- 21297 Foothill Blvd, Ste 203 Hayward, CA 94541 (by appointment only)
- (415) 636-9700
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When depression needs a higher level of care, TMS, SPRAVATO, and ECT each work differently. A clear, side-by-side look at what to know before considering any of them.
Read MoreTMS and SPRAVATO are both options for depression that hasn't responded to standard treatment, but they aren't interchangeable. How each works, who each fits, and what a good consult weighs.
Read MoreWhen depression starts creeping back after treatment worked, a returning symptom isn't a verdict — it's a signal to act early. The first steps: catch the early warning signs, tell your provider what changed, rebuild
Read MoreWhen two antidepressants haven't been enough, the next step shouldn't be a faster guess. A treatment-resistant depression consult is a structured re-evaluation — here's what it reviews, what to bring, and how it decides what
Read MoreAnxious treatment-resistant depression is the median pattern in real-world studies, not the outlier — 53 percent of STAR*D participants had clinically significant anxious depression. A board-certified PMHNP and attorney walks through why it feels uniquely
Read MoreMost California insurance plans cover TMS for treatment-resistant depression when the file is clean — but every plan requires prior authorization, and the California Mental Health Parity Act (SB 855) governs how denials must be
Read MoreMost California commercial insurance plans cover TMS for treatment-resistant depression, but every plan requires prior authorization — and the failure rate on first submission is real. A board-certified psychiatric specialist walks through what documentation insurers
Read MoreiTBS, cTBS, theta-burst, Express TMS, accelerated iTBS — the naming around theta-burst protocols can confuse even informed patients. A board-certified psychiatric specialist explains what each term actually means, which protocol you are likely on, and
Read MoreTwo FDA-cleared TMS technologies, two different coils, overlapping but distinct indications. A board-certified psychiatric specialist walks through how Deep TMS (BrainsWay H1 coil) and standard rTMS (figure-8 coil) actually differ — efficacy, target depth, session
Read MoreTMS is FDA-cleared for depression, OCD, and smoking cessation — but not generalized anxiety disorder. Off-label use is growing as evidence accumulates. A board-certified psychiatric specialist walks through what the research actually says about TMS
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