Mindful Health Solutions – El Dorado Hills

You Deserve to Feel Better

1020 Suncast Lane, Suite #108, El Dorado Hills, California 95762

TMS Center

We’re a team of clinicians and staff who have dedicated our lives to research, education, and treating those with mental health conditions. We’re especially passionate about helping those with Treatment-Resistant Depression and providing the most advanced therapies available, including Transcranial Magnetic Stimulation (TMS) and esketamine nasal spray, both FDA-approved for advanced depression.

Mental health conditions can be profoundly painful and isolating, making it difficult to seek help. Our team provides a unique, patient-centered experience to help you find the appropriate treatment and relief from your symptoms. We’re grateful to be practicing psychiatry during this era in which there are so many new treatment possibilities and new hope for those with mental health conditions.

Antidepressants are invaluable aids in the treatment of clinical depression and other mood disorders, but they’re not for everyone. According to the World Journal of Psychiatry, antidepressants don’t improve symptoms in 10–15 percent of people with depression and only partially improve symptoms in 30–40 percent. Also, many people experience side effects from antidepressants that can impact their overall well-being. On the other hand, TMS therapy has shown significantly better results than antidepressants with a small risk of experiencing mild, short-term side effects. One in two patients treated with TMS had a 50% reduction in their symptoms and about 30% of patients experience full remission, which means that their symptoms go away completely. While most patients begin to show improvement after two to three weeks of TMS treatments, it can take up to six weeks to achieve the maximum benefits. It is important to understand that mental health treatment plans are not a one-size-fits-all situation. Treatment plans may take longer or require different treatment option combinations to work best for certain patients. It is important for patients to communicate clearly with their provider about how their treatment plan is working. Collaboration between patient and provider can greatly impact the results of a patient’s wellness journey.
TMS is a safe treatment. While it is a relatively new mental health treatment, it was FDA-approved for the treatment of depression in 2008. Since then, there have been millions of individual treatment sessions performed in the United States. Our clinicians who administer TMS treatments are professionally trained and put each patient’s comfort first. TMS treatments do not hurt during or after each session. There are very few side effects of TMS therapy. Most side effects are mild and short-lasting, and can include: headaches, sleepiness, lightheadedness, scalp discomfort, twitching or tingling of the facial muscles. Many patients find the headpiece to be uncomfortable on their scalp and mild headaches are common during the first few treatments, but these generally go away within the first two weeks as people get used to the sensation. Patients rarely drop out of TMS because of side effects. More serious side effects happen very rarely, but can consist of: seizures, hearing problems from the loud clicking noise that occurs. during treatment, mania, which is more likely to occur if an adolescent has bipolar disorder However, our expert providers will use their professional knowledge to help avoid serious side effects like the ones listed above. Generally, patients will feel just like their normal selves. They will be able to drive and go back to their regular activities. Some people report feeling a little tired or having a mild headache, but that usually goes away after the first week or two. Other people report more energy and better focus, as well as the ability to ignore obsessive, anxious thoughts after treatment.
TMS delivers localized electromagnetic pulses to the prefrontal cortex, which is the area of your brain that regulates mood. These electromagnetic pulses stimulate neurons, which release neurotransmitters and hormones such as serotonin and dopamine. Depression and other mental health conditions are linked to an imbalance of these neurotransmitters. TMS for depression works to restore that balance and can provide a more lasting impact on relieving depression symptoms than other treatments, such as antidepressants. During a TMS treatment, the patient sits in a comfortable chair while the TMS coil is properly set in place on their head. (While this may sound intimidating, it really isn’t!) After the headpiece is in place, electromagnetic pulses are sent to the prefrontal cortex, which is the area of the brain responsible for mood. While the pulses are being sent to the brain, patients can watch TV, listen to music, or talk with our staff. If they want and are comfortable, they can also have a friend or family member in the room with them during their TMS treatment session. Each treatment lasts about 20-30 minutes. The full course of treatment of TMS for depression will generally be five days a week for four to six weeks. We know that coming in five days a week for weeks on end is a commitment, but the results could impact your mental well-being for a lifetime.
Anxiety is sometimes treated with TMS, along with migraines and OCD. There is evidence that TMS may help for schizophrenia, bipolar disorder, certain types of chronic pain, smoking cessation, PTSD, and autism in adults. There is also evidence TMS may help in recovery from stroke. There is evidence that it may help in mild dementia and certain other neurological disorders such as Parkinson’s disease and multiple sclerosis may benefit as well.
Yes! Most major insurances cover TMS, and we’ll work directly with your insurance provider on your behalf to help you get covered.
monday   8AM-6PM
tuesday   8AM-6PM
wednesday   8AM-6PM
thursday   8AM-6PM
friday   8AM-6PM
Medication Management
Talk Therapy
Transcranial Magnetic Stimulation (TMS)
Spravato (Esketamine)
Ketamine Infusion
Psychiatric Services
Conditions Treated
Major Depressive Disorder
Bipolar Disorder
Accepted Insurances
Magellan Health
Blue Cross
Manufacturers Used

