Neurology & Sleep Medicine, La Jolla

Concierge neurology for the migraines no one could fix.

Advanced neurology for the patient medicine has stopped helping. Migraine, chronic headache, brain fog, and cognitive concerns, treated with depth, time, and the latest tools.

Care led by Dr. Maya Vaysbrot, DO, board-certified in neurology and sleep medicine. In coordination with our internal medicine, psychiatry, and women’s health teams.

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If You Are Reading This

You have tried five medications.

You have seen three neurologists.

You have spent years tracking triggers, eliminating foods, and explaining yourself to doctors who already had one hand on the door.

And the migraines are still here.

Or maybe it is something else. A memory that is not quite what it used to be. A focus you can no longer trust. A worry about your brain that no general visit has been willing to take seriously.

Either way, you have not been imagining it.

This is the practice that takes it seriously. Time for a full evaluation. The latest tools, including TMS, QEEG brain mapping, Botox for migraine, and nerve blocks. A neurologist who knows your case, not just your chart. And a plan built around the parts of your life this has been quietly costing you.
Conditions We Treat

Care for the full range of neurologic concerns.

Our practice focuses on the conditions most often dismissed, undertreated, or rushed through in traditional care. We have the time, the tools, and the experience to do better.

Chronic Migraine

For patients with frequent migraine attacks that have not responded to standard treatment. Includes treatment-resistant migraine and advanced options like Botox, CGRP therapies, and nerve blocks.

Episodic Migraine

Less frequent but still life-disrupting migraine. Includes migraine with aura, vestibular migraine, ocular migraine, and silent migraine. Personalized prevention and acute care built around your actual life.

Chronic Headache

Tension-type headache, cervicogenic headache, daily persistent headache, and other forms of chronic head pain that have outlasted prior treatment.

Cluster & Rare Headaches

Cluster headache, hemicrania continua, and other rare or complex headache disorders that often need specialty evaluation to diagnose accurately.

Cognitive Concerns

Brain fog, memory changes, focus issues, and early cognitive concerns. Thoughtful evaluation, advanced testing, and coordinated longevity-focused care.

Mild Cognitive Impairment

Comprehensive workup for early cognitive changes, family history of dementia, and risk factor evaluation with advanced biomarkers and brain mapping.

Sleep Disorders

Insomnia, sleep apnea, restless legs syndrome, REM behavior disorder, and the sleep changes that often shape mood, cognition, and headache patterns.

Concussion & Post-Concussion

Evaluation and ongoing care for traumatic brain injury, persistent concussion symptoms, and the cognitive and headache impacts that often follow.

Neuropathic Pain

Nerve-related pain conditions including facial pain, occipital neuralgia, and other neuropathic syndromes. Treated with care and clinical depth.

Hormonal & Menstrual Migraine

Many women experience hormonal migraine, menstrual migraine, or perimenopausal headache that does not respond to standard care. Our neurology team works closely with our women’s health practice to evaluate the hormonal patterns behind these attacks and build a coordinated treatment plan.

Advanced Treatments

The tools that standard practices rarely offer.

For migraine, headache, and cognitive concerns that have not responded to traditional care, Essenza offers a deeper set of in-office tools, all delivered by a board-certified neurologist.

Treatment One

Botox for Migraine

FDA-approved for chronic migraine prevention

Botox is an FDA-approved preventive treatment for adults with chronic migraine, typically defined as 15 or more headache days per month. Carefully placed injections reduce the frequency and severity of migraine attacks over time.

  • FDA approved for chronic migraine prevention
  • Administered in office every 12 weeks
  • Targets the specific muscle groups involved in migraine
  • Most patients see meaningful improvement after 2 to 3 cycles

Botox for migraine is best suited for adults with chronic migraine. Eligibility is determined after a comprehensive neurological evaluation with Dr. Vaysbrot.

Treatment Two

Nerve Blocks

Targeted in-office relief for headache and nerve pain

Nerve blocks are a targeted treatment that uses local anesthetic injections to interrupt pain signals. Used for occipital neuralgia, certain migraine variants, cluster headache, and specific neuropathic pain conditions.

  • In-office procedure with rapid effect
  • Options include occipital, supraorbital, and other targeted nerve sites
  • Often used to break a long migraine cycle
  • Can be combined with other preventive treatments

Nerve blocks are used selectively, based on the type of pain and the location of the nerves involved. A clinical evaluation is required to determine the right approach.

Treatment Three

TMS Therapy

Transcranial Magnetic Stimulation for migraine and beyond

TMS uses gentle magnetic pulses to stimulate specific brain regions. It is FDA-cleared for migraine and major depression, and is delivered in office without anesthesia or medication. Patients return to normal daily activities immediately after each session.

  • FDA cleared for migraine and depression
  • Non-invasive, no medication, no anesthesia
  • Performed in office over a structured treatment course
  • Patients drive home and return to work the same day

TMS is typically recommended for adults whose migraine or related symptoms have not improved with standard treatment. A neurology evaluation is required to determine if TMS is right for you.

