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A comprehensive, highly personalized psychiatric practice offering medication management, psychotherapy, and addiction treatment for adolescents and adults.
Welcome to Coastal Behavioral Health

CBH is an interdisciplinary team of specialists providing treatment for adolescents and adults.
We treat a wide spectrum of mental health and behavioral conditions. At CBH, we collaborate with our patients to design customized treatment plans that meet their individual needs and help promote their social, emotional, and psychological well-being.
Our integrated team includes psychiatrists, physicians, neuropsychologists, therapists, dietitians, case coordinators, and psychiatric nurses. Our staff of experts helps guide patients and their families to a healthy life, restoring hope and confidence. Coastal Behavioral Health provides patient-centered care utilizing the highest clinical standards in psychiatry and medicine, in a compassionate manner, in order to promote positive and healthy outcomes. We firmly believe that the relationship between our clients, their families, and our providers is an essential collaboration. As partners, together we seek innovative paths toward wellness.
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Services
Specialized Treatment with Personal Care
CBH adheres to the highest of clinical standards, drawing from the latest body of knowledge in medicine, psychiatry, psychology, and neuroscience.


Medical
Psychiatric Assessment, Treatment, & Medication Management
Psychiatric Nursing & Dietary Consultation

Psychotherapy
Individual Therapy, Family Therapy, Couples Therapy, CBT, DBT, Supportive Therapy, & Motivational Enhancement Therapy
Group therapy for Eating Disorders, Addiction, Depression, & Anxiety

Coordinated Care
Case Management, Coaching, & Communicating with outside providers

Testing
Neuropsychological Testing

Crisis Intervention
Individual, Family, & Substance Abuse Interventions
Comprehensive Programs
In addition to offering traditional treatment options, CBH is also unique in that we offer Comprehensive Programs for individuals who may require a higher level of care:

Addiction
Medicine
Program
Eating
Disorder
Program
Addiction Medicine Program:

Psychiatric Consultation and Assessment:
Evaluation with an emphasis on the diagnosis and treatment of substance use including alcohol, opiate, and stimulant use.

Medication Management:
Prescription medication to assist in sobriety as clinically indicated. Dr. Wiggins is licensed and experienced with Suboxone treatment.

Drug Testing (if necessary):
Routine and random drug testing to ensure safety and reinforce positive performance and outcomes.

Psychotherapy and Family Therapy:
Evidence based, therapeutic modalities including cognitive behavioral and motivational enhancement therapy, harm reduction, and relapse prevention in a traditional individual or group setting.

Psychiatric Nursing:
Registered nurses monitor medications, side effects, and symptoms with the goal of maintaining total abstinence or harm reduction.

Case Management:
Referrals to reputable detoxification and residential treatment facilities, and intensive outpatient and partial hospitalization programs.
Liaison between patients, their families and other healthcare providers.

Crisis Intervention (if necessary):
A structured, solution-oriented process resulting in a discussion about treatment options.
Areas of Practice
Anxiety Disorders
Post traumatic stress disorder (PTSD)
Eating Disorders (Anorexia Nervosa, Bulimia Nervosa, Binge-Eating Disorder)
Grief and Loss
Mood Disorders (Depression, Bipolar disorder)
Obsessive Compulsive Disorder (OCD)
Schizophrenia and Psychotic Disorders
Attention Deficit Hyperactivity Disorder (ADHD)
Addiction
Women’s Health Issues (pre-menstrual and post-partum mood disorders, sexual dysfunction)
Marriage and family conflict
Executive level work stress
Insomnia
Transcranial Magnetic Stimulation
Transcranial Magnetic Stimulation (TMS) therapy is a method of brain stimulation used to treat patients with medication-resistant depression. The procedure is FDA-cleared, non-invasive, and well tolerated.

At CBH we combine TMS therapy and highly advanced neuroimaging known as f-MRI for optimal treatment outcomes.

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TMS
Transcranial Magnetic Stimulation

According to the Centers for Disease Control (CDC), 14–17% of the adult population will experience a condition called Major Depressive Disorder (MDD), also known as “clinical depression,” during their lifetime. MDD is usually treated with talk therapy and/or medication; however, a key clinical study shows that over 40% of these patients might not respond to medication as they suffer from a condition called Treatment-Resistant Depression (TRD). These patients need to seek an alternative treatment for their symptoms.

