#26: Hormones & Mental Health: What Every Parent Should Know About Mood Shifts Across the Lifespan with Dr. Milena Smith

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In this eye-opening episode of Parenting Shrink Wrapped, Dr. Melissa Wellner and Sam Straub welcome psychiatrist Dr. Milena Smith to talk about the emotional and mental health impacts of hormonal changes—from the postpartum period to perimenopause and beyond. Dr. Smith, an expert in reproductive psychiatry, breaks down how hormonal transitions can trigger mood and anxiety symptoms, what signs to watch for, and how to get help that actually works.

They discuss the realities of postpartum depression (including in dads!), why perimenopause can feel like an emotional rollercoaster, and how medications like SSRIs help increase neuroplasticity and create space for healing. With practical tips, personal stories, and science-backed insight, this episode is a must-listen for any parent navigating—or anticipating—a hormonally charged life phase.

About Milena

Dr. Smith attended medical school at UCSF, then completed her psychiatry residency at The Johns Hopkins Hospital, where she remains a part-time Instructor. Dr. Smith specializes in reproductive psychiatry, treating women with mood and anxiety disorders at times of hormonal change such as during and after pregnancy, premenstrually and through perimenopause. 

Connect with Milena

Website: https://milenasmithmd.clientsecure.me/

Resources mentioned in the episode

Postpartum Support International 
womensmentalhealth.org 

The Menopause Society

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