Treatment Four

QEEG Brain Mapping

Quantitative EEG for advanced brain assessment

QEEG is a quantitative brain mapping technology that records and analyzes the electrical activity of the brain. It is used to evaluate cognitive concerns, post-concussion changes, attention issues, and other neurologic patterns that traditional testing can miss.

  • Non-invasive recording of brain electrical activity
  • Used for cognitive evaluation and concussion care
  • Provides detailed insight beyond standard testing
  • Performed in office in a single session

QEEG brain mapping is used as part of a broader neurological evaluation when clinically appropriate. It is one of several tools Dr. Vaysbrot may incorporate into your assessment.

Sleep Medicine

Care for the nights that shape your days.

Dr. Vaysbrot is board-certified in both neurology and sleep medicine, a rare combination that allows us to treat the patient as one connected system.

Most people who do not sleep well learn to live with it. But the cost is rarely small. Sleep shapes mood, focus, hormonal balance, weight, immune function, and long-term brain health.

At Essenza, your sleep specialist is also your neurologist. Sleep medicine is integrated into your broader neurological and longevity care. We evaluate the architecture of your sleep, the medical and lifestyle factors disrupting it, and the connection between sleep and any cognitive or headache concerns.

Better sleep is one of the most powerful longevity interventions available. Finding the right sleep doctor in La Jolla means finding someone who treats sleep as the clinical priority it is. We treat it that way.

Sleep Conditions We Treat

Insomnia Difficulty falling or staying asleep.
Sleep Apnea Evaluation, diagnosis, and care.
Restless Legs Syndrome Diagnosis and treatment of RLS.
REM Behavior Disorder A clinically meaningful sleep concern.
Circadian Rhythm Disorders When your internal clock is off.
Sleep & Cognitive Health The link between sleep and brain longevity.
Brain Health & Cognitive Care

For the worry about your brain no one took seriously.

Brain fog, memory changes, focus issues, and early cognitive concerns deserve thoughtful evaluation. Not reassurance. Not dismissal. Real clinical attention.

i.

Comprehensive Evaluation

Detailed neurological assessment, cognitive testing, and review of the medical, hormonal, and lifestyle factors that shape brain function.

ii.

Advanced Diagnostics

QEEG brain mapping, biomarker testing, and other advanced tools used when clinically appropriate to give you a clearer picture.

iii.

Personal Brain Health Plan

An individualized plan focused on protecting and supporting long-term cognitive function. Coordinated with our longevity team when desired.

For the patient focused on long-term cognitive health, our neurology care integrates seamlessly with our longevity medicine program. Brain health is a longevity question.

What to Expect

From your first visit to lasting care.

A neurological evaluation should not feel rushed. Here is what working with Dr. Vaysbrot and the Essenza team looks like, step by step.

01 Step One

Initial Consultation

We meet to learn about your symptoms, your history, the treatments you have tried, and the parts of your life this has been costing you.

60 minutes
02 Step Two

Comprehensive Evaluation

A thorough neurological exam and any indicated workup, which may include advanced testing like QEEG brain mapping, cognitive evaluation, or sleep assessment.

90 minutes
03 Step Three

Personalized Plan

A clear plan built around your goals. Medication strategy, advanced treatment options like Botox or TMS where appropriate, and lifestyle support.

60 minutes
04 Step Four

Ongoing Care

Close follow up. Adjustment over time. Coordination with our internal medicine, psychiatry, and women’s health teams when relevant.

Lifelong
Is This Right For You

Care for the patient medicine has stopped helping.

Our patients often share one experience. They have done the work, taken the medications, kept the appointments. And the problem is still there.

If any of these sound like you, we would welcome the conversation.

  • Patients with chronic migraine who have tried multiple medications
  • Adults whose headaches have outlasted every prior treatment
  • Patients ready to explore Botox, nerve blocks, or TMS for migraine
  • Adults experiencing brain fog, memory changes, or focus issues
  • Patients with a family history of cognitive decline or dementia
  • Adults dealing with insomnia, sleep apnea, or other sleep concerns
  • Patients with post-concussion symptoms that have not resolved
  • Adults seeking a neurologist who has the time to truly listen
Frequently Asked

Common questions about neurology at Essenza.

