Richard Bermudes, MD: Medication Management and TMS
Dr. Bermudes is Board Certified in Adult Psychiatry and Family Medicine, with 20 years’ experience caring for patients. He founded TMS Health Solutions in 2007, serves as the practice’s Medical Director, and is an expert on TMS practice organization and policy development. With his background as a professor and researcher, he leads the practice in its mission to educate the public and clinicians on both mental health issues and TMS, to continually seek the most advanced treatments, and to actively contribute to the medical community’s knowledge of mental health conditions and therapy efficacy.
He recently wrote and edited “Transcranial Magnetic Stimulation: Clinical Applications for Psychiatric Practice”, a book with key research findings on TMS as well as its potential to be used for other conditions such as OCD, PTSD, Adolescent Depression and mild dementia. He is experienced in treating patients with MDD (Major Depressive Disorder), including Unipolar Depression.
Dr. Bermudes is a caring, collaborative practitioner with a structured, goal-oriented approach to treating mental health conditions. His treatment plans may include TMS, medication management or cognitive therapy.
Christopher Fischer, MD: Medication Management and TMS
Dr. Fischer is a Board-Certified Child, Adolescent, and Adult Psychiatrist with additional fellowship training in Forensic Psychiatry. With his wide range of experience, he has a strong passion for treating depression and anxiety.
An early spark of interest in biology led to exploration around healthcare during his youth. In his junior year in high school, he attended “Mini Medical School”, a University of California, San Francisco program that helped the general public see what goes on every day in the health professions. This idea of a career in healthcare continued to percolate, and as an undergraduate, Dr. Fischer completed an internship in public health, at which point he became more interested than ever before in entering the medical field.
While originally planning to pursue a surgical career during medical school, he found himself more drawn to psychiatry in his initial psychiatry rotation. He was intrigued by his patients’ stories and their backgrounds and enjoyed gaining an understanding of their individual paths in life. He liked working with the patients and getting to know their histories, uncovering their struggles as well as their aspirations.
He sees psychiatry as an evolving field, similar to other fields of medicine, with many promising advances in the scientific knowledge of the field and treating patients with the most effective treatments possible. He is particularly excited about Transcranial Magnetic Stimulation (TMS) as a treatment modality given the number of individuals who report that they have not responded or only partially responded to other forms of treatment. He also sees an important role in TMS treatment for individuals who may not have tolerated medications.
He joined TMS Health Solutions in the Summer of 2018.
Karl Lanocha, MD: Medication Management and TMS
Dr. Lanocha is a neuropsychiatrist, Board Certified in Adult Psychiatry and Sleep Medicine, with over 30 years’ experience caring for patients with treatment-resistant depression. Among the first physicians in the country to offer outpatient TMS therapy, he has become a nationally recognized expert in the field and serves as the Head of TMS Education. Dr. Lanocha has lectured widely about TMS, taught professional seminars, provided hands-on training to clinicians, and coauthored several pioneering papers on the therapy’s clinical application and long-term benefits.
Following his interest in the humanities and medicine, Dr. Lanocha pursued a career in psychiatry as a way to connect with patients, develop a deep understanding of their stories, and find the most advanced, evidence-based therapies to relieve symptoms and achieve wellness.
Seeking assistance for a mental health condition can be a difficult step, and Dr. Lanocha believes it’s critical that each patient feel understood and supported in their journey to wellness. He strives to understand each person’s specific symptoms, circumstances, and body chemistry, including possible contributing factors such as sleep apnea. He develops a holistic treatment plan tailored to each patient’s needs, incorporating a broad range of evidence-based treatments including TMS, mindfulness-based techniques, and sleep therapies. When the fog of depression begins to lift, he works with the patient to correct distorted thinking and help them reconnect to their resilience, joy, and sense of purpose.
Kevin Rosi, MD: Medication Management and TMS
Dr. Kevin Rosi is Board Certified in Adult Psychiatry and specializes in child and adolescent care, early onset Bipolar Disorder, ADHD, and eating and developmental disorders. He also has extensive experience in treating behavioral disorders, such as Oppositional Defiant Disorder, as well as impulse control and psychotic disorders.
Dr. Rosi was inspired to become a physician after witnessing the birth of his younger sister; he was deeply impressed by the role doctors played in physically and mentally assisting people through some of their toughest and most profound moments. During his medical school rotations, he found that the ongoing nature of the psychiatrist-patient relationship enabled him to develop a more complete understanding of his patients and was heartened that this work helped them to transform their lives.
Dr. Rosi believes in building a trusting working relationship with his patients thorough open communication and educating them about all available modalities so treatment decisions can be made collaboratively. Using a holistic approach that emphasizes pharmacologic and non-pharmacologic treatments, including psychotherapy, neuromodulation, and developing healthy living habits, Dr. Rosi works together with his patients toward the goals of symptom elimination and restoring health. Currently, he is seeing patients ages 14 and older.
Robert Trimmer, MD: Medication Management and TMS
Dr. Trimmer is a Board Certified psychiatrist whose training and expertise includes the pharmacologic management of mood disorders, anxiety disorders, and ADHD, with a special emphasis on crisis intervention.
Dr. Trimmer is rewarded by partnering with patients, helping them understand their complex symptoms, and implementing treatment plans that support them in leading healthy and balanced lives.
Saydra Wilson, MD: Medication Management and TMS
Dr. Wilson is a Board-Certified Psychiatrist with a passion for helping patients with advanced depression. She first felt the calling towards healthcare having grown up with a mother who was a VA nurse for 35 years, which is where she became aware of the growing need for more healthcare practitioners. She knew at a young age that she wanted to be a doctor and help people.
She entered medical school unsure of what path within medicine she planned to pursue, and in her third year, she completed her rotation in psychiatry and was hooked. Dr. Wilson was drawn into psychiatry by the stories and the ability to make connections and notice patterns when working with patients. She felt it was one of the few specialties that offered the opportunity to really get to know someone. She was able to delve into how their life and experiences led them to be the way they are.
Dr. Wilson recognizes that many people live with mental illness every day, and the diagnosis needs to be put in context with information given about treatment options and how to access support when needed. She prides herself on frank communication and offering clear, truthful information about prognosis, options, and hope. She finds a collaborative rapport with patients works best, where the patient also is engaged in treatment. She is invigorated by seeing patients come out of depression, find ways to get back out into the world, perhaps discover new hobbies, and become stronger, better, happier people.
Transcranial Magnetic Stimulation (TMS) first interested her as a highly effective treatment plan that blended her training in diagnosis and formulation to create a treatment plan with hands-on work, one that could provide patients relief from suffering. She was attracted to this ability of activating changes in brain circuitry on an outpatient basis, without anesthesia, and one that was far less invasive than other treatments for patients who had not responded to medications.
She joined TMS Health Solutions in December of 2017.