Over 70% of antidepressants are prescribed by family doctors, not psychiatrists. So why isn't TMS in every primary care office?
In this paradigm-shifting episode of The Kind Revolution Podcast, host Nate and Dr. Georgine Nanos explore why Transcranial Magnetic Stimulation (TMS) belongs in primary care settings - where most mental health journeys actually begin. Dr. Nanos reveals the uncomfortable truth about antidepressant effectiveness from the landmark STAR*D study: only 1 in 3 patients respond to their first medication, leaving two-thirds cycling through trial-and-error while managing debilitating side effects.
The conversation explores how primary care physicians are the true front line of mental health, yet have been fighting brain health problems with limited tools for decades. Dr. Nanos shares compelling patient stories - from the postpartum mom afraid to take medications while breastfeeding to the burned-out executive who needed his brain back - demonstrating how TMS in primary care settings removes stigma, reduces wait times, and provides targeted circuit-based treatment without systemic side effects.
TIMESTAMPS:00:00 - Introduction: Moving TMS into Primary Care03:45 - Primary Care as Mental Health Front Line08:20 - The Hidden Reality of Depression Presentations12:15 - Limits of Current Treatment Options16:40 - The STAR*D Study Truth About Antidepressants21:30 - Enter TMS: A Circuit-Based Solution27:45 - Patient Story: Sarah's Pancake Morning32:10 - How TMS Works: Traffic Engineer Analogy38:25 - Postpartum Mom Success Story42:50 - Executive Burnout Transformation47:15 - Breaking Down Stigma in Primary Care52:30 - The Future: Prevention vs Crisis Response58:20 - Brain Health Optimization Vision
WHAT YOU'LL LEARN:✓ Why 80% of mental health concerns first surface in primary care✓ The real success rates of antidepressants from STAR*D research✓ How TMS targets brain circuits instead of flooding the body with chemicals✓ Why primary care integration removes mental health stigma✓ Patient stories proving TMS works in family medicine settings✓ The difference between sedation and actual circuit repair✓ Future applications: PTSD, ADHD, chronic pain, early Alzheimer's✓ How brain health prevention could work like heart disease prevention✓ Why waiting lists and psychiatrist shortages don't have to be barriers
ABOUT DR. GEORGINE NANOS:
Board-certified physician pioneering TMS integration in primary care settings. Founder of Kind TMS and advocate for removing barriers to mental health treatment. Serving patients worldwide through comprehensive wellness and innovative brain health solutions.
KIND HEALTH GROUP & KIND TMS
📍 North County San Diego, California
🌍 Serving patients worldwide via telemedicine
🏥 Primary care integration and TMS therapy
🌐 kindhealthgroup.com
This conversation represents the future of mental health care - comprehensive, accessible, stigma-free treatment delivered where patients already feel safe.
SHARE THIS VIDEO: Essential viewing for healthcare providers, patients, and anyone who believes mental health treatment should be as accessible as any other medical care.If you're experiencing mental health crisis, call 988 Suicide & Crisis Lifeline. This content is educational and not a substitute for professional evaluation.