Clinical Leadership - Active Recovery TMS in OR and WA


We are currently accepting new patients suffering from depression and/or anxiety for psychotherapy services at all six of our clinics. To get started, call us at 503.783.8649 or fill out the web form below to schedule a free consultation.

Y Pritham Raj, Md, FACP


Dr. Pritham Raj is board certified in internal medicine and psychiatry, specializing in the connection between the mind and body. Dr. Raj earned his medical degree from the University of Maryland School of Medicine and completed his Combined Residency Training in Internal Medicine and Psychiatry at Duke University Medical Center where he served as a clinical rater for early TMS trials and continues to operate under a consulting faculty appointment.

Dr. Raj brings a wealth of knowledge about TMS therapy from his time as medical director of the Adventist Health Portland’s Emotional Wellness Center, where he led a team that delivered a full spectrum of mental health services, including TMS.

He also serves as an associate professor at Oregon Health and Science University (OHSU) in the departments of Internal Medicine and Psychiatry.

Dr. Raj served as Medical Director of the Internal Medicine practice (IMC at Marquam Hill) in OHSU’s flagship hospital for over seven years, leading 80 strong faculty and residents. He served on several vital committees at OHSU, including the Admissions Committee of the School of Medicine.

Over his career, Dr. Raj has focused his clinical research on obesity, depression in the critically ill, and mild cognitive impairment and dementia. Drawn to how emotional wellness affects physical health, Dr. Raj completed Chief Wellness Officer training at Stanford University’s WellMD Program in 2019. He has provided multiple expert presentations on how the COVID-19 pandemic has affected individuals both physically and mentally.

In his spare time, Dr. Raj enjoys spending time with his three children. He is the president of DARK to Light, a nonprofit he founded to support children whose families are going through separation and divorce.

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Guadalupe Gabba


Guadalupe Gabba is a dynamic nurse practitioner currently practicing with Active Recovery TMS as a Board Certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC). Guadalupe earned her master’s degree in Nursing from Washington State University and brings 29 years of experience as a nurse including eight years as PMHNP-BC.

Guadalupe possesses an impressive range of medical leadership throughout her profession; in her medical career, she has totaled over 15 years as a team lead with progressive responsibilities, including over 12 years of experience as an Intensive Care Unit and Trauma Registered Nurse, as well as eight years as a Pain Clinic Clinical Practice Manager.

She has experience in a range of health care professional positions such as a Clinical EMT Instructor, Patient Education Group Leader, Liaison, and Staff Nurse. From this, she has extensive knowledge in patient psychiatric evaluations, treating diverse patient populations including persistent mental illness, developing treatment plans, and monitoring treatment as well as their outcomes.

Guadalupe is dedicated to helping people get back to their lives. By engaging with her patients and understanding their individual struggles, she is passionate to treat those who come into her care. Devoted to the continuation of learning, Guadalupe frequently attends medical conferences and stays up to date on current developments in the mental health field. In her free time, she enjoys exploring the outdoors, cooking, and traveling with her husband.

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Ava hosseini


Ava Hosseini is a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) at active Recovery TMS. Ava earned her master’s degree in Psychiatric Nursing from the University of California, San Francisco.

With over four years of clinical experience, she is eager to expand access to transcranial magnetic stimulation (TMS) for patients across the Pacific Northwest. Ava’s clinical training includes substance treatment programs, youth wellness, urgent and emergency care, and public health. She has provided comprehensive psychiatric care to a diverse population, medication management, psychoeducational for patients and their families, and thorough intake and diagnoses of individual’s mental health.

Ava is a member of the American Psychiatric Nurse Association (APNA).

In her free time, Ava enjoys connecting with nature through camping, hiking, and swimming. When not outside, she spends time with her 12-pound New Zealand rabbit named Nacho and has a passion for cooking. 

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Oscar Ramos


Oscar Ramos practices as a board-certified Psychiatric Mental Health Nurse Practitioner at Active Recovery TMS. He earned a Bachelor of Science in Nursing from Oregon Health and Science University and a Master of Science in Nursing from Gonzaga University. He brings 25 years of healthcare experience, eight of those specialized as a mental health registered nurse, and is bilingual in English and Spanish. 

Oscar possesses an impressive range of healthcare practices working with patients in a variety of settings in his roles as an emergency room technician, EMT, paramedic, clinical manager, 911 communication specialist, psychiatric nurse, nurse educator, and nurse manager. Now as a psychiatric mental health nurse practitioner, he is passionate about empowering his patients to fully engage in their mental health care decisions to improve their overall quality of life. 

