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    Kat Toups, MD

    5.0 (18 reviews)
    Closed 12:00 pm - 5:00 PM

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    Ask the Community - Kat Toups, MD

    Does the doctor take Medicare patients?

    Hi Caryll. Thanks for your interest, but we are not taking any new patients at this time. Good luck with finding a wonderful doctor!

    View All 2 Questions

    Review Highlights - Kat Toups, MD

    Toups into words - she is truly amazing, one of a kind, genuinely kind, the most dedicated doctor I have ever met!!

    Mentioned in 14 reviews

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    Bloch M Randall, MD

    Bloch M Randall, MD

    4.8(12 reviews)
    1.7 mi

    I have had mixed experiences with Dr. Bloch. While he is adept at communication and promptly…read moremanages prescriptions, his approach as a psychiatrist leaves much to be desired. He can be brilliant when you first see him but then as conflict from medication management comes, seeing him long-term comes with real complications. PROS: *Communication: Dr. Bloch is responsive to emails and efficient in ordering medication. *Medication Knowledge: He demonstrates a strong grasp of medication combinations. *Pleasant Interaction: Working with him is comfortable in low-pressure situations. CONS: *Lack of Transparency: Dr. Bloch's recommendations sometimes lack clarity, and his treatment decisions can seem arbitrary. I had on multiple occasions because of contracting nasty side effects said, "I don't want to be on this medication again." Dr. Bloch would forget what I said and recommend the medication (typically anti-psychotic) again at another point in time. *Conflict Management Challenges: He struggles to manage conflicts professionally, which can be frustrating if you are a long-term patient with volatile health challenges. *Inadequate Side Effect Guidance: I was not adequately informed about potential side effects, leading to unpleasant surprises. It is even more complicated when Dr. Bloch does not follow through with additional appointments for medication management. It is all on you to do the heavy lifting in scheduling follow-ups. *Poor Collaboration: Dr. Bloch's communication with other providers is inconsistent, leading to discrepancies in treatment plans. Additionally at follow-ups, his evaluation process is by-the-book, and the meetings can feel rushed where conversation is not as open as you want it to be. *People-Pleasing Tendencies: If under pressure, his approach can prioritize patient preferences over clinical necessity, leading to ineffective treatment strategies. *Lack of Organization in His Practice: Unfortunately, Dr. Bloch does not have a good medical records system by which to keep track of information. He could benefit from having staff working for him or at least use a digital system by which to keep track of medical records and at least make them more visible for patients upon request. Perhaps having a website that includes a Patient Portal option for patients would help. While Dr. Bloch has solid credentials, his lack of true collaboration makes it difficult for me to see how he is effective as a psychiatrist. Patients seeking an involving, collaborative approach may need to look elsewhere for a psychiatrist who can better manage their expectations.

    There are not enough good words to say about Dr. Bloch and his standard of care. He has made the…read moredifference in life or death situations for my loved one countless times. His expertise, knowledge and persistence has given my loved one a much better quality of life than his prognosis might otherwise suggest possible. He is professional, impeccable with his time management, caring and competent. We've been bringing our loved one to him regularly for close to a decade and he's never had an "off" day. I hold him in the highest esteem and gratitude.

    Simret Nanda, MD

    Simret Nanda, MD

    3.9(11 reviews)
    5.6 mi

    Do not use her. She worked with my son for 2 years. In my final meeting talking to her, she was…read morerude and unprofessional to me, cut me off multiple times, rolled he eyes at me (yes!!), and told me that I talked too much. Stunned that she is actually licensed. (And yes, after being rude to me for 20 minutes and ending the telecall she still charged me for the full 45 minutes. I know it's hard to find a provider right now, but do your child and yourself a favor and keep looking.

