Central California TMS Center

Central California TMS Center in Fresno, California offers Spravato (esketamine) therapy, an FDA-approved nasal spray for adults with treatment-resistant depression, administered under medical supervision to provide faster relief than traditional antidepressants. The practice is led by Medical Director Dr. Edgar Castillo-Armas, a psychiatrist trained at UCSF/Fresno and Harbor-UCLA with certifications in multiple TMS and neuromodulation systems.

Alongside Spravato, the clinic specializes in TMS therapy and Alpha-Stim treatment for depression, anxiety, and insomnia, treating major depression, bipolar disorder, anxiety disorders, schizophrenia, and child and adolescent psychiatric conditions. Bilingual care is offered in English and Spanish, and most major insurance plans are accepted. The clinic serves Fresno, Clovis, Madera, Visalia, and the surrounding Central Valley communities.