Dr. Owen Scott Muir, a child and adolescent psychiatrist, discusses the potential of transcranial magnetic stimulation (TMS) as a first-line treatment for depression. He shares his personal experience with TMS and explains the different modalities and protocols used in TMS therapy. Dr. Muir emphasizes the effectiveness and safety of TMS compared to traditional medications, highlighting the high remission rates observed in clinical trials. He also discusses the need for changes in payment models and insurance coverage to make TMS more accessible and affordable for patients. Dr. Owen Muir discusses the need for evidence-based research in the field of psychiatry and the importance of humility in acknowledging the limitations of current treatments. He emphasizes the need to treat depression as seriously as other medical conditions and advocates for faster and more effective treatment options. Dr. Muir also highlights the potential of artificial intelligence and wearable technology in detecting and measuring mental health conditions. He shares his personal experience as a patient and how it has shaped his approach to psychiatry.