{"version":"1.0.0","segments":[{"speaker":"Laurie Poole","startTime":31.1,"endTime":33.71,"body":"while being"},{"speaker":"Laurie Poole","startTime":31.1,"endTime":33.71,"body":"pregnant or having a baby as a"},{"speaker":"Laurie Poole","startTime":33.71,"endTime":37.49,"body":"happy occasion, they can also be"},{"speaker":"Laurie Poole","startTime":33.71,"endTime":37.49,"body":"a time of overwhelming stress"},{"speaker":"Laurie Poole","startTime":37.49,"endTime":41.870000000000005,"body":"for many women. Joining me today"},{"speaker":"Laurie Poole","startTime":37.49,"endTime":41.870000000000005,"body":"for straight talk on postpartum"},{"speaker":"Laurie Poole","startTime":41.870000000000005,"endTime":45.2,"body":"wellness and mental health is"},{"speaker":"Laurie Poole","startTime":41.870000000000005,"endTime":45.2,"body":"holistic psychiatrist and"},{"speaker":"Laurie Poole","startTime":45.2,"endTime":49.519999999999996,"body":"neurologist Dr. Aparna Iyer. She"},{"speaker":"Laurie Poole","startTime":45.2,"endTime":49.519999999999996,"body":"completed her residency training"},{"speaker":"Laurie Poole","startTime":49.519999999999996,"endTime":53.6,"body":"in psychiatry at Albany Medical"},{"speaker":"Laurie Poole","startTime":49.519999999999996,"endTime":53.6,"body":"Center in New York, where she"},{"speaker":"Laurie Poole","startTime":53.6,"endTime":57.08,"body":"was selected as a chief resident"},{"speaker":"Laurie Poole","startTime":53.6,"endTime":57.08,"body":"and continued on to work as an"},{"speaker":"Laurie Poole","startTime":57.08,"endTime":61.49,"body":"Assistant Professor and Faculty"},{"speaker":"Laurie Poole","startTime":57.08,"endTime":61.49,"body":"member. Dr. Iyer also served as"},{"speaker":"Laurie Poole","startTime":61.49,"endTime":64.28,"body":"an assistant professor in the"},{"speaker":"Laurie Poole","startTime":61.49,"endTime":64.28,"body":"Department of Psychiatry at the"},{"speaker":"Laurie Poole","startTime":64.28,"endTime":68.30000000000001,"body":"University of Texas Southwestern"},{"speaker":"Laurie Poole","startTime":64.28,"endTime":68.30000000000001,"body":"Medical Center. She has been"},{"speaker":"Laurie Poole","startTime":68.30000000000001,"endTime":71.06,"body":"recognized as one of D"},{"speaker":"Laurie Poole","startTime":68.30000000000001,"endTime":71.06,"body":"Magazine's Best Doctors in"},{"speaker":"Laurie Poole","startTime":71.06,"endTime":75.65,"body":"Dallas and best doctors in"},{"speaker":"Laurie Poole","startTime":71.06,"endTime":75.65,"body":"Collin County. Dr. Iyer has a"},{"speaker":"Laurie Poole","startTime":75.65,"endTime":79.46000000000001,"body":"private practice in Frisco Texas"},{"speaker":"Laurie Poole","startTime":75.65,"endTime":79.46000000000001,"body":"where she sees outpatients and"},{"speaker":"Laurie Poole","startTime":79.46000000000001,"endTime":82.1,"body":"has a special interest in"},{"speaker":"Laurie Poole","startTime":79.46000000000001,"endTime":82.1,"body":"working with women who are"},{"speaker":"Laurie Poole","startTime":82.1,"endTime":85.67,"body":"pregnant and postpartum."},{"speaker":"Laurie Poole","startTime":82.1,"endTime":85.67,"body":"Welcome, Aparna. And thank you"},{"speaker":"Laurie Poole","startTime":85.67,"endTime":89.21000000000001,"body":"for joining us on therapist"},{"speaker":"Laurie Poole","startTime":85.67,"endTime":89.21000000000001,"body":"unplug. This is such an"},{"speaker":"Laurie Poole","startTime":89.21000000000001,"endTime":93.56,"body":"important topic. And we are in"},{"speaker":"Laurie Poole","startTime":89.21000000000001,"endTime":93.56,"body":"dire need of some straight talk"},{"speaker":"Laurie Poole","startTime":93.59,"endTime":96.5,"body":"about women's mental and"},{"speaker":"Laurie Poole","startTime":93.59,"endTime":96.5,"body":"emotional health, during"},{"speaker":"Laurie Poole","startTime":96.5,"endTime":100.13,"body":"pregnancy and postpartum. So I"},{"speaker":"Laurie Poole","startTime":96.5,"endTime":100.13,"body":"am delighted to have this"},{"speaker":"Laurie Poole","startTime":100.13,"endTime":102.95,"body":"conversation with you today. Me"},{"speaker":"Laurie Poole","startTime":100.13,"endTime":102.95,"body":"too. Thanks"},{"speaker":"Dr. Iyer","startTime":102.95,"endTime":103.82000000000001,"body":"for having me."