Mission-1

Mindfull Health Solutions – Mission Viejo

You Deserve to Feel Better

27101 Puerta Real #120 Mission Viejo, CA 92691

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
Blue Cross
Other
TriCare
VA-TriWest
Kaiser
Anthem
BlueCrossBlueShield
Cigna
Magellan Health
Aetna
MHN
Optum
United
Manufacturers Used
BrainsWay
MagVenture

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Providers

Philip Creps

Dr. Philip Creps is a board-certified Psychiatrist with a broad focus throughout his practice. He does a broad range of brief therapies in addition to medication management, including dialectically base, cognitive-behavioral, motivational interviewing and other psychotherapies. He will also offer Transcranial Magnetic Stimulation (TMS) for treatment resistant problems, especially depression. One thing he likes specifically about working in psychiatry is that all patients are able to be treated as individuals, and its important to listen to them, and coach them to work from the basis of their strengths. 

As a Psychiatrist, his working style with patients is a therapeutic alliance. He sees his role is as a technical assistant. His most important skills are teaching patients (about potential side effects, etc. of medication and why make my recommendations), and listening to his patients. He thoroughly enjoys listening to his patients and hearing their stories, and how their problems developed, and things that have made it better or worse in the past. The assistant of patients in giving him information is critical for diagnosis, and then making the best recommendations for treatment.

In 2010 Dr. Philip Creps completed a course in TMS at the annual American Psychiatric Association (APA) convention, and saw its benefit in treatment resistant depression in Arizona. From then on he became a fan of its use, and looks forward to its development for other illnesses. He encourages options such as Transcranial Magnetic Stimulation (TMS) and esketamine, because they are noninvasive and therapeutic interventions that have great benefit for treating patients with long lasting results.

Michelle Zamorano

Dr. Michelle Zamorano is a psychiatrist who collaboratively works with patients to treat anxiety, mood disorders, bipolar disorder, and schizophrenia. She specializes in interventional treatments such as transcranial magnetic stimulation (TMS) and esketamine.

Together, Dr. Zamorano and her patients build a therapeutic alliance. By providing a calm demeanor, patients open up and feel comfortable discussing their struggles. Through active listening, she learns and understands her patients’ concerns. She then provides them with the education and knowledge they need to choose their best treatment options.

Dr. Zamorano was drawn to Mindful Health Solutions because of our integrated psychiatric practice and our access to innovative treatments. She loves being able to help patients navigate alternative treatment options that

Katherine Weeks

Katherine has always had a lifelong fascination with how the mind and the brain work as well as how individuals recover from loss, disappointment, stress, and anxiety. Having worked for many years in nursing and critical care, she found her most satisfying aspect of nursing was facilitating and supporting patients to navigate their health crisis. This led her to seek additional training as an outpatient mental health nurse. She eventually pursued her advanced practice nursing degree with a specialty as a psychiatric mental health nurse practitioner (PMHNP).

Her patient care is focused on collaboration and looking at a patient’s overall health holistically. As the patient is the expert on what they are experiencing and the impact it is having on their life, she sees her role as veraciously understanding that experience and offering the best, evidence-based treatment that respectfully incorporates their culture, values, strengths, and beliefs into the treatment plan. Her goal is to help patients’ brains work better and adopt changes to enhance their brain health, which leads to a better quality of life.

Due to the complexity of the brain and individual differences, Katherine recognizes there is no one treatment that works for every patient. For patients, when medication and talk therapy alone is not enough to lift them from depressive symptoms, Katherine is pleased to have another treatment option to consider that is evidence-based. She sees Transcranial Magnetic Stimulation (TMS) as a treatment option that does not adversely affect memory, cognition or attention, and has few side effects.

Jessica Langenhan

Dr. Jessica Langenhan is a Psychiatrist with a specialization in OCD, adult ADHD, mood disorders, anxiety disorders, and Cognitive Behavioral Therapy (CBT). She has a particular interest in the roles of nutrition, exercise, yoga/meditation, and complementary medicine in mental health and overall wellness within her treatments and treatment plans.

As a Psychiatrist, she firmly believes in giving patients options, providing the pros/cons of each option, so that they can take part in the decision-making process regarding their treatment plans. In her eyes, patients need to feel engaged and involved in the planned treatment in order for it to be as effective as possible. The treatment is for each patient, not for her; she sees her role as to advise and support in the treatment options they are willing and able to engage in. Her aim with this approach and overall is to create an environment where the patient can feel free to discuss anything, and not to feel that things need to be edited or sugar-coated.

After working in this field for over a decade, Dr. Jessica Langenhan joins Mindful Health Solutions because she appreciates the opportunity to offer more cutting-edge treatment options to patients. In her opinion, medical providers should have the mindset of always learning and staying on top of the most up-to-date treatments, and she wants to be in an environment that not only supports but fosters that learning and those treatment options. Medicine alternative such as Transcranial Magnetic Stimulation (TMS) therapy and esketamine allow for patients who feel have “tried everything” to have options, and be able to find a treatment plan that works for them and their needs.