TMS in Primary Care: The Future of Mental Health Access

October 3, 2025

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.

Meet the Author

About Dr. Nanos

You might also enjoy:

Podcast cover: “An Honest Conversation About TMS” with two doctors in business and white coats on a blue background

TMS Is a Crane. You Still Have to Climb the Mountain. — An Honest Conversation About TMS

September 28, 2026
Dr. Georgine Nanos sits down with Kyle Hartfield, founder of iTalk TMS, a patient-facing advocacy platform he built because he could not stand a minute of the existing content about it.
Podcast promo with two doctors and title “Who Do You Want to Be When You Die?”

"Who Do You Want to Be When You Die?" — Dr. James Ross on Reverse-Engineering a Life

September 23, 2026
Dr. Georgine Nanos sits down with Dr. James Ross, who practices what he prefers to call holistic brain health.
Gloved hands holding a red test tube in a lab with colorful vials in a rack

Colorectal cancer is moving into people in their 30s and 40s, and the intervention is not a new test.

September 21, 2026
Colorectal cancer is climbing 3% a year in adults under 50, and younger patients are nearly twice as likely to be diagnosed at stage 4. A UC San Diego surgeon on why, and the two words that fix most of it.

You Are Not Too Young for This — A Surgeon on the Cancer That Moved Into Your Thirties

September 14, 2026
Colorectal cancer used to be an older person's disease. It is not anymore. Dr. Nanos sits down with Sonia Ramamoorthy, they get into why it keeps getting caught late, and the answer is uncomfortable. The early symptoms are rectal bleeding and a change in bowel habits.