},{"speaker":"Laurie Poole","startTime":104.09,"endTime":107.24,"body":"Absolutely. My"},{"speaker":"Laurie Poole","startTime":104.09,"endTime":107.24,"body":"pleasure. So tell me, you know,"},{"speaker":"Laurie Poole","startTime":107.27,"endTime":110.84,"body":"um, as I was mentioning, before"},{"speaker":"Laurie Poole","startTime":107.27,"endTime":110.84,"body":"we got started, I had my first"},{"speaker":"Laurie Poole","startTime":110.84,"endTime":115.64,"body":"baby almost 40 years ago, and"},{"speaker":"Laurie Poole","startTime":110.84,"endTime":115.64,"body":"was debilitated with postpartum"},{"speaker":"Laurie Poole","startTime":115.64,"endTime":119.12,"body":"anxiety. I couldn't eat, I"},{"speaker":"Laurie Poole","startTime":115.64,"endTime":119.12,"body":"couldn't sleep, the community"},{"speaker":"Laurie Poole","startTime":119.12,"endTime":122.21000000000001,"body":"health nurse told me that if I"},{"speaker":"Laurie Poole","startTime":119.12,"endTime":122.21000000000001,"body":"didn't stop crying, my husband"},{"speaker":"Laurie Poole","startTime":122.21000000000001,"endTime":127.4,"body":"wouldn't come home. People did"},{"speaker":"Laurie Poole","startTime":122.21000000000001,"endTime":127.4,"body":"not talk about what happens"},{"speaker":"Laurie Poole","startTime":127.43,"endTime":131.75,"body":"emotionally, and mentally, maybe"},{"speaker":"Laurie Poole","startTime":127.43,"endTime":131.75,"body":"even physically after you have a"},{"speaker":"Laurie Poole","startTime":131.75,"endTime":134.99,"body":"baby. So I'm curious, like, how"},{"speaker":"Laurie Poole","startTime":131.75,"endTime":134.99,"body":"did you get interested in this"},{"speaker":"Laurie Poole","startTime":134.99,"endTime":137.09,"body":"whole area of psychiatry."},{"speaker":"Dr. Iyer","startTime":138.2,"endTime":142.49,"body":"So I find that a lot"},{"speaker":"Dr. Iyer","startTime":138.2,"endTime":142.49,"body":"of us like you, like me, who"},{"speaker":"Dr. Iyer","startTime":142.51999999999998,"endTime":146.63,"body":"have ended up working with a lot"},{"speaker":"Dr. Iyer","startTime":142.51999999999998,"endTime":146.63,"body":"of patients in this field, have"},{"speaker":"Dr. Iyer","startTime":146.63,"endTime":151.67000000000002,"body":"a personal story that drives our"},{"speaker":"Dr. Iyer","startTime":146.63,"endTime":151.67000000000002,"body":"passion for it. So like you, I"},{"speaker":"Dr. Iyer","startTime":151.67000000000002,"endTime":155.57,"body":"had postpartum you know, I can't"},{"speaker":"Dr. Iyer","startTime":151.67000000000002,"endTime":155.57,"body":"even I don't even know what it"},{"speaker":"Dr. Iyer","startTime":155.57,"endTime":159.08,"body":"was, it was such a haze. But I"},{"speaker":"Dr. Iyer","startTime":155.57,"endTime":159.08,"body":"had, I definitely had postpartum"},{"speaker":"Dr. Iyer","startTime":159.08,"endTime":165.2,"body":"something. And I felt like"},{"speaker":"Dr. Iyer","startTime":159.08,"endTime":165.2,"body":"nobody really noticed. And I"},{"speaker":"Dr. Iyer","startTime":165.2,"endTime":170.54,"body":"strong armed my way through it."},{"speaker":"Dr. Iyer","startTime":165.2,"endTime":170.54,"body":"It was only retrospectively that"},{"speaker":"Dr. Iyer","startTime":170.54,"endTime":175.97,"body":"I was able to say, I think that"},{"speaker":"Dr. Iyer","startTime":170.54,"endTime":175.97,"body":"was a thing that I experienced."