Who is the neurologist at Essenza Wellness?
Neurology and sleep medicine at Essenza Wellness are led by Dr. Maya Vaysbrot, DO, who is board-certified in both neurology and sleep medicine. Dr. Vaysbrot brings advanced training and a thoughtful, patient-centered approach to migraine, chronic headache, cognitive concerns, and sleep disorders.
What conditions does Essenza neurology treat?
We treat chronic and episodic migraine, chronic headache, cluster headache, hemicrania continua, cognitive concerns including brain fog and memory changes, mild cognitive impairment, post-concussion symptoms, and a full range of sleep disorders including insomnia, sleep apnea, restless legs syndrome, and REM behavior disorder. We also treat neuropathic pain conditions including occipital neuralgia and facial pain.
Do you offer Botox for migraine?
Yes. Botox is an FDA-approved preventive treatment for adults with chronic migraine, typically defined as 15 or more headache days per month. Treatment is delivered in our office every 12 weeks. Eligibility is determined after a comprehensive neurological evaluation with Dr. Vaysbrot.
What is TMS therapy and is it offered for migraine?
TMS (Transcranial Magnetic Stimulation) uses gentle magnetic pulses to stimulate specific brain regions. It is FDA cleared for migraine and major depression. TMS is non-invasive, requires no medication or anesthesia, and patients return to normal daily activities immediately after each session. A neurology evaluation is required to determine if TMS is right for you.
What is QEEG brain mapping?
QEEG is a quantitative brain mapping technology that records and analyzes the electrical activity of the brain. It is used to evaluate cognitive concerns, post-concussion changes, attention issues, and other neurologic patterns. QEEG is non-invasive, performed in our office in a single session, and is one of several advanced tools we may incorporate into your evaluation.
What are nerve blocks and when are they used?
Nerve blocks are a targeted treatment that uses local anesthetic injections to interrupt pain signals. They are used for occipital neuralgia, certain migraine variants, cluster headache, and some neuropathic pain conditions. They are an in-office procedure with rapid effect and are often used to break a long migraine cycle or as part of a broader preventive plan.
I am worried about my memory. Should I see a neurologist?
Yes. Persistent memory changes, brain fog, or focus issues deserve thoughtful clinical evaluation, especially if you have a family history of cognitive decline. Our practice provides comprehensive cognitive assessment including QEEG brain mapping and advanced biomarker testing when clinically appropriate. We work alongside our longevity team to focus on protecting and supporting long-term brain health.
Do you treat sleep disorders?
Yes. Dr. Vaysbrot is board-certified in sleep medicine in addition to neurology. We treat insomnia, sleep apnea, restless legs syndrome, REM behavior disorder, and circadian rhythm disorders. Sleep medicine is integrated into our broader neurology and longevity care.
Does Botox for migraine actually work?
For most patients with chronic migraine, yes. Clinical evidence shows that Botox reduces both the frequency and severity of migraine attacks in adults with 15 or more headache days per month. Most patients begin to see meaningful improvement after 2 to 3 treatment cycles, with continued benefit when treatment is maintained on a 12 week schedule. Botox is not effective for every patient or every type of migraine, which is why a comprehensive neurological evaluation comes first.
How long does Botox for migraine last?
The effect of Botox for migraine typically lasts about 12 weeks per treatment cycle. After that, the effect gradually wears off, which is why treatment is repeated every 12 weeks. Many patients see lasting reduction in migraine frequency the longer they remain on the protocol.
How many TMS sessions are needed for migraine?
A typical course of TMS for migraine involves a structured series of sessions over several weeks. The exact number depends on your symptoms, your response to early sessions, and your neurologist’s clinical judgment. Most patients begin to notice improvement during the treatment course, with continued benefit possible after the initial series.
Do you treat hormonal or menstrual migraine?
Yes. Hormonal migraine, menstrual migraine, and perimenopausal headache often have patterns that traditional neurology care misses. We work in coordination with our women’s health team to evaluate the hormonal context behind these attacks and build a treatment plan that addresses both the neurological and hormonal contributors.
Should I see a neurologist or a headache specialist?
A board-certified neurologist with experience in headache and migraine care can offer both. Dr. Vaysbrot treats migraine and chronic headache as a core focus of her practice, while also offering broader neurology expertise. For complex or treatment-resistant migraine, the depth of a neurologist who also functions as a headache specialist is often the right combination.
How is a concierge neurologist different from a regular neurologist?
A traditional neurology practice typically schedules short follow-up visits and manages a high patient volume. A concierge neurologist provides longer visits, direct communication, and care that is closely coordinated with your other physicians. At Essenza, that means your neurologist has the time to truly understand your case, the room to use advanced tools like Botox, TMS, and QEEG, and the integration with our internal medicine, psychiatry, and women’s health teams to treat you as one whole patient.
Do you accept insurance for neurology services?
Essenza Wellness operates on a concierge membership model. Many neurology services delivered within your membership can still be billed to your insurance plan based on coverage. Specific advanced treatments and tools may have separate billing considerations. We are happy to walk through how membership and insurance work together during your initial inquiry.
How do I get started?
Schedule a consultation by phone at 858-267-4872 or through the inquiry form on our website. In your first visit, Dr. Vaysbrot listens, takes a full history, and outlines what care could look like for you. From there, a personalized plan is built around your goals.
Begin Your Care

The neurologist worth the search.

You have done the work. Tried the medications. Sat through the appointments that went nowhere. This is the next conversation.

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Schedule a Consultation Explore Membership