Mindful Health Solutions – Oakland

You Deserve to Feel Better

3300 Webster Street, Ste 402, Oakland, California 94609

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 (TMS)
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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Daniel Irby

During medical school, Dr. Daniel Irby wrote his master’s thesis on the various forms of stigma felt by patients with HIV who were receiving care at a clinic in Oakland, CA. He interviewed patients and explored how the health care system may perpetuate stigma and shame felt by these patients. It was this exploration and listening to their stories that led him towards psychiatry, where he knew he would have the opportunity to spend time with patients, listen to them, and help them with their various struggles.

In working with patients, he seeks to collaborate with each individual in a manner that centers upon their unique needs and values. For Dr. Irby, mental health care is contingent upon each individual’s unique story. He loves thinking about how the mind works and learning from each patient in a collaborative approach to enhance mental and physical well-being. He especially appreciates patients who ask questions, are committed to change, and are willing to teach him about their individual experiences and needs.

Dr. Daniel Irby was first exposed to interventional psychiatry and to Transcranial Magnetic Stimulation (TMS) in his residency. It interested him because it is a flexible and powerful treatment that has few adverse effects and offers the possibility for recovery to individuals for whom medications have not been as helpful as hoped and those who have been diagnosed with treatment-resistant depression. Dr. Irby believes it can also be an excellent component of integrated treatment with psychotherapy and/or medication.

He joined Mindful Health Solutions in the Fall of 2020.

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.

Sahab Yaqubi

Dr. Sahab Yaqubi takes a holistic approach to patient care and treatment plans, considering biological, psychological, and social factors. He has found that being in tune with his patient’s emotional pain is the key to developing a good rapport. To empathize with his patient’s emotional pain and be able to reduce their suffering is his focus at all times.

Through his years of treating patients with depression and other mood disorders, medication and therapy are basic tools that he has used successfully to find relief from suffering. But not all the patients fully respond to these therapeutic tools. For Dr. Yaqubi, Transcranial Magnetic Stimulation (TMS) is another non-invasive therapeutic tool that can play a crucial role for those with treatment-resistant mood or anxiety disorders.

Dr. Sahab Yaqubi joined Mindful Health Solutions in early 2021.

Mark Hessenthaler

Dr. Mark Hessenthaler’s array of experience includes psychopharmacology, Mindfulness Therapy and Cognitive Behavioral Therapy for insomnia and nightmares. He enjoys collaborating with his patients to find the optimal modalities of treatment to assist in their recovery.

Dr. Hessenthaler first started utilizing Transcranial Magnetic Stimulation (TMS) while working for the Department of Defense. He was treating Active Duty Members with Major Depression refractory to antidepressant medications. Intrigued by the positive response his patients were having to TMS, he knew it was a treatment he wanted to incorporate further, as more research explored clinical disorders such as PTSD and OCD.