TMS Therapy
in Washougal, WA
At Pacific Phoenix Psychiatry and TMS, we provide access to innovative tms therapy for residents of Washougal, WA, and the surrounding communities. Transcranial Magnetic Stimulation is a non-invasive, medication-free treatment that offers new hope for individuals who have not found relief from other psychiatric care methods. Our compassionate team is dedicated to creating personalized treatment plans that help you reclaim your mental well-being.
What Is TMS Therapy in Washougal, WA?
Traditional tms therapy
Traditional tms therapy involves a series of sessions administered over several weeks. Patients typically visit our Washougal office multiple times per week for short, 20-minute appointments. This established protocol has a long track record of successfully helping patients manage and overcome persistent mental health symptoms.
How TMS Stimulates the Brain
During a TMS session, a specialized magnetic coil is placed gently against the scalp. This coil generates focused magnetic pulses that pass harmlessly through the skull to stimulate underactive regions of the brain associated with mood regulation. This process helps restore normal brain activity and alleviate symptoms.
Who Is a Candidate for TMS?
Tms therapy is an excellent option for adults who have not achieved adequate improvement from antidepressant medications or other therapies. It is most commonly used for treatment-resistant depression but is also effective for those struggling with anxiety, OCD, and PTSD. A comprehensive evaluation with our team will determine if TMS is the right path for you.
Conditions We Treat with TMS
Our team uses TMS to address several challenging conditions. We provide specialized TMS protocols for Depression Treatment, Anxiety Treatment, Obsessive-Compulsive Disorder (OCD), and Post-Traumatic Stress Disorder (PTSD). By targeting the specific neural circuits involved, TMS can provide significant and lasting symptom relief.
The Patient Experience
Patients remain awake and alert throughout the non-invasive procedure, relaxing comfortably in a chair. You will hear a clicking sound and may feel a light tapping sensation on your scalp. Because there is no sedation, you can drive yourself home and immediately return to your daily activities after each session.
TMS vs. Other Treatments
Unlike medication-based treatments like antidepressants or IM Ketamine Therapy, TMS is device-based and non-invasive. It directly stimulates brain circuits from outside the body without chemicals or sedation. This makes it a preferred option for patients seeking a treatment with minimal systemic side effects.
Meet Our TMS Specialist, Dr. Elia Gonzalez-Rodriguez

Dr. Elia Gonzalez-Rodriguez is a board-certified psychiatrist who specializes in providing tms therapy for treatment-resistant conditions. She founded Pacific Phoenix Psychiatry and TMS with a commitment to offering exceptional and compassionate care that honors the trust of every patient. Dr. Gonzalez-Rodriguez and her team provide a judgment-free environment where your total health is the priority.

Our TMS Therapy Process
Comprehensive Psychiatric Assessment
Your journey begins with a thorough evaluation with one of our providers. We will review your symptoms, treatment history, and wellness goals to determine if TMS is the most appropriate and effective option for your needs.
Personalized Treatment Mapping
Before your first session, we perform a mapping process to identify the precise location and strength for treatment. This ensures the magnetic pulses are delivered to the exact area of the brain for maximum therapeutic benefit.
Your Course of TMS Sessions
During each session, you will relax in a comfortable chair while the TMS device delivers its targeted magnetic pulses. Appointments are brief, and you can resume your normal routine immediately afterward with no downtime.
Defining Your Treatment Protocol
Based on your evaluation, we will recommend either a Traditional TMS or an Accelerated TMS Protocol. This decision is based on your clinical needs, lifestyle, and treatment goals to provide the most effective and convenient path to wellness.
Monitoring Progress and Aftercare
Throughout your treatment, our team will closely monitor your progress and provide supportive psychiatric care. We track your improvement to ensure the treatment is working effectively and discuss aftercare options, which may include ongoing Medication Management.