    I've been seeing Dr. Nanda for about 6 years now, so I feel like I can make a pretty fair…read moreassessment of my time with her as a patient. I took a lot of time to reflect and think clearly before writing this review, because I want it to be truthful and fair. Initially my appointments went well and she was helpful. I went to her needing a lot of help with depression and anxiety and getting started on medications. Her private practice was also very new at the time. Over time, as her practice has grown, I have experienced a pretty severe decline in the patient care provided. Our appointments have become less focused on me, and much more focused on her and her stressors in life. I feel a good majority of the appointments lately have been her ranting or venting about various different situations or politics. The most recent appointment with her solidified my decision that I need to move on to a new practitioner. She has said things in the past that I have found offensive, but overlooked. This past appointment went too far. I had contacted her the week between Christmas and New Year's Eve (it was Monday, December 28th), needing a refill on a medication. She had specifically instructed me to email her. Well, she happened to be on vacation. No heads up to her clients that she would be out of town; she has never given me any notice of when she travels or vacations. I feel like abandoning your patients without notice and without a backup practitioner when you're working in mental health is simply wrong. I was having a very difficult time, expressed my concerns to my therapist, who subsequently reached out to her too. She then refilled my medication on December 31st (New Year's eve). During my next appointment with her, she was extremely aggressive with me, blamed me for ruining her holiday with her family, stating that she didn't get to spend New Year's Eve with her family because she had to "work" putting in a refill for me (New years eve is not a holiday, just to be clear. I had another in person doctor's appointment that day). She verbatim stated that she "would never contact her doctor on new years eve". She verbatim stated that she felt angry with me and that I don't understand how difficult it is to be a health care practitioner during covid. I replied that covid has been difficult for everyone, not just health care practitioners. She insisted it has been MORE difficult for her, comparing herself to me, a stay-at-home mother. She is not a mother and has no insight on what being a mother entails, especially during a global pandemic. The fact that she would compare herself and her struggles with mine and insinuate that she has it tougher than I do, is just straight up rude and unprofessional. Prior to my choice to be a stay-at-home mother, I worked in mental health. Never, ever, would I tell a patient that I was angry with them. I have had patients physically assault me, and never told them that I was angry with them. I have never heard any treatment team member I have ever worked with say that to any patient, in any hospital. It's just unfathomable that she would say this to me and extremely hurtful as well. I don't deserve to be spoken to the like that or compared to her, and neither does anybody else. She also consistently states that this is not her only job, which definitely sends the message that this is not her priority. Communication with her assistant has been poor, and when I pointed it out, she defended her, stating that it's also not her only job. It really gives the impression that this has become her side gig for making extra money and not her priority. At $250 for a 30-minute session, I should be treated like a respected patient. There are so many options for psychiatrists, and I understand the pains of finding somebody that clicks with you. Nobody will be perfect. But keep looking until you find one that truly wants to help you, isn't just about the money, and above all us, respects you. I do wish Dr. Nanda the best of luck with her practice and I hope she learns from her mistakes. I'll also note that all of the positive reviews here, are written by her colleagues. None of them are from her patients.

    Steve Balt, MD

    Steve Balt, MD

    4.1(9 reviews)
    1.0 mi

    I'm discouraged to write this because I was genuinely excited after reading so many positive…read morereviews and how thoughtfully this doctor describes his approach. Unfortunately, my experience mirrors another reviewer's: I first reached out over a week and a half ago, left multiple voicemails, and followed up asking to briefly learn more about his approach, but never received a response. I understand he likely has a full practice and other priorities. That said, it would be helpful if his voicemail or profile set clearer expectations around response times or availability, or noted if he's not taking new clients. Silence after multiple follow-ups is disappointing. I personally rely heavily on reviews when making decisions about providers, and I'm leaving this for others who do the same. He sounded great based on reviews and his profile, but based on my experience, he does not seem very communicative. Bummer. :(

    You'll find no one else even close to Dr. Steve Balt, in terms of his expert skill, sincere empathy…read morefor his patients, and uniquely effective approach to mental health treatment.  If you've grown exasperated or etiolated with other providers who just won't *listen* to you; if you're looking for someone to selectively challenge your thoughts to inform your "gestalt" to you and others, as appropriate; or, if you just need someone you can trust to have your best interest at heart, I can personally attest to the fact that you should see Dr. Balt now, while you can. The rough can only obscure a gem like Dr. Balt for so long.  Dr. Balt's style precludes traditional "paper" diagnoses, which, at least to me, makes the most sense because no one can maintain with any level of confidence that their thinking and psyche can be wholly and correctly labeled in a box. Let's face it: our thinking is fluid, as our issues may be of mercurial function. Dr. Balt not only fully understands this truth but clearly relates to it in his treatment, which I would describe as medication-assisted psychotherapy.  Seeing Dr. Balt every other week since Summer 2018 has been perhaps the most rewarding experience I've accrued in that same timespan. I had seen other providers, but only Dr. Balt recognized my issues as specific to only me, as a person.  Dr. Balt's "collective" approach assures that you won't be stuck scarfing down tablets for reasons you don't fully understand or agree with, and compromise is the name of the game when loggerheads nears broaching.  Without delving into my personal issues, suffice it to say that complexities have been manifold, and I've honestly actually come to eagerly await each and every meeting with Dr. Balt!

