Sexual wellness. A stronger, better-coordinated pelvic floor may support sensation, arousal, orgasm quality, and overall confidence.

What to expect

• No surgery, no needles, and no downtime
• Most patients describe strong pelvic contractions or a tingling sensation
• A typical plan is a series of six sessions over several weeks, adjusted to your symptoms and goals

Who may not be a candidate

EMSELLA may not be appropriate if you have certain implanted electronic devices, metal implants in the treatment area, are pregnant, or have certain medical conditions. Our team will review your history before you begin.

A research-backed online cognitive assessment that gives you an objective baseline in a single 30 to 45 minute session, with a clear domain-by-domain report. These are guided cognitive tasks, not brain games.

What it measures

• Memory
• Attention
• Processing speed
• Reasoning and problem-solving
• Verbal skills

Who it fits

• Anyone who wants a baseline as part of prevention or longevity planning
• People noticing forgetfulness, brain fog, or focus issues
• Families who want objective data to guide next steps for a loved one
• Anyone measuring progress after sleep, mood, medication, or lifestyle changes

How it works

• Request testing and we send a secure link, or schedule in-office
• Complete the assessment in 30 to 45 minutes
• Choose testing only, or testing plus clinician interpretation

Options

• Testing only, $100. Online testing plus a generated report, ideal for establishing a baseline.
• Testing plus interpretation, $250. Everything above, plus unlimited repeat testing for one year and detailed interpretation with personalized recommendations from a COGNITIVA clinician.

We routinely monitor blood pressure, cholesterol, and heart health. Yet most people never establish a clear baseline for how their brain is functioning. Your brain deserves a baseline too.

The Memory Blueprint is a comprehensive, physician-led evaluation that brings cognitive testing, medical health, sleep, mood, physical fitness, lifestyle, and everyday function into one clear and actionable roadmap.

What it looks at

• Cognitive performance
• Medical and vascular health
• Sleep and mental health
• Fitness and physical resilience
• Everyday function
• The COGNITIVA 12 Tenets of Cognitive Health

What your report may include

• An overall brain health snapshot and detailed cognitive profile
• Your cognitive strengths and the areas worth monitoring
• Medical, vascular, and laboratory findings
• Sleep, mood, and fitness results, plus your 12-Tenet dashboard
• A personalized action plan with recommended follow-up timing
• A roadmap for future comparison

How it works

• Complete your brain health intake covering health, memory, sleep, mood, medications, family history, and goals
• Complete standardized cognitive testing across multiple areas of function
• Review your Blueprint and personalized plan with your clinician

Measure your brain. Train your brain. Optimize your future.

An intensive, personalized three-month program for adults who want to take a proactive approach to memory, focus, mental clarity, emotional wellness, and long-term cognitive health. This is not a collection of unrelated services. Every component connects through your personalized COGNITIVA Blueprint.

What is included

• Your personalized COGNITIVA Blueprint. A full review of the factors supporting or interfering with your cognitive health, organized into one coordinated strategy.
• Six EXOMIND sessions. Non-invasive TMS targeting emotional regulation, cognitive function, motivation, and self-control.
• Twenty-four Neuronic 1070 light therapy sessions. Supervised photobiomodulation, typically about twice weekly across the 90 days.
• Structured cognitive training and personalized lifestyle guidance
• Ongoing support from a physician-led brain health team, with progress monitored throughout

Who it is for

• Adults who feel less mentally sharp than they used to
• Anyone noticing changes in memory, focus, organization, or mental energy
• People experiencing brain fog or difficulty concentrating
• Those with a family history of dementia or cognitive decline
• Anyone who wants a structured program with clear goals and measurable progress