Transcranial Magnetic Stimulation (TMS) is an alternative treatment for MDD that has been shown to be safe and effective for those with TRD.

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Frequently asked questions about TMS



What is TMS?
Transcranial Magnetic Stimulation (TMS) therapy is a method of brain stimulation used to treat patients with treatment-resistant depression that has been shown to be safe and effective. The procedure is FDA-cleared, non-invasive, and well tolerated. A typical treatment plan lasts four to eight weeks depending on the patient’s response. The procedure is performed daily in sessions of about 30-60 minutes. Patients can resume regular activities immediately after each session.

How does TMS work?
TMS uses a targeted pulsed magnetic field, similar to what is used in an MRI (magnetic resonance imaging) machine. While the patient is awake and alert, TMS Therapy stimulates areas of the brain that are under active in depression restoring it to normal function. TMS treatment requires no surgery or sedation of any kind and patients can resume regular activity immediately after each treatment session.

How is TMS different from antidepressant medications?
Medications and TMS both affect electro-chemical signaling between neurons in the brain, but they achieve results in different ways. The biggest difference is that medications are pharmaceutical drugs circulated in the bloodstream. In contrast, TMS therapy is a procedure localized to a small target area on the scalp. Thus, unpleasant side effects from medication such as weight gain, headache or sexual side effects are non-existent.

Are there any side effects? Is it Safe?
Since TMS does not circulate through the bloodstream, it is not associated with the common side effects of antidepressant medications such as dry mouth, upset stomach, dizziness, drowsiness, weight gain, or sexual dysfunction. Some patients report mild to moderate discomfort during the procedure, but these effects are temporary can be mitigated with over the counter tylenol or ibuprofen.

How effective is TMS?
TMS is highly effective. TMS is effective in approximately 60% of patients, making it twice as effective as antidepressant medications. More important, 50% of these patients will experience complete remission for over 1 year. Our center has documented a success rate that is 3 to 3.5 times higher than suggested by the FDA.

How long is TMS therapy treatment?
While treatments plans vary from patient to patient, TMS therapy easily fits into most daily routines without major disruption. A typical course of treatment lasts four to eight weeks depending on the patient’s response. The procedure is performed daily in sessions of about 30-60 minutes and patients can resume regular activities immediately after each session.

How much does TMS therapy cost and is it covered by insurance?
As coverage and payment can vary based upon the patient’s specific plan and guidelines, it is best to contact the insurance company to verify eligibility, benefits, and coverage for TMS Therapy. Some insurance companies partially cover TMS.




fMRI-Guided TMS & Neuronavigation



What separates Coastal Behavioral Health from all other TMS centers?

CBH utilizes highly advanced neuroimaging known as Functional Magnetic Resonance Imaging (fMRI) to accurately identify areas of the brain that are dysfunctional, specific to each client’s problems. Beyond a traditional MRI scan, fMRI shows brain activity in real time. Personalized, neuroimaging scans are then coupled with our highly sophisticated brain mapping system to target dysfunctional brain centers during TMS therapy.



Neuronavigation/Brain Mapping


How does it work?

After a series of neuroimaging scans have been completed, the personalized scans are combined with our state-of-the-art brain mapping system to precisely locate and target areas for TMS therapy. This is the most accurate method of treatment site location and ensures that our physicians confidently and precisely position the TMS magnet on the scalp for successful treatment. This technique has demonstrated a higher percentage of positive responses and remission rates to TMS therapy. In contrast, standard or traditional TMS protocols uses a “one size fits all all,” approach resulting in a one to two centimeter difference, yielding a much lower response to TMS Therapy.

How does this differ from TMS performed at all other centers?

fMRI-guided, multi-site TMS is different from traditional TMS in the following ways:

  • Multiple treatment sites:Since we use your personal neuroimaging scans, we are able to target multiple problematic areas that you may suffer from in addition to depression such as anxiety, chronic pain such as tinnitus, OCD, or cognitive deficits. Traditional TMS targets only 1 site.

