About Pharia Health

Who We're For

Pharia is for high-performing professionals who feel internally overloaded.

You're competent. You're self-aware. You've probably already tried therapy, meditation, exercise, maybe even medication. These things help — but your baseline hasn't fully shifted.

You might recognize yourself in one of these patterns:

• You know what to do, but starting feels unreasonably hard. Once you get going, you're fine — but the initiation friction costs you hours, days, sometimes weeks.
• Your brain defaults to overthinking, rumination, or urgency. You're always “on” — even when you want to be off.
• You perform well at work, but come home depleted, irritable, or emotionally flat. You want more patience and presence with the people who matter most.
• You've tried optimizing your way out of it — habits, routines, supplements, apps — and you've made progress, but something still feels stuck.
• You don't identify as “mentally ill.” You're not in crisis. But you're not thriving either. You're functioning, but it's harder than it should be.

Pharia is not positioned as a first step. It's the next step — when self-work has helped but hasn't fully shifted the baseline.

What We Offer

Pharia offers a personalized, 1-day accelerated TMS (transcranial magnetic stimulation) protocol combined with d-cycloserine.

What that means in plain language:

• TMS is an FDA-cleared brain stimulation technology that has been available since 2008. It uses magnetic pulses to stimulate specific brain circuits — more precisely than medication, with far fewer side effects.
• Traditional TMS takes 6 weeks of daily sessions. We use an accelerated protocol (based on the Stanford SAINT research) that compresses a full course into a single day: 10-20 sessions of about 3 minutes each, spaced every 30 minutes.
• D-cycloserine (DCS) is an old antibiotic that, at low doses, acts as a partial agonist at NMDA receptors — the same receptors involved in learning and memory. Research suggests it can enhance the brain's receptivity to the changes TMS is trying to create. It's used off-label to support the protocol.
• Brain targets are personalized based on your goals. Rather than a one-size-fits-all approach, your Pharia psychiatrist selects stimulation targets based on an in-depth consultation about what you're trying to change — whether that's initiation friction, emotional reactivity, rumination, focus, or something else.

What It Costs

• Foundation Day: $995 — one full day of personalized, accelerated TMS
• Studio Sessions (optional): $200/month — shorter maintenance sessions (<2 hours) to sustain and build on results

Most people begin to feel shifts within a few days. Results typically last 6-8 weeks. Monthly maintenance sessions help extend and deepen the effects over time.

What Clients Say They Experience

Based on feedback from clients in San Francisco:

• “Like a remote control to turn down the noise” — less mental chatter, calmer baseline
• “Gears loosened” — easier to start tasks, less initiation friction
• “Thoughts are still there, but behind glass” — rumination present but no longer running the day
• Unexpected improvements in sleep quality, earlier bedtimes, less late-night spiraling
• More patience and presence at home — less reactivity, more equanimity
• A “critical period” after treatment where new habits are easier to install and maintain

Clients describe the effect not as being dulled or flattened, but as having more choice — the ability to respond rather than react.

The Evidence

• The accelerated TMS protocol is based on the Stanford SAINT protocol, published in peer-reviewed journals, which demonstrated rapid improvement in depression symptoms using compressed iTBS sessions.
• D-cycloserine has been studied as an adjunct to TMS, with early research suggesting it may enhance response rates by supporting neuroplasticity during the stimulation window.
• The strongest evidence base is for major depressive disorder and generalized anxiety disorder. However, TMS research is expanding into areas including OCD, PTSD, and cognitive performance.
• Pharia's approach applies this technology to a broader population: people who may not meet clinical thresholds for severe disease, but who experience meaningful functional limitations — overthinking, initiation friction, emotional reactivity, difficulty being present — that affect their work and relationships.
• TMS is FDA-cleared and has been used in clinical settings since 2008. It is non-invasive, does not require anesthesia, and has a well-established safety profile.

How to Get Started

Pharia is currently available in San Francisco. The process:

1. Consultation: An in-depth evaluation with your Pharia psychiatrist to understand your needs, goals, and whether brain stimulation is a fit.
2. Target selection: Together, you select which brain network to target based on your specific goals.
3. Foundation Day: One day of personalized, accelerated TMS at a Pharia location.
4. Follow-up: We check in within days. The weeks after stimulation are a period of enhanced neuroplasticity — we guide you on how to maximize results.
5. Maintenance (optional): Monthly Studio Sessions to sustain effects.