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Breastfeeding is a low Estrogen state

It is widely recognized that menopause can significantly influence various aspects of a woman's well-being, particularly mood, anxiety levels, concentration, and memory capabilities. However, it is equally important to acknowledge that breastfeeding can also affect these same areas, as it is associated with a state of low estrogen. While breastfeeding is a beautiful and rewarding experience for many mothers, it can also come with its own set of challenges. For those mothers who find themselves struggling with the breastfeeding process or experiencing considerable pain during feeding, the risk of developing postpartum depression can be notably heightened. This is a critical issue, as postpartum depression can adversely affect both the mother and the child, potentially impacting the mother’s ability to bond with her baby and care for her family's needs effectively.

Mother breastfeeding infant on a bed in a softly lit room. She's wearing striped clothing, and there's a peaceful, nurturing atmosphere.
A mother lovingly breastfeeds her baby in a peaceful and tender moment on a sunlit bed.

Furthermore, it is essential to understand that different medications can have varying degrees of transfer into breast milk, which is an important consideration for nursing mothers who may require treatment for mental health issues or other medical conditions. The concept known as the relative infant dose (RID) is crucial in this context. If the RID is less than 10%, the medication is generally regarded as safe for breastfeeding mothers to use. In fact, for certain medications, this percentage can be remarkably low, sometimes even less than 1%. Such minimal exposure to the infant is reassuring for mothers who may be concerned about the effects of medication on their nursing child. This information empowers mothers to make informed decisions regarding their health while ensuring the safety of their infants.


Access to mental healthcare is vital for mothers, as it plays a significant role in their ability to raise healthy babies and children. Mental health issues, if left unaddressed, can lead to a range of complications that extend beyond the immediate postpartum period, affecting not only the mother’s quality of life but also the developmental and emotional well-being of their children. Therefore, it is imperative that healthcare systems provide adequate support and resources to mothers, particularly during the postpartum phase, when they are most vulnerable. This includes access to counseling, support groups, and appropriate medical treatment when necessary.


Ultimately, the journey of motherhood is complex and multifaceted, and understanding the interplay between hormonal changes, mental health, and breastfeeding is crucial for promoting the overall health of mothers and their children. It is important for society to recognize these challenges and provide the necessary support systems to ensure that every mother has the opportunity to thrive in her role, fostering a nurturing environment for her family.


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Tally Reproductive Psychiatrist, LLC

Private Practice of Jamie Sorenson, MD

3689 Coolidge Court Unit 5

Tallahassee, FL 32311

Call or Text: 850-694-2008

Fax: (786) 590-1485

Email: info@tallyrepropsych.com

Online Scheduling:

https://tallyrepropsych.clientsecure.me/

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Conditions Dr. Sorenson has expertise in:

  • Attention Deficit Hyperactivity Disorder (ADHD)

  • Autism Spectrum Disorder (ASD)

  • Obsessive Compulsive Disorder (OCD)

  • Depression or Major Depressive Disorder (MDD)

  • Anxiety or Generalized Anxiety Disorder (GAD)

  • Panic Disorder with and without agorophobia

  • Bipolar Disorder

  • Bipolar 2 Disorder

  • Post Traumatic Stress Disorder (PTSD)

  • Chronic Post Traumatic Stress Disorder (CPTSD)

  • Premenstrual Dysphoric Disorder (PMDD) or Premenstrual Exacerbation of a mood disorder (PME)

  • Perinatal Depression and Postpartum Depression

  • Perinatal Anxiety and Postpartum Anxiety

  • Perinatal OCD and Postpartum OCD

  • Perinatal Psychosis and Postpartum Psychosis

  • Perimenopause/Menopause Mood and Anxiety Disorders

  • Perimenopause/Menopause Cognitive Disorders

  • Gender Dysphoria

  • LGBTQI Mental Health

  • Mood and anxiety disorders while undergoing infertility treatments

Comorbidities not directly treated by Dr. Sorenson that will routinely be considered in your individualized treatment plan and recommendations:

  • Ehlers-Danlos Syndrome

  • Hypermobility Spectrum Disorders

  • Mast Cell Activation Syndrome (MCAS)

  • Postural Orthostatic Tachycardia Syndrome (POTS), dysautonomia, and Mitral Valve Prolapse

  • Fibromyalgia 

  • Chronic Pain

  • Chronic Fatigue Syndrome (CFS)

  • Insomnia and Sleep Apnea

  • Narcolepsy and Idiopathic Hypersomnia

  • Chiari Malformation

  • Small Fiber Neuropathy

  • Pelvic organ prolapse, incontinence, chronic pelvic pain, pelvic floor dysfunction, hernias

  • Irritable Bowel Syndrome (IBS), gastroparesis, gut dysmotility

  • Bladder Pain Syndrome (previously interstitial cystitis)

  • Osteoporosis/Osteopenia

  • Dental Problems/TMJ

  • Migraines and Headaches​

  • Hormone Replacement Therapy (HRT)

  • Infertility Treatment

  • Endometriosis 

  • Polycystic Ovarian Syndrome (PCOS)

  • Thyroid Disorders: Hypothyroidism and Hyperthyroidism

  • Raynaud's Disease

  • Autoimmune disorders: Lupus (SLE), Sjogren's Syndrome, Hashimoto's thyroiditis and Grave's DiseaseCREST SyndromeSclerodermaCeliac Disease and Ulcerative Colitis (UC)Psoriasis/Psoriatic ArthritisRheumatoid Arthritis (RA), Multiple Sclerosis (MS) and Neuromyelitis optica (NMO)

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