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Ksenia Voronina

Dr. Ksenia Voronina first learned about Transcranial Magnetic Stimulation (TMS) during her residency at the Menninger Department of Psychiatry. She was intrigued by the promising data for the treatment of patients who hadn’t found relief with medication alone. Having an interest in novel treatments, improvement of brain connectivity, and procedural medicine, Dr. Voronina values the ability to perform brain stimulation that is very targeted.

As a dynamic provider, Dr. Voronina enjoys forming a more holistic impression of her patients informed by their culture and developmental journey. She is passionate about helping her patients get back on track. Dr. Voronina is a compassionate physician with a gentle yet direct style. She understands and validates each person’s experience, enjoying hearing the stories and thinking through their treatment needs.

She joined Mindful Health Solutions in the Fall of 2018.

Krishna Bezwada

Dr. Bezwada comes from a long line of doctors in his family, and while always knowing he would likely pursue medicine, he veered toward Psychiatry after finishing medical school. He had been intrigued by brain disorders and knew that the brain was the most powerful organ in the body. He strongly believes that our thoughts influence our lives, and that this is an important and interesting component of our lives. An externship in Psychiatry strengthened his interest and soon after he began his Psychiatry Residency.

Dr. Bezwada has a flexible, amenable style with patients. Forming an excellent therapeutic relationship with the patient is of utmost importance to him. He spends time listening to his patients and educating them patients on potential treatment plans. He provides guidance to patients to achieve their goals.

Having treated patients with Electro Convulsive Therapy (ECT) for years and recognizing the promising recovery and remission rates with neuro stimulation, Dr. Bezwada is pleased to integrate Transcranial Magnetic Stimulation (TMS) into his patient care. TMS may help patients who have not found relief from medications alone and has minimal to no side effects.

He joined Mindful Health Solutions in the late Summer of 2020.

Joe Hibbeln

Dr. Joe Hibbeln is a board-certified Psychiatrist with a focused interest in people struggling with major depression disorder, bipolar disorders, aggressive disorders, ADHD and addictions. He also has a special interest in the field of nutritional psychiatry. Different diets have different affects on the mind and body, and taking that into account is something he finds crucial to a wholistic form of treatment along with medications and other alternatives. He feels it is critical to ensure that everyone’s brain receives adequate and fundamental nutrition when looking at their overall mental health.

As a Psychiatrist, he prefers a working collaborative relationship with his patients. In his words, each person has a unique life, unique circumstances and a biologically unique nervous system.  Thus, everyone reacts to psychiatric medications and other treatments differently. He feels that patients can best report on their own experience and he strives to create a collaborative relationship where my patients know that what they experience and what they say is one of the most important things.

Dr. Joe Hibbeln is also fond of alternative treatments, having experience with Transcranial Magnetic Stimulation (TMS) and esketamine as options for treatment-resistant conditions. Providing alternative options allows for each patient to figure out what they need and what works best for them overall. Dr. Hibbeln believes being on the forefront of clinical research and evolution of treatments is one of the most important parts of his overall practice.

Palei Alfaro

Palei Alfaro is a Licensed Marriage and Family Therapist who is working at Mindful Health Solutions’ Sacramento clinic as a Psychotherapist. She has a passion for anxiety and depressive disorders.  She feels that these areas are what the typical person encounter more often in life, and she has developed an expansive “coping skills toolbox” to address many of the symptoms associated with the diagnosis.  She is also interested in behavioral areas like ADHD and mood disorders as well.

As a therapist, she describes her personality as positive, outgoing, and overall bubbly. She is genuinely hopeful and happy in working towards each of her patient’s personal successes. With that, she aims to establish safety, security and stability. Meaning she wants each patient to feel safe, and to understand that she provides a non-judgmental and unbiased space for them to build trust and establish a meaningful therapeutic relationship, and to know that they can depend on consistent and thorough treatment. 

Palei Alfaro comes to Mindful Health Solutions because of the cutting edge technology in mental/behavioral health field here. Seeing that, she immediately knew this was the place for her.  For years, she had been following and studying advances in treatment for mental health disorders and have always felt that there should be more access to these treatments.  Treatments such as Transcranial Magnetic Stimulation (TMS) therapy and esketamine treatments allow people to have alternatives to traditional medications, and find something that works for them.