Ep. 430: Mental Health Medications in Pregnancy & Postpartum with Dr. Lasseter

This episode is brought to you by Cozy Earth, makers of luxuriously soft bamboo sheets, blankets, and sleep essentials. Because your rest matters, mamas. Cozy Earth makes it easier to get the cozy, breathable sleep your body (and your little one) deserve. Use code HEHE at https://cozyearth.com/ for 20% off your order and treat yourself to the sleep you’ve been dreaming of. In this episode, HeHe sits down with Dr. Kristin Lasseter to unpack perinatal mental health with a focus on postpartum anxiety (PPA) versus postpartum depression (PPD), how they differ, and when “baby blues” may signal something more. While mood shifts are common in the early postpartum days, symptoms that persist beyond a couple of weeks, disrupt sleep, bring constant anxiety or sadness, intrusive thoughts, or thoughts of death deserve real support. They talk candidly about the guilt, shame, and fear of judgment that keep many women silent, and why telling one safe person can be a powerful first step. The conversation explores common risk factors like fertility struggles, pregnancy or birth complications, and PMDD, along with the significant hormonal shift that happens after the placenta is delivered and why the brain can feel especially vulnerable during that window. HeHe and Dr. Lasseter also navigate the often-stigmatized topic of psychiatric medication during pregnancy and postpartum. They discuss why abruptly stopping medication is usually unsafe, how to thoughtfully weigh medication risks against the risks of untreated mental illness, what research tells us about breastfeeding compatibility, and what to expect when starting or adjusting treatment. They touch on newer, faster-acting postpartum depression options, therapy modalities like CBT and EMDR, and additional treatments such as TMS and ECT. The episode closes with an honest conversation about bounce-back culture, social media pressure, and choosing support systems that protect a mother’s mental health. Throughout, the message is clear: evidence-based care matters, suffering in silence isn’t a badge of honor, and there is no shame in using medication when it’s needed. 0:00 - Introduction: Mental Health Medications in Pregnancy & Postpartum 4:36 - Postpartum Anxiety vs Postpartum Depression: Key Differences 6:01 - Normal Baby Blues vs Red Flags: When to Seek Help 9:51 - Intrusive Thoughts & Breaking the Stigma 17:26 - Medication Safety in Pregnancy: What You Need to Know 24:43 - Should You Stop Your Meds When Pregnant? 30:03 - Hormones & Mental Health: The Postpartum Crash 43:56 - Breastfeeding While on Psychiatric Medications 51:26 - How Long Should You Stay on Medication? 60:50 - Fighting the "Bounce Back" Culture & Social Media's Impact   Guest Bio: Kristin Yeung Lasseter, MD is a Board-Certified Psychiatrist in Texas who specializes in Reproductive Psychiatry and Women’s Mental Health.  She graduated cum laude from Southwestern University with a Bachelors of Science in Biology prior to attending medical school at the Long School of Medicine at the University of Texas Health Science Center in San Antonio. Dr. Lasseter excelled in medical school and was awarded membership into the prestigious Alpha Omega Alpha Medical Honor Society. After receiving her Medical Degree, she completed Psychiatry residency at Dell Medical School at The University of Texas at Austin where she served as Chief Resident. She additionally spent time training in Reproductive Psychiatry at Baylor College of Medicine in Houston.  Dr. Lasseter founded Reproductive Psychiatry Clinic of Austin in 2018, which now hosts multiple psychiatrists and psychotherapists specialized in treating mental health disorders related to the reproductive lifespan. She dedicates much of her time educating the public and other providers about reproductive mental illness through speaking engagements, writing and social media.   Connect with Dr. Lasseter:   www.rpcaustin.com   www.kristinlassetermd.com   https://www.instag