Oscar is a member of the Neuroscience Education Institute as well as the American Psychiatric Nurses Association, which are two organizations that he consults often, and attends conferences with, to keep updated with the latest evidence-based guidelines for the diagnosis and treatment of psychiatric and neurological disease states. He uses this continually expanding knowledge along with his clinical experience, empathy, and intuition, to develop special connections with his patients, and provide education and multiple options to them, so they can make a positive change in their life. 

In his free time, Oscar spends time with his family and looks forward to cheering on his son and daughter’s sports and leisure activities. He enjoys watching sports and movies on TV, reading, volunteering, traveling with family, and becoming a member of the All 50 Club, having completed his visit to his 50th state in the United States. 

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Lisa Miller


“To see patients beginning to really live life is one of my greatest rewards” 

Lisa Miller is a psychiatric mental health nurse practitioner (PMHNP) at Active Recovery TMS. She strongly believes in the organization’s mission because of the hope offered to a population that is often hopeless along with the innovative approaches utilized to improve mental health care.

Lisa has completed higher education degrees in nursing through Idaho State University, Boise State University, and her master’s through Walden University. In her twenty years of professional experience, she has worked with individuals in acute care and performed various mental health roles within correctional settings, as well as community settings. Lisa is drawn to new technologies emerging in the medical health field, especially transcranial magnetic stimulation (TMS).

In her professional training, Lisa has experience with diagnoses, treatment, medication management, crisis consultation for behavioral health, and cultivating a positive therapeutic patient relationship. Lisa’s goal is to continually enhance her knowledge and skills while building upon her established interpersonal and professional strengths to improve access to mental health services for individuals with a spirit of understanding and compassion.

Lisa has affiliations with the Canadian ADHD Resource Alliance Network, American Nurses Association, Nurse Practitioners of Idaho, and American Association of Diabetes Educators. In her free time, Lisa is an avid runner, loves hiking the trails surrounding the coast, listening to her son’s jazz, enjoying a good laugh with friends, and spending time with family in the Midwest.

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Jenna Lander


“I am passionate about supporting people along life’s journey and being a listening ear in one’s time of need.”

Jenna Lander is a licensed clinical social worker (LCSW) with a strong background in counseling diverse populations of adults, juveniles, couples, and families. Jenna earned her master’s degree in social work from the University of Denver and brings 12 years of experience to Active Recovery TMS as a licensed therapist.

Jenna leads the Active Recovery TMS psychotherapy program, managing our group of therapists as well as helping treatment-resistant patients with depression on their journey to recovery. Using a short-term evidence-based cognitive behavioral therapy (CBT) model, each session focuses on a specific problem in an effort to guide patients toward results in a shorter timeframe than traditional talk therapy.

As a licensed therapist, Jenna has experience working with patients in crisis intervention, providing psychotherapeutic services to adults and teens, and completing psychosocial assessments, diagnosis, treatment, and discharge planning. Her areas of specialty include behavioral health, anxiety, and depression.

When she’s not helping patients, Jenna enjoys traveling, spending time with family, listening to country music, and being outdoors.

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Robert Hadley


“I hope to be a part of our patients’ journey in change and a support that encourages strength in challenging times”

Robert Hadley is a licensed clinical social worker (LCSW) with a background in counseling diverse populations of adults, adolescents, children, couples, and families. Robert earned his bachelor’s degree in social work at Lewis-Clark State College and later his master’s degree in social work from Boise State University.

Robert is a part of Active Recovery TMS’s therapy team practicing short-term cognitive-behavioral therapy. Each session focuses on a specific problem in an effort to guide patients toward results in a shorter timeframe than traditional talk therapy. Robert also has experience in dialectical behavioral therapy (DBT), acceptance and commitment therapy (ACT), and motivational interviewing, to meet clients where they are at and accompany them through their process of healing and change.

Robert has a wide variety of experience working in both inpatient and outpatient settings. Robert has extensive knowledge working with children, adolescents, and adults struggling with anxiety, depression, trauma, mood disorders, anger management, grief/loss, self-esteem issues, substance abuse, and large life, and family transitions.

Robert is an empathetic, compassionate, and empowering clinician that believes in allowing individuals to establish their own goals and following a solution-focused approach to treat symptoms as well as create and maintain change. When away from work, Robert enjoys the outdoors, attending local sporting events, exploring the PNW, and his puppies. 


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