Mindful Health Solutions – Elk Grove

You Deserve to Feel Better

9245 Laguna Springs Drive, Suite #140, Elk Grove, California 95758

General Information

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
Spravato (Esketamine)
Ketamine Infusion
Psychiatric Services
Conditions Treated
Major Depressive Disorder
Bipolar Disorder
Accepted Insurances
Blue Cross
Magellan Health
Manufacturers Used

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Kevin Rosi

During his medical school rotations, Dr. Rosi found that the ongoing nature of the psychiatrist-patient relationship enabled him to develop a more complete understanding of his patients and was heartened that this work helped them to transform their lives.

Dr. Rosi believes in building a trusting working relationship with his patients through open communication and educating them about all available modalities so treatment decisions can be made collaboratively.

Using a holistic approach that emphasizes pharmacologic and non-pharmacologic treatments, including psychotherapy, neuromodulation, and developing healthy living habits, Dr. Rosi works together with his patients toward the goals of symptom elimination and restoring health. Currently, he is seeing patients ages 14 and older.

When he’s not in clinic, Dr. Rosi enjoys hiking in the mountains, as well as playing basketball and soccer.

Raven Royal

Raven Royal is a Licensed Marriage and Family Therapist (LMFT) in the state of California. She has served as a mental health provider for over 10 years. Her approach is empathic, collaborative and encouraging. She has a direct and transparent, validating and supportive approach to therapy. She provides therapy for individual adults, couples, and families.

She specializes in the treatment of trauma. She has experience in working with survivors of domestic violence, addressing grief and loss, issues related to parenting and co-parenting, as well as divorce. Raven utilizes evidence-based practices such as Cognitive Behavioral Therapy, Solution-Focused Therapy, and Acceptance Behavior Therapy.

Throughout her career, Raven Royal has a strong background in working with diverse populations throughout the socioeconomic spectrum. She has provided treatment to adolescents in school settings, foster care youth in residential treatment, and individuals living with severe and persistent mental illness at community mental health clinics.

She believes in working towards each patient’s ideal treatment plan. Alternative treatments such as Transcranial Magnetic Stimulation (TMS) therapy and esketamine allow patients to figure out what works best for them, while talking to Psychotherapists such as Raven in order to work through their experiences.

Sharath Puttichanda

Dr. Sharath Puttichanda finds the brain to be the most fascinating organ in the body. The human condition, the stories of our lives, and the opportunities he has had to observe, learn and be curious about are what drew him to psychiatry. Not to mention the fact that the brain is the seat of all behavior, emotion, and action.

For Dr. Puttichanda, his passion stems from a deep-seated desire to help those in crisis or in need. He believes humans are complicated and not perfect all the time. All of those aspects make the whole person. He uses his clinical skills to guide people in the right direction and build treatment plans to help his patients find relief from the suffering they may be experiencing. In working with patients, he meets them where they are emotionally and builds a collaborative partnership to help each person live their happiest, best lives.

He has witnessed patients treated with Transcranial Magnetic Stimulation (TMS) and Electroconvulsive Therapy (ECT) see great success and examples of recovery and relief from suffering. He sees TMS as a breakthrough treatment option for those with treatment-resistant mood disorders and anxiety disorders.

He joins Mindful Health Solutions in the late fall of 2020.

Keith Lui

Dr. Keith Lui was struck by the immediate connection he felt to patient care. He saw the comfort and reassurance doctors provided for patients, and how this difference directly impacted the patients’ disposition. After this experience, he knew healthcare was his calling, and he pivoted his career toward medicine.

Most recently, Dr. Lui treated patients at a county mental health center. As the Crisis Unit Psychiatrist, he managed and diagnosed a wide variety of psychiatric illnesses. He implemented pharmacological and psychotherapeutic treatment of hospitalized patients. He worked with patients to create the best treatment plan possible, empowering them to take active ownership in their care, as this doctor/patient partnership had a significant impact on aiding patients’ improvement.

Dr. Lui first has always been interested in Interventional Psychiatry and the opportunity to treat patients with Transcranial Magnetic Stimulation (TMS.) Having treated patients with pharmacologic plans, he saw it was sometimes difficult to find the appropriate medication regiment for patients, and even when found, patients could relapse or worsen. He saw TMS as a safe treatment with limited side effects that can create lasting improvement for patients. He also appreciates the assuagement for some cultures that may be more comfortable with procedures vs. pills.

He joined Mindful Health Solutions in the late Summer of 2019.