Specialized in treatment-resistant depression and OCD, Greenbrook Mental Wellness Centers in Carlsbad delivers NeuroStar transcranial magnetic stimulation and SPRAVATO nasal esketamine from its Palomar Airport Road clinic near the Bressi Ranch corridor. The NeuroStar TMS system delivers targeted electromagnetic pulses to the left dorsolateral prefrontal cortex, and the clinic pairs that therapy with diagnostic coordination through SimonMed Imaging - Carlsbad for patients requiring pre-treatment neuroimaging. FDA clearance covers TMS for both major depressive disorder and obsessive-compulsive disorder, with SPRAVATO approved as the only ketamine-derived nasal spray for treatment-resistant depression under REMS protocol supervision. Across its national network, Greenbrook has administered more than 620,000 TMS treatments to over 17,000 patients, earning NeuroStar Better Me Provider designation for clinical-outcome benchmarks. Pharmacogenomic testing through providers such as Genome-Based Diagnostics further refines medication selection for patients whose antidepressant failures prompted the TMS referral. A standard TMS course consists of 36 sessions delivered over six to nine weeks, with each session applying approximately 3,000 magnetic pulses at 120 percent of individual motor threshold to the treatment target.