Listen to our weekly mental health podcast:
“A Little Help For Our Friends”
A podcast by KulaMind, hosted by Founder Dr. Kibby McMahon, created for anyone navigating the mental health or addiction struggles of others. Each episode dives into what’s really going on beneath the surface, why people struggle, how it impacts you, and what can actually help. We cover a range of topics like dealing with toxic relationships, narcissism, boundaries, family dynamics and more, always with warmth, honesty, and expert insight.
Episodes
Ep. 163- Interview with Dr. Geoffrey Grammer: New Frontiers in Treating Depression When Meds Fail
What if you've tried everything, but are still depressed? Did you know that one third of people with depression don’t get enough relief from antidepressants? In this episode, I talk to psychiatrist and CMO of Neuronetics, Dr. Geoffrey Grammer, about what should people do when our mainstream treatments for depression fails us. He sheds light on new advancements for treatment-resistant depression: transcranial magnetic stimulation (TMS) and nasal esketamine, two evidence-based treatments that target the brain differently and raise the odds after meds stall.
We first talk about just how disappointing traditional medications and psychotherapies can be for chronically depressed patients. Then, Dr. Grammer explains how TMS works (precise, noninvasive brain stimulation that strengthens underactive mood circuits), what a session feels like, timelines for improvement, and why side effects are minimal compared to systemic drugs. We also explore nasal esketamine (Spravato) and how it works. Along the way, we dig into augmentation meds, common pitfalls, and the role of psychotherapy in turning short-term gains into lasting change.
Have a podcast idea or want to collaborate?
We’d love to hear from you. If you have an idea for a podcast episode, are interested in being a guest, or would like us to join your show - reach out!
