If you are in a mental health crisis, free 24/7 support is available. Call or text 988. If it is an emergency, call 911.

Call or text 988

TMS and integrative mental health care in Long Beach

Treatment after medication has not been enough.

Maybe therapy helped, but only so far. Maybe a medication worked for a while, then stopped. Maybe the side effects made you wonder which was worse, the illness or the prescription. None of that is a verdict on you. It is the record we read first.

Young Asian male therapist listening peacefully across a slate consultation table with clinical notes, dark ceramic, woven cloth, and restrained gold repair detail
Care begins with a steady, peaceful review of what prior treatment has shown.

Free consultation. Benefits checked before treatment begins.

A different first question

What happened before is part of the clinical picture.

Some people arrive after years of trying to explain why they are still not well.

They have taken the pill. They have changed the dose. They have sat in the chair, week after week, talking through what hurt. They have pushed through work, hidden symptoms from family, held a loved one through episodes that scared everyone. None of that history is a character judgment. It is information.

We read prior treatment for what it tells us: what worked partway, what stopped working, what never quite landed. Sleep, anxiety, trauma, safety, and daily function come into the same picture. From there we discuss whether TMS, PrTMS, ketamine, EMDR, therapy, or medication management is the right next step.

  • MedicationHelped for a while, caused side effects, stopped working, or never reached enough relief.
  • TherapyGave language and insight. Symptoms still returned or stayed too loud.
  • Crisis careKept someone alive. Did not build a long-term outpatient plan that felt steady.
  • Caregiver strainLeft loved ones wondering whether they waited too long, pushed too hard, or missed something.

Prior treatment, reframed

Not a verdict. A record.

What happened before tells us something. Not who you are. What your body and brain tolerated. What helped partway. What never quite landed.

You may have tried

Several antidepressants

A reasonable place to start. About a third of people who try a first antidepressant reach full remission on it; many do not, and need a second step or a different mechanism.1 We read the trials in detail: which medications, at what dose, for how long, with what response, and at what cost in side effects. That history points toward whether neuromodulation, like TMS, fits next.

You may have tried

Years of therapy

Therapy can help and still not be enough on its own. We ask what it clarified, what stayed stuck, and whether EMDR, ketamine-assisted work, or a medication review changes what is available.

You may have tried

Starting over with a new provider

The first step here is small: history, safety, coverage, fit. We do not ask anyone to commit to a treatment course before they have read the recommendation and asked their questions.

Treatments

Options for different kinds of stuck.

A recommendation depends on clinical evaluation, safety, evidence, and coverage. Some patients need one treatment. Some need coordinated care across neuromodulation, therapy, and medication.

TMS

Non-invasive magnetic stimulation for mood-regulating circuits. It is outpatient, non-sedating, and does not circulate through the body like medication.

  • Often considered after antidepressants have not provided enough relief.
  • Typical course: 30 to 36 sessions over about six weeks.
  • FDA-cleared for major depressive disorder and OCD protocols.

PrTMS

Personalized TMS informed by EEG data, used when symptoms or history call for a more individualized neuromodulation plan.

  • Begins with resting brainwave measurement.
  • May be recalibrated as the brain responds.
  • Evidence level and fit are discussed clearly.

Ketamine

A clinically supervised treatment pathway for selected patients with treatment-resistant depression, PTSD, or severe symptoms.

Generic ketamine is used off-label for these conditions. Spravato (esketamine) is the FDA-approved nasal-spray formulation for treatment-resistant depression. We discuss which form, if any, fits during evaluation.

  • Requires safety screening and a monitored setting.
  • May need a driver and recovery time, depending on treatment form.
  • Often works best when connected to therapy or longer-term care.

EMDR

Structured trauma therapy that uses bilateral stimulation to help the brain reprocess painful memories and reduce nervous-system activation.

  • Often used for PTSD, complex trauma, grief, phobias, and anxiety.
  • Starts with preparation and stabilization.
  • Can fit alongside TMS, ketamine, or medication management.

Therapy and medication review

Talk therapy and medication management remain part of the plan when they are clinically useful. The goal is not to replace every prior tool, but to use the right ones with more context.

  • Review what helped, what did not, and what caused harm.
  • Coordinate care around functioning, safety, and patient goals.
  • Explain alternatives before asking for commitment.

What to expect

A first step that does not ask for the whole story.

The consultation is designed to lower the burden of starting. You can ask about fit, safety, cost, insurance, and what records may help before deciding whether to schedule a clinical evaluation.

Step 01

Short call

We ask what you are seeking help with, whether there are urgent safety concerns, and what treatment you have already tried.

Step 02

Coverage check

We verify benefits, explain prior authorization when it applies, and discuss expected out-of-pocket cost before treatment begins.

Step 03

Clinical evaluation

A clinician reviews symptoms, history, safety, medication response, and whether TMS, PrTMS, ketamine, EMDR, therapy, or medication management is appropriate.

Step 04

Measured plan

If treatment fits, we map the schedule, expected time course, what to watch for, and how progress will be tracked.

Evidence, cost, coverage

Plain answers before pressure.

Clinical credibility includes saying what is known, what depends on evaluation, and what insurance may require.

TMS evidence and FDA clearance

TMS is FDA-cleared for specific indications including major depressive disorder and OCD protocols. It is not a guaranteed outcome, and fit depends on a clinical evaluation.

Insurance and typical patient cost

Current clinic materials list major insurance plans including Blue Shield, Anthem, Aetna, Cigna, United Healthcare, Kaiser, and Medicare. Many patients pay $0 to $25 per session after coverage, but cost depends on benefits, authorization, and plan rules.

Safety and treatment fit

Ketamine requires screening and monitored care. TMS and PrTMS are outpatient and non-sedating for many patients, but device protocols, medical history, and symptom profile still matter.

What we will not promise

We will not promise a cure, rush a decision, or suggest that one treatment explains every possible path. Outcomes vary, and recommendations should be made by a clinician who knows your history.

Insurance clarity

Coverage is part of the care plan.

Repeated treatment has practical weight. Before a course begins, we discuss benefits, authorization, scheduling, and what your plan may require.

Major plans listed in current clinic materials

  • Blue Shield
  • Anthem
  • Aetna
  • Cigna
  • United Healthcare
  • Kaiser
  • Medicare
$0-$25

Common per-session range after insurance coverage in current clinic materials. This is not a guarantee. We verify your benefits before treatment begins.

Start with a conversation

Talk through what has not worked.

The first call can be practical: symptoms, prior treatment, insurance, schedule, and whether a clinical evaluation makes sense. You do not need to write out your whole history in a form.

Call (562) 687 2945

Long Beach clinic

3646 Long Beach Blvd. Suite 210, Long Beach, CA 90807-6034, United States of America

Monday through Friday, 7:00 AM to 6:00 PM. Consultation availability varies by provider schedule.

Privacy and emergency note

Website forms are for consultation requests only. Please do not include urgent medical details or full records. If this is an emergency, call or text 988, call 911, or go to the nearest emergency room.