  • Better response and remission rates: The most commonly used method for determining coil placement during TMS therapy is the “5-cm rule.” It involves isolating the motor cortex and moving the coil 5 cm forward. Studies have shown, however, that this method may result in accurate placement only about 70% of the time. The main drawback to this is that it fails to account for differences in head size and individual anatomy.

  • TMS Adjustment: Based on individual progress, we can adjust the TMS treatment plan including treatment sites. This ensures that you get the most out your TMS therapy. This is done by having weekly or bi-weekly examinations with your physician, obtaining objective rating scales, and speaking with family or other clinicians.
  • Meet Our Team
    Maurice A. Wiggins, M.D.
    Executive Medical Director
    General and Adult Psychiatrist
    Anna Wiggins, MS., LPCC
    Clinical Director
    Psychotherapist
    Eileen Paniagua, PSY.D.
    Clinical Psychologist
    Jamie Atkins, RDN, CEDRD
    Registered Dietitian Nutritionist
    Stacey Rombough, RDN
    Registered Dietitian Nutritionist
    Charla Garbarini, R.N.
    Psychiatric Nurse
    Forms & Fees
    Forms
    Fees
    CBH Patient Forms
    Please take the time to fill out the necessary forms before scheduling an appointment. Simply click on the links below to access the forms.

    If you are unsure as to which form(s) to fill out, please call us at 714-831-1300.

    CBH New Patient Enrollment Form

  • Before scheduling an appointment with one of our CBH Specialists, each patient is required to complete the initial Registration Paperwork. The forms include information regarding the patient/provider agreement, privacy policies, fees, reviews the patient’s medical history, and includes questions concerning the patient’s current reason for seeking our services. This information is extremely helpful for the CBH Specialists to have in advance because it allows for a more thorough and comprehensive assessment.

  • Registration Process:
    Please read & complete each page carefully before initialing at the bottom.
    Please print the completed forms and bring them with you to your appointment.
    When we have received your paperwork, our staff will call you to schedule an initial assessment appointment.
    Please note that our re-scheduling and cancellation policy includes a necessary advanced notice of 48 business hours, otherwise the regular appointment fee will be charged.
    Although payment for appointments is usually due at the time of service, for the initial evaluation the credit card may be charged the day before the appointment.

  • Fees
    Psychiatrist (M.D.)
    $225 / 25 mins
    $395 / 45 mins
    Initial assessment: $495
    Psychologist (Ph.D./Psy.D.)
    $235 / 45 mins
    Initial assessment: $295
    Psychotherapy (MS)
    $195 / 45 mins
    Initial assessment: $265
    Registered Dietitian
    $165 / 45 mins
    Initial assessment: $225
    Group Therapy
    $75 / 90 mins
    Neuropsychological Testing, Neuroimaging Analysis
    Fees available upon request.
    TMS (Transcranial Magnetic Stimulation)
    Fees available upon request.
    Registered Nurse
    $95 / hour
    Psychiatric Rehabilitation & Case Management
    Billed at rate of clinician providing service.
    Billed at 90-minute minimum. Off-site visit fees are 150% usual rates.
    Extended Appointments
    Appointments above 45 minutes are billed at increments of 45 minute fees. (e.g. 60-70 minute appt’s are billed at 1.5 units).
    Overtime Fee
    For services rendered outside regular business hours (9am-6pm), or occurring on weekends or nationally-observed holidays are charged 150% of usual rates.

    Our clinicians do not process payments from health insurance companies; claims may be submitted to your insurance company for them to reimburse you as their policy allows.
    CBH is considered an “Out-of-Network” provider. It is your option whether to seek reimbursement from your insurance company for our appointments. CBH provides “superbills”, which you can then, in turn, submit to your insurance. These contain sensitive information revealing your diagnoses and diagnostic codes. In order to protect your confidentiality, CBH will not disclose any other information to your health insurance carrier. This may result in the denial of payment from them for services rendered to you.




    Contact details

    4695 MacArthur Court
    Suite #1100
    Newport Beach, CA 92660

    tel:714
    .
    831.1300
    fax:714
    .
    831.1301

    contact@cbhnewport.com

    cbhnewport
    Send us a message