Roseville

Mindful Health Solutions – Sierra College

You Deserve to Feel Better

8775 Sierra College Blvd., Ste 200, 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
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
Optum
United
Blue Cross
Other
TriCare
VA-TriWest
Kaiser

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Providers

DJ Griffith

DJ believes that as a therapist, they are joining with their patient and letting them lead the session. DJ is there to guide them and assist them when needed, but it is up to the patient to do the work towards recovery and relief. They are trained in several modalities including Eye Movement Desensitization and Reprocessing (EMDR), Emotional Transformation Therapy (ETT), Dialectical Behavioral Therapy (DBT), and Cognitive Behavior Therapy (CBT). They like facilitating groups and watching the group dynamics help each person in the group to gain something from the interactions. In one-to-one therapy, DJ can help guide a person to reach their goals and realize their potential.  

They first planned to pursue a career in school counseling and began a Master of Education degree program following undergraduate graduation. After meeting with their advisor, they added mental health counseling to their degree. And it was while working on an internship that they realized their passion and calling was in mental health treatment, and that was what they were meant to do.  

Their therapeutic approach aligns with Mindful Health Solutions, where patients have access to several different treatments and an integrated, comprehensive approach to finding relief and recovery from their struggles, whether through psychotherapy and different modalities or with medication assistance or an interventional treatment such as Transcranial Magnetic Stimulation (TMS) or esketamine nasal spray. 

Michael Nevarez

Michael Nevarez is a Psychiatric Mental Health Nurse Practitioner joining our Roseville location. He first earned a degree in Psychology to pursue his passion for the mind and its abilities. But after graduation, he realized he wanted to be in a career that helps people understand the mind and helps them become the best versions of themselves through the healing process.

As a Nurse Practitioner, Michael believes that connecting with patients and developing a therapeutic alliance is the most important aspect of the provider-patient relationship. His therapeutic style is to guide patients to find their solutions through motivational interviewing and help them become advocates for their mental health. He joins Mindful Health Solutions because of this same culture of patient-first care, as well as a culture of growth and innovation. He strives to learn more to provide the best possible care for his patients.

In patients, Michael Nevarez has a specific interest in helping adolescent and young adult populations. He believes that providing mental health resources to people in the foundation stages of their life can set them up for success in the future. This also gives more time to figure out what works best for each patient to grow with them.

One thing he has an interest in, is the idea of alternative treatments. For patients with treatment-resistant depression, traditional medications aren’t enough to alleviate symptoms. Having access to treatments such as Transcranial Magnetic Stimulation, or TMS therapy and esketamine, open a door of opportunities for patients and their providers to find the treatment plan that works best for them.

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.