Who Benefits from TMS Therapy?
At Pacific Phoenix Psychiatry and TMS, we provide access to innovative tms therapy for residents of Washougal, WA, and the surrounding communities. Transcranial Magnetic Stimulation is a non-invasive, medication-free treatment that offers new hope for individuals who have not found relief from other psychiatric care methods. Our compassionate team is dedicated to creating personalized treatment plans that help you reclaim your mental well-being.
Conditions We Treat
- IM Ketamine Therapy
- Medication Management
- Cognitive Behavioral Therapy (CBT)
- PTSD and Trauma-Focused Therapy
- Military and Veteran Services

What Better Can Look Like
Dr.Trenkle was not only super friendly and approachable but she made me feel comfortable coming to her and expressing my needs. She helped me map out a plan to help reach my mental health goals and gave me multiple courses of action. She explained things in detail making sure I understood and asked me what I wanted and what my goals were instead of just telling me what she decided like others ive seen through out my life.

Such a great experience at Pacific Phoenix. I always felt supported by the staff. The nurse and staff were great at answering all my questions. My favorite thing about my experience was always feeling like I was being heard and cared for.

This was my first appointment with Dr. Trenkle, I was a bit nervous and not sure what to expect, but in the end was very satisfied with my experience. The office and atmosphere is very calming from first walking in the door, very clean and the staff was friendly. Her all around aurora gave calming and attentive. Definitely looking forward to future visits with her.

I had an incredibly positive experience with Tate Landers at Pacific Phoenix Psychiatry and TMS. From the very beginning, he created a calm, welcoming environment where I felt genuinely heard and understood. He took his time with me, listened carefully to my concerns, and asked thoughtful questions that showed he truly wanted to understand what I was going through, not just check boxes or rush to conclusions.

Dr. Trenkle and her team (specifically Isabella) are the BEST! The office environment doesn't feel sterile like your typical doctor's office, and everyone is professional and friendly. This was my first time seeing a psychiatrist and I have seen positive results. I've recommended this office to friends, especially those looking for female practitioners.

Every person that I came into contact with at Pacific Phoenix was incredibly kind and helped me feel at ease. Treatment was a breeze and I feel so much better now! Special shout out must be given to Tielor. Tielor was the tech for most of my appointments and we had such a good time just chatting away. I felt comfortable and like I was visiting with a friend, which made the daily appointments easier.

I was in need of help with meds and decided to call and see what their availability was like. The receptionist Alyssa was so kind and let me know their soonest availability and walked me through the process of the paperwork. She was incredibly helpful during a very vulnerable time. The provider Brooke really listened to me and what was happening in my life and came up with a solid care plan for me.

Cost of TMS Therapy in Washougal, WA
At Pacific Phoenix Psychiatry and TMS, we provide access to innovative tms therapy for residents of Washougal, WA, and the surrounding communities. Transcranial Magnetic Stimulation is a non-invasive, medication-free treatment that offers new hope for individuals who have not found relief from other psychiatric care methods. Our compassionate team is dedicated to creating personalized treatment plans that help you reclaim your mental well-being.
FAQ About TMS Therapy in Washougal, WA
Is TMS therapy painful?
TMS is a non-invasive and generally well-tolerated procedure. Some patients report a light tapping sensation on their scalp where the coil is placed, which typically subsides after the first few sessions. It is not considered painful.
How long does a course of TMS treatment take?
The duration depends on the protocol. Traditional TMS involves sessions several times a week for four to six weeks. Our Accelerated TMS Protocol is designed to be completed in a much shorter period, sometimes in under a week.
Can I drive myself to and from TMS sessions?
Yes. Tms therapy does not involve sedation or anesthesia and has no cognitive side effects. You are free to drive and continue with your daily activities immediately after each appointment.
How is TMS different from Spravato or ketamine therapy?
TMS is a non-invasive, device-based treatment that uses magnetic fields to stimulate the brain from outside the body. In contrast, Spravato and IM Ketamine Therapy are medication-based treatments administered in our clinic to achieve their therapeutic effects through different biological pathways.