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Mindful Health Solutions – Walnut Creek

You Deserve to Feel Better

1910 Olympic Blvd, Suite 250, Walnut Creek, California 94596

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.
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

Alexander Malekzadeh

Dr. Alexander Malekzadeh is a community psychiatrist with a focus on treating and working with adults. As a provider he makes sure to consider various psychosocial stressors, taking the mind-body connection into consideration when coming up with an assessment and plan for each individual patient that he sees.

As a Psychiatrist, hearing patients out and understanding what symptoms they consider most impairing to them is the most important part of his personal practice. He prefers a collaborative space where both he and the patient can talk about their conditions in an in depth way, in order to find what specific treatments will work best for them. To him, an ideal patient has good insight into their condition or is willing to develop this through dedication towards treatment.

Dr. Alexander Malekzadeh is committed to ensuring that patients are able to find a treatment plan for them, which includes the options of the latest treatments and flexible planning. Treatments such as Transcranial Magnetic Stimulation (TMS) and esketamine are alternatives to traditional medications that allow patients with more treatment-resistant conditions to find something that works for their needs and symptoms.

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.

Hina Fullar

Dr. Hina Fullar has always been interested in psychiatry, long before medical school in fact. The interface of mind and body always fascinated her. For her, it is also one of those medical fields where concepts and ideas of health can’t be separated from the contribution and role of socio-politico-cultural factors. As a result, by default, psychiatric treatment sees patients as a complete person, acknowledging and respecting how it holds a complex universe within.

She is a compassionate and respectful physician. She likes to collaborate with her patients to identify and set goals of treatment, which go beyond the amelioration of distressing symptoms and focus on achieving optimal emotional wellness, where patients can lead a meaningful life that is true to their values and vision. Having worked as a psychiatrist for about fourteen years, she understands that emotions, perceptions, and thoughts reflect deeply personal events and circumstances, many of which may not be in our control. Working with patients to help them develop a sense of being that is not defined by their symptoms or circumstances is a highly rewarding experience. 

Dr. Hina Fullar has seen numbers of patients where trials of medication after medication are ineffective, and it can be more frustrating when side effects from the medication are more bothersome than any appreciable benefits. She is intrigued by Transcranial Magnetic Stimulation (TMS) as it doesn’t involve ingesting yet another pill and has minimal burden of side effects. Esketamine nasal spray is a relatively new treatment for treatment-resistant depression. She believes in exploring new methods and interventions for psychiatric treatment once the safety of these treatments is established. Exploring those frontiers is the key to overcoming the morbidity from depression, which takes a toll on both our patients, their families, and the community as a whole. 

Victor Huynh

Dr. Victor Huynh was initially introduced to the path of medicine through his father, a practicing internist. With the dream of becoming a primary care physician, he ventured on the premed route for undergrad, majoring in neurobiology, physiology, and behavior. This exposed him to the study of the human mind, where he continued to gravitate toward during medical school. Through interactions with his patients and his own personal relationships, he discovered how distressing and disabling mental illness can be. He also experienced the profound gratification of building a relationship, providing unwavering support, and utilizing his skillset as a psychiatrist to change an individual’s life.

Dr. Huynh has a collaborative and holistic patient care approach with an emphasis on cultural understanding. Training in Hawaii, a culturally diverse population, influenced his view of a largely paternalistic approach common with Western medicine. He believes that to truly collaborate on a comprehensive and evidence-based treatment plan, he must emphasize the individual’s experience, culture, and values, in the context of their environment and biology.

For Dr. Victor Huynh, our current fundamental understanding of psychiatric disorders may be limited, and this has been reflected in past treatment options. To him, no one size fits all and he will use all the tools at his disposal to treat his patients, especially those refractory to our first-line therapies such as medications alone. The development of TMS has demonstrated excellent efficacy and tolerability. Esketamine treatments provides a rapid response, uncommon in psychiatry and he views this as a forerunner to the return of psychedelic medicine.

He joined Mindful Health Solutions in the Fall of 2021.
Personal Interests

Satya Shah

Satya Shah is a Psychiatric Mental Health Nurse Practitioner with a focus in patients who are experiencing mood disorders. He has developed a particular interest in the holistic approach to care, which considers not only the biological aspects of mental health but also social and spiritual factors. He believes that by working together with his patients, they can tailor a treatment plan that best fits their unique needs and values.

As a nurse practitioner, he strives to be welcoming and attentive to the needs of all of his patients. Ideally, his patients would be those who are motivated to improve their overall well-being and seek a collaborative approach to their care. He enjoys working with patients who are open to exploring various treatment options, including lifestyle modifications, therapy, and medication.

Satya Shah understands that seeking treatment for any mental health condition can be a vulnerable experience, and taking that first step can be overwhelming. He is committed to working closely with his patients to develop a treatment plan that is tailored to their unique values and culture. Offering alternative treatments such as Transcranial Magnetic Stimulation (TMS) and esketamine allow for patients to find the treatment plans that work best for them when traditional medications may not be enough.

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.