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Dr. Bermudes is Board Certified in Adult Psychiatry and Family Medicine, with 20 years’ experience caring for patients. He founded Mindful 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.
Hina Fullar, MD: Esketamine, Medication Management, and TMS
Dr. Fullar is a Board-Certified Psychiatrist who specializes in treating individuals with mood disorders, anxiety disorders, attention deficit, victims of trauma, phase of life emotional turmoil, immigrant identity issues, and impact of social and environmental adversity. She has a special interest in working with individuals from diverse cultural, social, sexual, and ethnic backgrounds, while cultivating cultural humility.
She 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. 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.
Josh Habansky, PMHNP: Medication Management
Josh is a board-certified psychiatric nurse practitioner with a passion for working with patients to optimize their mental health and well-being. He is committed to treating a variety of disorders with a focus on major depressive disorders and depressive symptoms.
Even as a young child, Josh was fascinated by the intricate workings of the brain and the complexities of human behavior. The interest drew him to study psychology and sociology in his undergraduate education and ultimately to realize a passion for working with patients in mental health. He began his career as a registered nurse caring for patients with various psychiatric diagnoses. This illuminated his path and inspired him to pursue additional education and training to become a Psychiatric Mental Health Nurse Practitioner.
Inpatient care, he uses a collaborative and individualized approach to facilitate the achievement of treatment goals that are as unique as the individuals themselves. For Josh, each person seeking mental health care comes with his or her own set of values, experiences, goals, strengths, and weaknesses. He believes in integrating these differences into treatment. He views each patient as a complex being with specific mental, emotional, physical, and spiritual needs and considers all these facets of health when putting together a treatment plan.
For Josh, Transcranial Magnetic Stimulation (TMS) offers a novel, non-invasive treatment for depression and is an extremely effective alternative for patients that are suffering and haven’t found relief from a psychopharmacological intervention. While psychopharmacology has come a long way in the past several decades and can be lifesaving for many, some do not find recovery through medications alone, despite their best efforts and the efforts of their psychiatric providers. TMS may help these patients.
Josh joined Mindful Health Solutions in the Spring of 2020.
Victor Huynh, DO: Esketamine, Medication Management, and TMS
Dr. Huynh is a Psychiatrist who specializes In treating mood, anxiety, and obsessive-compulsive and related disorders using a combination of tools including psychotherapy and pharmacology. He has a strong interest in incorporating cutting-edge therapies including Transcranial Magnetic Stimulation (TMS) and psychedelics such as Estetamine Nasal Spray into his treatment plans for patients.
He 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. 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 provides a rapid response, uncommon in psychiatry and he views this as a forerunner to the return of psychedelic medicine.
He joins Mindful Health Solutions in the Fall of 2021.
Joshua Kuluva, MD: Esketamine, Medication Management, and TMS
Dr. Kuluva is a Board Certified psychiatrist and neurologist with a strong academic and research background, as well as experience with both Cognitive Behavioral Therapy and Psychodynamic Psychotherapy. He treats patients with clinical depression and neurologic disorders, and individuals with neurologic disorders who experience psychiatric symptoms such as geriatric patients with cognitive issues and depression or adults with developmental delays and behavior concerns. He also specializes in treating patients with traumatic brain injury and the post-concussive syndrome.
Dr. Kuluva is passionate about developing authentic and trusting relationships with his patients and seeking leading-edge therapies for treatment-resistant psychiatric and neurological conditions. In his treatment approach, he considers the physical, emotional, and social aspects of coping with an illness. He views the patient as a whole person rather than focusing on one issue without personal context. Dr. Kuluva strives to ensure that his patients are active participants in their healthcare. He provides the highest level of patient education and encourages patients to evaluate all treatment options so they select the treatment that feels most comfortable to them.
Kevin Rosi, MD: Esketamine, 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 through 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.
Sahab Yaqubi, MD: Esketamine, Medication Management, and TMS
Dr. Yaqubi is Board-Certified in Psychiatry with a strong specialty in helping patients struggling with Depression, Bipolar Disorder, and Anxiety Disorders. He completed a fellowship in Psychosomatic Medicine and is also experienced in treating neuropsychiatric disorders, e.g., Dementia or Parkinson’s disease associated with mood or anxiety. He is also trained in psychodynamic psychotherapy and Cognitive Behavioral Therapy.
Dr. 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.