] Meet reproductive psychiatrist Dr. Sarah Oreck & the mission behind Mavida Health [11:00] Why specialized women's mental healthcare is so difficult to access [12:00] PMS vs. PMDD: what's the difference? [13:00] Premenstrual exacerbation vs. true PMDD [13:30] Why PMDD can feel life-altering [14:00] Hormone testing myths & why lab results often don't explain symptoms [14:30] Progesterone sensitivity and the latest PMDD theories [15:00] Why PMDD symptoms can worsen during perimenopause [16:00] Cycle tracking, spreadsheets & identifying hormonal patterns [17:00] Estrogen, progesterone & their effects on the brain [17:30] Serotonin, dopamine, GABA & mood regulation [18:00] PCOS, depression, anxiety & the mental health connection [19:00] How PMDD is actually diagnosed [21:00] The most effective lifestyle interventions for PMDD [21:30] Alcohol, caffeine, nutrition, exercise & symptom management [22:00] Calcium, magnesium, chasteberry & supplement evidence [22:30] Why PMDD diagnosis is still largely clinical [23:30] SSRIs for PMDD: how they work & when they're appropriate [24:00] Continuous vs. luteal-phase SSRI treatment [25:00] Birth control pills and PMDD: who benefits and who doesn't [26:00] Why there's no single "best" birth control pill [27:00] The viral Pepcid + Allegra PMDD trend explained [28:00] Histamine, mast cells & emerging PMDD research [29:00] Why women are desperate for better answers [30:00] Pregnancy and mental health: what nobody talks about [31:00] Why pregnancy can trigger anxiety and depression [32:00] Morning sickness, chronic symptoms & emotional health [33:00] Postpartum depression vs. postpartum anxiety [34:00] Fertility treatment, miscarriage & pregnancy-related anxiety [35:00] Red flags that suggest postpartum depression [36:00] Feelings of guilt, hopelessness & loss of functioning [36:30] Therapy, SSRIs & postpartum treatment options [37:00] Zurzuvae: the first FDA-approved postpartum depression pill [39:00] Why insurers are covering postpartum depression treatment [40:00] Personal postpartum stories from Dr. Lucky and Dr. Alicia [42:00] Difficulty bonding with a baby & why it's more common than people realize [44:00] Perimenopause, mood swings, insomnia & irritability [45:00] Why hormonal transitions amplify existing vulnerabilities [46:00] Hormone therapy vs. psychiatric medications during perimenopause [47:00] What women with PMDD should expect in perimenopause [48:00] The importance of symptom tracking and self-advocacy [50:00] What OB/GYNs and primary care providers should know about women's mental health [51:00] ADHD in women and why symptoms often emerge during perimenopause [52:00] Overhyped mental health trends: ketamine, psychedelics & "silver bullet" thinking [53:00] PCOS and mental health: the connection we still don't fully understand [54:00] The biggest myths about psychiatric medications [55:00] Resources for women looking for specialized support Let’s continue the conversation! Leave us a voicemail with your questions at 754-CALLDOC (754) 225-5362. Nothing is off limits.  Follow Us on Instagram:  @callyourdoctorpodcast  @lucky.sekhon   @aliciarobbinsmd