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To Breastfeed or Not?

There are many reasons why a mother may choose not to breastfeed her child, and it is essential to recognize that all of these reasons are valid and deserve respect. For many women, medical conditions can complicate or even pose significant risks when it comes to breastfeeding. For instance, women who are diagnosed with bipolar disorder may face unique challenges that make breastfeeding particularly difficult. In fact, I would argue that these women should receive special consideration and understanding when it comes to their choice to forgo breastfeeding. Prioritizing their mental health and ensuring they get sufficient sleep throughout the night is crucial, as sleep plays a vital role in regulating bipolar disorder effectively.


The Importance of Sleep in Managing Bipolar Disorder

One of the most effective strategies for managing bipolar disorder is to maintain a consistent sleep schedule. Sleep disruptions can trigger episodes of depression, mania, or even psychosis, particularly in the postpartum period, which can be an incredibly vulnerable time for new mothers. The potential for experiencing severe mood swings or mental health crises during this time is a real concern, and it is essential to prioritize the well-being of the mother. Medications commonly prescribed to manage bipolar disorder, such as aripiprazole, can also impact milk production, making breastfeeding even more challenging for these women.


Respecting a Mother's Choice

Ultimately, the decision to breastfeed or not is deeply personal, and no mother should feel pressured to justify her choice. It is her body, her experience, and her decision. Instead of casting judgment or offering unsolicited advice, we should be extending our support and understanding. A simple gesture, such as baking a comforting dish like lasagna for a new mother, can go a long way in providing the support she needs during this challenging time.


A baby breastfeeding, held by a woman in a white top. Soft-focus background. The mood is calm and nurturing.
A nurturing moment between mother and baby as they share a peaceful breastfeeding session, capturing the essence of early bonding and tenderness.

The Reality of Breastfeeding

It is also important to acknowledge that breastfeeding can be an incredibly demanding and time-consuming endeavor. For many mothers who choose to breastfeed, it can feel like a full-time job, with constant feedings and the physical and emotional toll that comes with it. It is quite surprising that, as a society, we do not provide more comprehensive support for those mothers who decide to embark on this journey. In conclusion, whether a mother chooses to breastfeed or not, her choice should be honored and respected. We must foster an environment of understanding and support, recognizing the complexities of each woman's situation and the myriad factors that influence her decision. By doing so, we can create a more compassionate community for all mothers, regardless of how they choose to nourish their children.




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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

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  • Chronic Fatigue Syndrome (CFS)

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  • 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

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  • 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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