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    Brain Wellness Center

    Brain Wellness Center

    4.4(31 reviews)
    10.9 mi

    Nothing but quality care at this place! The office staff was helpful, knowledgeable, and friendly…read more I recommend this to anyone needing treatment for severe depression.

    This past year, I experienced an extremely traumatic family crisis that completely upended my…read moreworld. For months, I struggled with severe anxiety, depression, and debilitating PTSD symptoms. Medication was only helping a little bit, and I didn't want to rely solely on it. I was looking for something that could provide more immediate and lasting relief, which led me to the Brain Wellness Center in San Ramon for TMS treatment. Before beginning treatment, I was in profound distress. I experienced intense visceral emotional reactions and PTSD symptoms that felt overwhelming. My trigger responses were debilitating and sometimes turned violent--I was throwing things, breaking things, and unable to control my rage. The emotional flooding was extreme, often leaving me gasping for air and doubled over in pain. I had strong urges to self-harm and uncontrollable impulses toward physical aggression, which I sometimes acted on. I couldn't engage in any therapeutic work--I couldn't even look at books about my type of trauma without becoming dysregulated. My mind was trapped in constant rumination and obsessive thoughts. The anxiety was so severe that I felt like I was losing myself. After completing 50 sessions of TMS, the transformation has been remarkable. I developed motivation for basic self-care like going to sleep early and taking vitamins--things that felt impossible before. When triggered now, I still feel anger surge through me, but I no longer have the urge to be physically aggressive. I can now engage in therapeutic work, reading books about my trauma and participating in therapy discussions. I still feel discomfort, but it's manageable--not the dysregulating panic I experienced before. I've learned to disengage and down-regulate when triggered. I'm calmer and better able to care for myself instead of drowning in obsessive thoughts. The compulsion toward physical aggression has dramatically decreased. My anxiety is much less intense--I can redirect my attention to self-care, and the upset no longer overwhelms me. Most importantly, I'm no longer on my knees or doubled over in emotional pain. I am able to walk toward healing. The doctors at Brain Wellness Center are truly exceptional. Both Dr. Hashemian and Dr. Palmer are deeply compassionate, excellent listeners, and incredibly knowledgeable--they've been doing this work for decades and are true experts. I felt confident I was in capable hands. What I appreciated most was their honest approach with no sales pressure. They truly want you to make the best choice for you, whether that means working with them or another TMS specialist. They were thorough in their assessments and committed to tracking progress systematically. Week by week, I could literally see the steady decline in my anxiety, depression, and PTSD symptoms through their comprehensive measurements. The most dramatic improvement was in my anxiety symptoms. I would say that I started feeling really noticeable relief from my symptoms after about 6 sessions. Next to the treatment's effectiveness, I was most impressed with the staff. Mayra, Angelica, Autumn, and Olivia work seamlessly as the techs and coordination team. They are incredibly kind, consistently professional while genuinely warm and caring, and highly skilled. You can tell they're happy in their work environment. They were efficient with scheduling, accommodating with changes, and excellent at follow-through and communication. Appointments always started on time, and the facility was meticulously clean. I felt genuinely taken care of throughout all 50 sessions. TMS at Brain Wellness Center gave me my life back. I went from being unable to function, violent in my reactions, and contemplating self-harm to being able to engage in healing work, regulate my emotions, and move forward with my life. The relief I sought--something more immediate and lasting than medication alone--is exactly what I found. If you're struggling with depression, anxiety, or PTSD, I cannot recommend Brain Wellness Center highly enough. Thank you to Dr. Hashemian, Dr. Palmer, Mayra, Angelica, Autumn, and Olivia for helping me find my way back to myself. The healing journey continues.

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    Brain Wellness Center - Greg Alter, Ph.D.

    Greg Alter, Ph.D.

    Brain Wellness Center - We use qEEG brain mapping to identify the source of the problems and to target the treatment.

    We use qEEG brain mapping to identify the source of the problems and to target the treatment.

    Brain Wellness Center - TMS targets the area of the brain associated with the problem such as depression, OCD, and anxiety avoiding side-effects common in medicine.

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    TMS targets the area of the brain associated with the problem such as depression, OCD, and anxiety avoiding side-effects common in medicine.

    Kat Toups, MD - psychiatrists - Updated May 2026

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