},{"speaker":"Dr. Iyer","startTime":176.3,"endTime":180.02,"body":"And I felt so very alone, when"},{"speaker":"Dr. Iyer","startTime":176.3,"endTime":180.02,"body":"that happened. Even though I had"},{"speaker":"Dr. Iyer","startTime":180.02,"endTime":183.14000000000001,"body":"all the support in the world, it"},{"speaker":"Dr. Iyer","startTime":180.02,"endTime":183.14000000000001,"body":"was like I couldn't access any"},{"speaker":"Dr. Iyer","startTime":183.14000000000001,"endTime":188.84,"body":"of that goodness. And I think"},{"speaker":"Dr. Iyer","startTime":183.14000000000001,"endTime":188.84,"body":"that at that point, I realized"},{"speaker":"Dr. Iyer","startTime":188.9,"endTime":194.6,"body":"that I did not want anybody else"},{"speaker":"Dr. Iyer","startTime":188.9,"endTime":194.6,"body":"to have to go through what I"},{"speaker":"Dr. Iyer","startTime":194.6,"endTime":199.04,"body":"went through. Which is why I"},{"speaker":"Dr. Iyer","startTime":194.6,"endTime":199.04,"body":"ended up in this field, I ended"},{"speaker":"Dr. Iyer","startTime":199.04,"endTime":202.19,"body":"up kind of throwing myself into"},{"speaker":"Dr. Iyer","startTime":199.04,"endTime":202.19,"body":"the data, and tried to figure"},{"speaker":"Dr. Iyer","startTime":202.19,"endTime":207.35,"body":"out data driven, compassionate"},{"speaker":"Dr. Iyer","startTime":202.19,"endTime":207.35,"body":"ways to help moms who are"},{"speaker":"Dr. Iyer","startTime":207.35,"endTime":210.74,"body":"pregnant or postpartum get the"},{"speaker":"Dr. Iyer","startTime":207.35,"endTime":210.74,"body":"emotional support they needed."},{"speaker":"Laurie Poole","startTime":211.7,"endTime":214.37,"body":"Fantastic, I think"},{"speaker":"Laurie Poole","startTime":211.7,"endTime":214.37,"body":"there's such a need for that."},{"speaker":"Laurie Poole","startTime":214.79,"endTime":219.77,"body":"And even though we talk about it"},{"speaker":"Laurie Poole","startTime":214.79,"endTime":219.77,"body":"more today, it's still very much"},{"speaker":"Laurie Poole","startTime":219.77,"endTime":224.51,"body":"one of those topics that I think"},{"speaker":"Laurie Poole","startTime":219.77,"endTime":224.51,"body":"when patients are going through"},{"speaker":"Laurie Poole","startTime":224.51,"endTime":227.87,"body":"it, they don't necessarily talk"},{"speaker":"Laurie Poole","startTime":224.51,"endTime":227.87,"body":"to others to say, Hey, I'm"},{"speaker":"Laurie Poole","startTime":227.87,"endTime":232.25,"body":"having these weird feelings, or"},{"speaker":"Laurie Poole","startTime":227.87,"endTime":232.25,"body":"I just don't feel myself, or"},{"speaker":"Laurie Poole","startTime":232.25,"endTime":235.31,"body":"this is more than the baby"},{"speaker":"Laurie Poole","startTime":232.25,"endTime":235.31,"body":"blues, whatever, the baby blues."},{"speaker":"Laurie Poole","startTime":235.88,"endTime":242.48,"body":"But there's, there's a hesitancy"},{"speaker":"Laurie Poole","startTime":235.88,"endTime":242.48,"body":"to be transparent about what"},{"speaker":"Laurie Poole","startTime":242.81,"endTime":245.54,"body":"patients are actually"},{"speaker":"Laurie Poole","startTime":242.81,"endTime":245.54,"body":"experiencing while they're in"},{"speaker":"Laurie Poole","startTime":245.54,"endTime":250.43,"body":"it. So I guess where I would"},{"speaker":"Laurie Poole","startTime":245.54,"endTime":250.43,"body":"like to start today is what's"},{"speaker":"Laurie Poole","startTime":250.43,"endTime":255.2,"body":"normal? And what are some of"},{"speaker":"Laurie Poole","startTime":250.43,"endTime":255.2,"body":"those symptoms or feelings or"},{"speaker":"Laurie Poole","startTime":255.2,"endTime":259.25,"body":"emotions that you should take"},{"speaker":"Laurie Poole","startTime":255.2,"endTime":259.25,"body":"that one should take notice of?"},{"speaker":"Laurie Poole","startTime":259.64,"endTime":262.25,"body":"That could be indicators, they"},{"speaker":"Laurie Poole","startTime":259.64,"endTime":262.25,"body":"should probably be speaking to"},{"speaker":"Laurie Poole","startTime":262.25,"endTime":263.03,"body":"their doctor."