Why Gut Feelings Exists
This clinic grew out of seeing the same pattern again and again—patients whose symptoms didn’t fit neatly into one box, and who deserved more than quick answers.
We built this clinic for people whose symptoms don't fit neatly into boxes—and for those tired of waiting for the healthcare system to catch up.
Gut Feelings Psychosomatic Medicine is an interventional psychiatry practice in Oakland, CA focused on people whose depression, anxiety, or trauma hasn't responded to "meds and a quick check-in" alone. We combine medication management, TMS, ketamine/Spravato, stellate ganglion block, and mind–body care to help you feel better faster—and we fight the insurance battles so you don't have to.
- Interventional psychiatry when meds aren't enough
- We handle insurance, prior auths, and appeals
- Multi-state licensed, effective, evidence-based, human-centered care
Prefer to talk first? Call our Oakland office: (415) 735-6453
My Story: From the ER to Upstream Care
Early in my training, I was working in the emergency department and kept seeing the same pattern: patients arriving in crisis—panic attacks, suicidal ideation, psychosomatic pain—whose problems had been building for months or years. Many had mental health issues intertwined with physical symptoms. Others had gut problems that were worsening their anxiety and depression. As Hippocrates said, so much starts in the gut. When the body breaks down, the mind often follows—and vice versa.
I realized I could make a bigger impact by working upstream—keeping people out of the ER, out of crisis, and out of the cycle of "try another medication and wait." Sometimes that requires medicine. Sometimes it requires a new perspective, a reorientation to one's body and mind, whether through interventional treatments like TMS or ketamine, integrative care, or talk therapy.
That's when I knew: I could do better by my patients by focusing on interventional psychiatry while still drawing on the principles of medicine to treat the whole person—not just the mind.
But I wasn't just filling a gap in psychiatry. I was filling a gap in our healthcare system. We work hard to make the system work better for people—helping with referrals, fighting insurance company denials, customizing what can be covered, and being aggressive with prior authorizations and appeals. We can't solve every problem, but we try to make a broken system work for you.
What This Means for Your Care
You Won't Be Rushed
We take the time needed to understand your story, your patterns, and what's maintaining the problem.
We Treat the Whole System
Sleep, digestion, stress physiology, trauma, and mood are addressed together—not in silos.
We Fight the Insurance Battles
Prior authorizations, appeals, coverage questions—we handle it so you can focus on healing.
We Use Advanced Options Thoughtfully
TMS, ketamine, Spravato, and stellate ganglion block are integrated into a bigger plan—never "tech for tech's sake."
You'll Get Clinical Clarity
You'll leave with a plan you can understand and act on, not vague next steps.
We Measure Real-Life Outcomes
Energy, relationships, work, sleep, motivation—not just symptom scales.
Meet the Team
Mike Hoaglin, MD
Interventional Psychiatrist, Founder
Dr. Mike Hoaglin is an Oakland-based interventional psychiatrist who has treated over 2,500 psychiatric patients. Trained in biomedical and electrical engineering at Northwestern and in medicine at the University of Pennsylvania, he brings an engineer's precision to complex mood, anxiety, and trauma-related conditions.
Clinically, Dr. Hoaglin focuses on:
- Treatment-resistant depression and anxiety
- TMS and neuromodulation
- Ketamine-based treatments and Spravato
- The microbiome and gut–brain axis
Patients describe his style as steady, compassionate, and thorough—someone who is willing to keep working the problem with you rather than giving up when things are hard.
Credentials:
- Multi-state licensed physician and interventional psychiatrist
- Perelman School of Medicine, University of Pennsylvania
- Residency: Duke University Hospital, Brooklyn Hospital Center
- Dual degrees: Biomedical & Electrical Engineering, Northwestern
Linda Rushing, PMHNP
Psychiatric Nurse Practitioner
Linda Rushing is a Psychiatric Mental Health Nurse Practitioner based in El Dorado Hills. She trained with Dr. Hoaglin during her PMHNP program and connected so deeply with the clinic's philosophy that she decided to stay.
Before joining Gut Feelings, Linda worked with Spravato and now administers and provides the treatment herself. She brings expertise in medication management, patient safety, and a calm, practical approach to care.
Linda holds a Master of Science in Nursing with PMHNP specialization from Purdue University Global, a Master of Public Health from UC Berkeley, and dual bachelor's degrees in Nursing and Psychology from San Jose State University.
Outside of work, Linda enjoys cycling through Northern California's foothills, embracing the region's natural beauty and outdoor activities.
From the moment you walk into the Oakland or El Dorado Hills office, you'll meet a small, consistent team who knows you by name—not a rotating cast of strangers. Our staff handle the details (scheduling, insurance, logistics) so you can focus on getting better.
How We Work With You
Deep Evaluation
We map symptoms, history, medical context, and goals—then identify what's maintaining the problem.
Personalized Plan
Your plan may include therapy coordination, medication strategy, lifestyle levers, and interventional options when appropriate.
Structured Follow-Through
We track response, adjust carefully, and make changes intentionally—not randomly.
Integration & Maintenance
We focus on sustaining gains and reducing relapse, including sleep, routine, and nervous-system regulation.
What Patients Say
"After carefully evaluating my situation, he correctly diagnosed my episode and began treating my depression with the right medication and TMS. A few months later, it was as if a switch had flipped… I felt like myself again."
"I've been battling anxiety and depression since childhood, and TMS is one of the few treatment options I feel is making a significant difference. I'm noticing significant changes in mood, perspective, and social motivation."
"Unlike every psychiatrist I've had, Dr. Mike still hasn't given up on me after trying several treatments. He told me we're working towards 'complete remission.' I laughed because I've never heard that from any of my prior practitioners."
"Dr. Mike and his team far exceeds expectations of any health care service. I'm halfway through treatment and am noticing significant changes in mood, perspective and also social motivation. All in all I highly recommend."
Where We See Patients
Oakland Office
Our Interventional Hub
We provide TMS, Spravato, ketamine infusions, stellate ganglion block, and in-person visits here.
📍 400 30th St Suite 407, Oakland, CA 94609
🕒 Monday–Friday, 8am–5pm
Get Directions →El Dorado Hills Office
Spravato & Medication Management
Our El Dorado Hills location offers Spravato and medication management, with access to our broader interventional services.
📍 1035 Suncast Lane, Suite 120, El Dorado Hills, CA 95762
🕒 Tuesday & Thursday, 8am–5pm
Get Directions →Many medication management visits can be done virtually over Zoom, while interventional treatments take place in-person.
Ready to Talk About Your Options?
Whether you're curious about TMS, ketamine-based treatments, stellate ganglion block, or you just need a more thoughtful approach to medication management and therapy, the first step is a conversation. We'll review your history, listen to what hasn't worked, and map out what might help—without pressure.