Business Details
47 Years
experience
Transform Your Mental Wellness in San Diego
Bruce Hubbard, MD and his team have provided expert mental health care for over 40 years through an integrative approach combining Transcranial Magnetic Stimulation (TMS), medication management, and psychotherapy. Our practice specializes in treating depression, anxiety, bipolar disorder, ADHD, and PTSD with personalized treatment plans grounded in evidence-based research. Led by board-certified psychiatrist Dr. Hubbard, our multidisciplinary team includes licensed psychologist Dr. Ann Wycoff and psychiatric physician assistant Rizwan Khan, who bring decades of combined experience in psychopharmacology and psychotherapeutic techniques.We maintain strict compliance with insurance protocols, operate with full transparency, and prioritize patient-centered care through attentive follow-up and collaborative decision-making. Our TMS technicians foster therapeutic connections that enhance treatment outcomes, and we provide referrals to trusted local therapists when needed. With a legacy of helping patients achieve lasting recovery, we remain committed to advancing mental wellness through scientific innovation and compassionate support.
Services
TMS Therapy
Medication Management
Psychotherapy
Spravato Treatment
Psychopharmacology
Anxiety Treatment
Depression Treatment
PTSD Therapy
ADHD Management
OCD Treatment
Details
- Year established: 1979
Highlights and features
- We provide FDA-approved TMS therapy for treatment-resistant depression and anxiety.
- Our team includes a licensed psychologist with 25+ years of psychotherapy experience.
- We combine 40+ years of psychopharmacology expertise with personalized medication plans.
- Our compassionate TMS technicians foster therapeutic connections that enhance treatment outcomes.
- We maintain in-network status with major insurance providers including Medicare and Tricare.
What people say
Life-changing TMS results
Compassionate staff
Effective medication management
Personalized treatment plans
Professional expertise
Services
TMS Therapy
Transcranial Magnetic Stimulation delivers targeted magnetic pulses to mood-regulating brain regions. This non-invasive, FDA-approved treatment addresses treatment-resistant depression and anxiety without sedation. Clinical studies show lasting remission for 75% of patients after 36 sessions, with minimal side effects compared to traditional antidepressants. TMS also treats co-occurring anxiety, PTSD symptoms, and tinnitus through specific brain region targeting.
Medication Management
Our psychiatrists combine 40+ years of psychopharmacology expertise with personalized treatment planning. Through comprehensive assessments of medical history, symptoms, and treatment goals, we develop medication regimens that target underlying neurochemical imbalances rather than just managing symptoms. We prioritize evidence-based approaches while monitoring for interactions and side effects, with particular expertise in complex cases requiring multi-drug therapies.
Psychotherapy
Our licensed psychologist provides Cognitive Behavioral Therapy for depression, anxiety, and trauma-related conditions. This structured approach focuses on identifying and modifying harmful thought patterns while developing practical coping skills. For patients requiring specialized care, we maintain a network of trusted local therapists with decades of collaborative experience, ensuring continuity of care through coordinated treatment planning.
Spravato Treatment
Spravato (esketamine) nasal spray offers rapid relief for severe depression through NMDA receptor modulation. Administered under medical supervision, this ketamine-based treatment works differently from traditional antidepressants by promoting neural pathway regeneration. While not a first-line treatment, Spravato provides critical intervention for patients experiencing acute suicidal ideation or medication-resistant symptoms, typically showing response within days.
Anxiety Treatment
We address anxiety disorders through combined TMS, medication, and CBT approaches. TMS targets hyperactive amygdala regions while psychopharmacology regulates neurotransmitter imbalances. Our treatment protocols specifically address generalized anxiety, panic disorder, social phobia, and OCD symptoms through evidence-based interventions, with 75% of patients experiencing significant reduction in anxiety severity scores following comprehensive treatment.
People
Bruce Hubbard, MD
Psychiatrist
Board-certified psychiatrist with 40+ years of clinical experience in psychopharmacology and TMS therapy. Recipient of Distinguished Fellow status from the American Psychiatric Association, specializing in complex medication management and innovative brain stimulation treatments for mood disorders.
Dr. Ann Wycoff
Clinical Director
Licensed psychologist with 25+ years of experience in cognitive behavioral therapy and mental health assessment. Oversees TMS patient progress monitoring and provides psychotherapy for complex cases, maintaining collaborative relationships with community mental health professionals.
Rizwan Khan
Physician Assistant
Board-certified psychiatric physician assistant with expertise in medication management and patient care coordination. Provides specialized treatment for ADHD and mood disorders while coordinating interdisciplinary care with therapists and TMS technicians.
Avery Parker
TMS Coordinator
Experienced TMS Coordinator with over 5 years of service in TMS protocol management and patient support. Completes business operations degree while serving as primary coordinator for TMS treatment schedules and patient progress tracking.
Ashraf Fanous
Psychiatrist
Board-certified psychiatrist providing comprehensive psychiatric care including medication management and diagnostic evaluation. Collaborates with multidisciplinary team to develop integrated treatment plans for complex mental health conditions.
Questions
What is TMS therapy and how does it work?
TMS uses magnetic pulses to stimulate brain regions involved in mood regulation. This non-invasive treatment targets underactive areas in depression and anxiety without requiring sedation.
Is TMS covered by insurance?
Most commercial plans, Medicare, and Tricare cover TMS therapy. Our coordinators verify benefits and assist with prior authorizations.
Can I continue medications while receiving TMS?
Yes, we recommend maintaining medication regimens during TMS. Post-treatment adjustments can be made through collaborative decision-making.
What mental health conditions do you treat?
We specialize in depression, anxiety disorders, bipolar disorder, ADHD, PTSD, OCD, and treatment-resistant depression using combined approaches.
How long do TMS effects last?
Research shows TMS benefits typically last 1-3 years, with many patients experiencing longer remission when combined with ongoing care.
