Mindful Health Solutions – Tacoma

You Deserve to Feel Better

4301 S Pine Street, Suite #626 Tacoma, WA 98049

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.
monday   8AM-5:30PM
tuesday   8AM-5:30PM
wednesday   8AM-5:30PM
thursday   8AM-5:30PM
friday   8AM-5:30PM
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
Manufacturers Used

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Erin McManus

Erin McManus is a Psychiatric Mental Health Nurse Practitioner with a focus on depression, anxiety, and OCD. She has experience with many other mental health diagnoses, but she finds that treating depression, anxiety, and OCD is what she is most passionate about. She loves to set short and long-term goals with her patients. She prefers to work as a team with my patients and their support systems.  

As a nurse practitioner, she has experience in pediatric and adult inpatient and outpatient services. She can help each patient of hers by using her years of experience as an RN and ARNP in mental health. As she works, she would describe her style as a team dynamic with her patients and their support systems. 

Erin McManus is also able to work with patients that have alternative treatment plans, such as working with Transcranial Magnetic Stimulation (TMS) and esketamine treatments. Having these options ensures that each patient can get the care that works best for them as an individual. She has experience treating patients with TMS and esketamine and has truly seen it change lives. Erin loves having more tools and techniques available to help patients when medications have not been the solution.

William Kamens

Dr. William Kamens sees adults for general psychiatry and is happy to help patients with major depressive disorder, bipolar disorder, obsessive-compulsive disorder, PTSD, and other conditions.  Psychiatry has been an enlightening way for Dr. Kamens to see his patients broadly as people, in ways that allowed for complexity and differences. He finds it humbling to work in a field where there is so much still unexplained and unknown. 

One main reason why Dr. William Kamens joined Mindful Health Solutions is because he wants his patients to have access to a wide range of evidence-based treatments, including medications, psychotherapy, and transcranial magnetic stimulation (TMS). TMS and Esketamine are newer treatments that we can offer patients when they haven’t found success with other treatments. Dr. Kames feels fortunate to be part of a practice with so much expertise in these treatments. 

Dr. Kamens has a collaborative approach with his patients. He likes to know what his patients’ goals are so that he can tailor the treatment to help them achieve their goals as much as possible. Knowing what’s important to his patients helps him to know what treatments to recommend or when to suggest a change to the treatment. He find that his patients experience the most success if they are open to talking about their treatment options.