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Mindful Health Solutions – Roseville Parkway

You Deserve to Feel Better

1731 E Roseville Pkwy, #290, Roseville, California 95661

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.
OPENING HOURS
monday   8AM-6PM
tuesday   8AM-6PM
wednesday   8AM-6PM
thursday   8AM-6PM
friday   8AM-6PM
Treatments
Medication Management
Talk Therapy
Transcranial Magnetic Stimulation (TMS)
Spravato (Esketamine)
Ketamine Infusion
Psychiatric Services
Conditions Treated
Major Depressive Disorder
Anxiety
OCD
Bipolar Disorder
PTSD
Depression
Accepted Insurances
Anthem
BlueCrossBlueShield
Cigna
Magellan Health
Aetna
MHN
Optum
United
Blue Cross
Other
TriCare
VA-TriWest
Kaiser
Manufacturers Used
MagVenture

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Providers

Stephen Ramondino

Entering medical school, Dr. Stephen Ramondino found he had a wide swath of interests. Biology, psychology, neuroscience and social science all were subjects that piqued his curiosity. He also decided that he wanted to help people who were having struggles in their lives. A confluence of his intellectual interests and his strong commitment to help others led him to psychiatry.

Dr. Ramondino strikes a balance between being kind and engaging with his patients while always striving to let them know he takes their concerns and problems seriously, respectfully and empathetically. He values the importance of the therapeutic relationship. Having worked in a variety of clinical settings, from outpatient clinics to hospitals to private practices, he is well versed in and ready to solve many psychiatric problems. He sees patients sixteen years of age and up.

With his extensive and varied background, he has found that many patients are not able to find desired change or results with medications, psychotherapies, or alternative/complementary treatments alone. He uses Transcranial Magnetic Stimulation (TMS), an effective treatment with relatively few risks and side effects, as an important tool to utilize in these situations.

He joins TMS in the beginning of 2019.

Amy Ellis

A few years into medical school, Dr. Ellis was driven to pursue psychiatry after personally witnessing the power of medication plus psychotherapy to provide healing for someone suffering from depression. She saw recovery for patients with mental illness that involved both psychiatry and neurology. She also viewed psychiatry as a way to help people find a more positive outlook on life. In retrospect, this desire to help others began early in life as she has always been an avid volunteer and enjoys helping people feel better.

Dr. Ellis finds a goal-oriented approach is very effective when treating patients. She works with patients to set realistic goals that are attainable during or after each visit. Over time, she finds this helps patients achieve success and positive outcomes. She is seen by patients as being upbeat, and she tends to find positivity at her core.

Her focus on anxiety, depression, psychosis, and PTSD led her to first come across Transcranial Magnetic Stimulation (TMS), as she saw it provided an additional treatment modality to further help patients achieve a successful outcome in treatment. She sees psychiatric treatment as historically involving medication management, with TMS as the newer, safe, efficacious modality that offers similar success. She is well-versed in helping patients manage their medication regimen and looks forward to adding TMS as another treatment in helping her patients find relief and live happier lives.

She joined Mindful Health Solutions in August of 2017.

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.