Dr. Doreen Fukushima on Why Mental Health Matters as Much as Physical Health

October 15, 2025

Hawaii psychiatrist Dr. Doreen Fukushima: "I never wanted to be a psychiatrist." Now she's bringing TMS to isolated Pacific islands with year-long wait lists. 


In this raw, unfiltered conversation on The Kind Revolution Podcast, Dr. Georgine Nanos interviews Dr. Doreen Fukushima, a Kauai-based psychiatrist who's revolutionizing mental health access in Hawaii through transcranial magnetic stimulation (TMS). Dr. Fukushima discusses the brutal reality of psychiatric care in isolated communities - where wait times stretch to a year and she's the only psychiatrist serving entire islands. 


Dr. Fukushima breaks down critical topics most doctors avoid: cannabis-induced psychosis in the 2% with genetic predisposition, why psychiatrists need mental health checks too, and how drug-induced symptoms can trigger permanent psychiatric conditions in developing brains under 25. She reveals why the ExoMind device is changing patient experiences from intimidating to spa-like, and how TMS applications are expanding beyond depression to stroke recovery, chronic pain, and preventive brain health. 


 WHAT YOU'LL LEARN: 

✓ Reality of psychiatric care in isolated island communities 

✓ How cannabis can trigger permanent psychosis in 2% of users 

✓ Why brain development under age 25 matters for drug use 

✓ ExoMind device vs traditional intimidating TMS machines 

✓ TMS applications beyond depression: stroke, pain, prevention 

✓ Why psychiatrists should collaborate with primary care 

✓ Mental health access crisis statistics 

✓ Drug interactions with TMS and surgical anesthesia 

✓ Breaking the "crazy" stigma around psychiatric care 

✓ Future vision: TMS as first-line prevention 


ABOUT DR. DOREEN FUKUSHIMA: Hawaii-born psychiatrist serving Kauai's Wilcox Medical Center. Founder of Ho'omana Brain Health and Wellness Spa. Specializes in interventional psychiatry including TMS, esketamine, and ECT. Graduate of University of Hawaii John A. Burns School of Medicine. 


HEALTH AND WELLNESS SPA 

📍 Kauai, Hawaii 

🏥 Interventional psychiatry and TMS 

🌺 Serving Hawaii's island communities 


This conversation strips away the polished veneer to reveal the real challenges and breakthroughs in psychiatric care - from island isolation to cannabis risks to the future of preventive brain health. 


SHARE THIS VIDEO: Essential viewing for anyone who's ever felt "crazy" for needing help or waited months for psychiatric care. If you're experiencing mental health crisis, call 988 Suicide & Crisis Lifeline. This content is educational and not a substitute for professional mental health evaluation.

Meet the Author

About Dr. Nanos

You might also enjoy:

What Is Emsella? Your Questions Answered

February 2, 2026
If you've been struggling with bladder leaks during workouts, sneezing, or laughing and Kegels haven't solved the problem, you're not alone. Learn about Emsella.
Two women smiling in front of a title card that says

Wellness Theater vs. Real Medicine: A Doctor's Honest Take on Longevity Trends

January 30, 2026
Longevity medicine is a trillion-dollar industry—but what actually works? Dr. Georgine Nanos, board-certified physician with 20+ years of family medicine experience, separates wellness theater from real science in this honest conversation about supplements, detoxes, brain health, heart disease, GLP-1s, and the fundamentals that truly impact how long and how well you live. In this episode: ⏱️ 0:00 - Introduction ⏱️ 3:17 - Why the wellness industry is exploding (and who's profiting) ⏱️ 5:30 - What actually works: The unsexy fundamentals ⏱️ 7:01 - "Wellness theater" explained—the illusion of health ⏱️ 8:47 - The truth about detoxes and cleanses (spoiler: your liver already does this) ⏱️ 11:57 - Supplement dangers: Why "natural" doesn't mean safe ⏱️ 13:58 - PSA: Tell your doctor what supplements you're taking ⏱️ 15:53 - Brain health and longevity: The stress-aging connection ⏱️ 19:49 - Heart disease: The #1 killer no one talks about ⏱️ 22:17 - GLP-1 medications: Why they're revolutionary ⏱️ 27:18 - VO2 max and Zone 2 training: Simple cardio that extends life ⏱️ 31:19 - Why patients distrust doctors (and it's not the doctors' fault) ⏱️ 35:55 - Red flags: Spotting fake "experts" online ⏱️ 38:55 - Where to start in 2026 without burning out 📍 Kind Health Group is a San Diego-based integrative primary care practice offering comprehensive wellness programs, advanced cardiac testing, brain health services 🔗 CONNECT WITH US: Website: kindhealthgroup.com Instagram: @kindhealthgroup Gallery Test (cancer screening) Prenuvo MRI InBody scans Zone 2 training research GLP-1 medications (Ozempic, Wegovy, etc.) 💬 If this episode helped you feel more grounded about your health, share it with someone who needs that reminder. This is The Kind Revolution Podcast—subscribe for more conversations about brain health, longevity, and transforming how we think about healthcare.
Woman receiving facial laser treatment in a medical setting; practitioner holds device to face, both wear eye protection.

The Truth About Laser Skin Treatments: What I Wish More Women Knew

January 28, 2026
Confused about laser treatments? Dr. Nanos breaks down CoolPeel, CO2, and more—no jargon, just honest guidance for women navigating midlife skin.
Title card:

Do You Even Need a Primary Care Doctor? Family Medicine Physician Explains Why

January 23, 2026
Family medicine physicians treat 80-90% of mental health, coordinate all your care, and pioneered longevity medicine. Here's why everyone needs a primary doctor.