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Mindful Health Solutions – Stockton

You Deserve to Feel Better

1111 Robin Hood Dr., Ste L, Stockton, California 95207
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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   9AM-6PM
tuesday   9AM-6PM
wednesday   9AM-6PM
thursday   9AM-6PM
friday   9AM-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
United
Blue Cross
Other
TriCare
VA-TriWest
Kaiser
Anthem
BlueCrossBlueShield
Cigna
Magellan Health
Aetna
MHN
Optum
Manufacturers Used
MagVenture

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Providers

Irina Flip

Understanding that people come to see a psychiatrist for a variety of reasons yet share the same pain, Dr. Filip will meet her patients in that vulnerable spot in a caring and sensitive way, helping them find their strengths to feel more confident and recognize they are not alone in their struggles.

For her, each person has a unique makeup of personality traits and has the right to be heard and understood, finding comfort and safety in sharing their emotions in an encouraging, empathetic and warm environment. Her therapeutic approach is to mutually arrive at an understanding of the problem through active listening and social perceptiveness and develop a holistic plan by using critical thinking and complex problem-solving skills.

When working with a patient, she assesses the risks, develops an individualized treatment plan, and may order laboratory and diagnostic tests. She believes that the thoughtful use of psychopharmacology, combined with psychotherapy and other noninvasive treatments, helps in treating the person as a whole and not merely treating the symptoms.

Dr. Filip developed a special interest in Transcranial Magnetic Stimulation (TMS) as a non-invasive and effective therapy for treatment-resistant depressive disorders. TMS produces painless repetitive magnetic pulses targeting the deeper limbic system, which is vital in regulating emotional responses. It activates the brain regions that have a decreased activity in depression.

Patience Morikang

Patience Morikang began showing interest in psychiatry while in nursing school. She was passionate about helping mental health patients at clinical rotations, especially when others were more reluctant. She gradually realized that this was her calling as she was drawn more and more to this population. She became dedicated to changing the stigma surrounding mental health struggles and wanted to be a part of treating their symptoms. She pursued a higher degree to be able to provide a higher level of care and create a positive impact on mental health.

In working with her patients, Patience is highly collaborative and starts by listening to what the patient has to say. She works in tandem with the patient to come up with the best possible treatment for their symptoms in a nonjudgmental way. She provides her patients with tools to cope with daily stressors and hopes her patients stay actively involved in their health through communication with her as they work towards relief and recovery from their suffering.

Patience has learned that not all patients respond to antidepressants and/or talk therapy alone. She appreciates both Transcranial Magnetic Stimulation (TMS) and esketamine nasal spray as alternatives for patients who have not responded to other treatments. Both of these treatments are FDA-approved and noninvasive, offering potential healing when other forms of therapy have not provided sufficient relief from the symptoms of depression.

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.

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.