},{"speaker":"Dr. Iyer","startTime":264.44,"endTime":266.93,"body":"You know, I'm really"},{"speaker":"Dr. Iyer","startTime":264.44,"endTime":266.93,"body":"glad that you're asking this"},{"speaker":"Dr. Iyer","startTime":266.93,"endTime":270.02,"body":"question with regards to what's"},{"speaker":"Dr. Iyer","startTime":266.93,"endTime":270.02,"body":"normal, I think it would"},{"speaker":"Dr. Iyer","startTime":270.02,"endTime":273.71000000000004,"body":"surprise a lot of people know,"},{"speaker":"Dr. Iyer","startTime":270.02,"endTime":273.71000000000004,"body":"we live in this era of social"},{"speaker":"Dr. Iyer","startTime":273.71000000000004,"endTime":279.71000000000004,"body":"media, where people will tend to"},{"speaker":"Dr. Iyer","startTime":273.71000000000004,"endTime":279.71000000000004,"body":"post these pictures of"},{"speaker":"Dr. Iyer","startTime":279.71000000000004,"endTime":282.86,"body":"themselves having these idyllic"},{"speaker":"Dr. Iyer","startTime":279.71000000000004,"endTime":282.86,"body":"moments. And then they write"},{"speaker":"Dr. Iyer","startTime":282.86,"endTime":286.4,"body":"these words of extraordinary"},{"speaker":"Dr. Iyer","startTime":282.86,"endTime":286.4,"body":"gratitude, these beautiful words"},{"speaker":"Dr. Iyer","startTime":286.4,"endTime":290.84000000000003,"body":"around how perfect their bond is"},{"speaker":"Dr. Iyer","startTime":286.4,"endTime":290.84000000000003,"body":"with their baby. And I could see"},{"speaker":"Dr. Iyer","startTime":290.84000000000003,"endTime":295.1,"body":"how a woman who might be in a"},{"speaker":"Dr. Iyer","startTime":290.84000000000003,"endTime":295.1,"body":"more emotionally vulnerable spot"},{"speaker":"Dr. Iyer","startTime":295.1,"endTime":297.86,"body":"or maybe just had a baby and"},{"speaker":"Dr. Iyer","startTime":295.1,"endTime":297.86,"body":"what they're not feeling that"},{"speaker":"Dr. Iyer","startTime":297.86,"endTime":300.53,"body":"way in particular, they could"},{"speaker":"Dr. Iyer","startTime":297.86,"endTime":300.53,"body":"feel like there's something"},{"speaker":"Dr. Iyer","startTime":300.53,"endTime":305.03,"body":"weird or abnormal about about"},{"speaker":"Dr. Iyer","startTime":300.53,"endTime":305.03,"body":"that experience. But the reality"},{"speaker":"Dr. Iyer","startTime":305.03,"endTime":309.02,"body":"is that I wish that there was"},{"speaker":"Dr. Iyer","startTime":305.03,"endTime":309.02,"body":"more transparency around this"},{"speaker":"Dr. Iyer","startTime":309.02,"endTime":312.74,"body":"and that we could talk to our"},{"speaker":"Dr. Iyer","startTime":309.02,"endTime":312.74,"body":"friends and peers and other moms"},{"speaker":"Dr. Iyer","startTime":312.91999999999996,"endTime":316.4,"body":"who could openly express their"},{"speaker":"Dr. Iyer","startTime":312.91999999999996,"endTime":316.4,"body":"own experiences rather than"},{"speaker":"Dr. Iyer","startTime":316.4,"endTime":319.70000000000005,"body":"being invested and trying to"},{"speaker":"Dr. Iyer","startTime":316.4,"endTime":319.70000000000005,"body":"keep up this appearance. The"},{"speaker":"Dr. Iyer","startTime":320.0,"endTime":323.9,"body":"perfect because they never are."},{"speaker":"Dr. Iyer","startTime":320.0,"endTime":323.9,"body":"Actually what's normal is for"},{"speaker":"Dr. Iyer","startTime":323.9,"endTime":328.25,"body":"people to have ambivalence"},{"speaker":"Dr. Iyer","startTime":323.9,"endTime":328.25,"body":"during pregnancy and postpartum"},{"speaker":"Dr. Iyer","startTime":328.82000000000005,"endTime":332.27,"body":"To say, you know, I have all"},{"speaker":"Dr. Iyer","startTime":328.82000000000005,"endTime":332.27,"body":"these mixed feelings, and"},{"speaker":"Dr. Iyer","startTime":332.27,"endTime":335.48,"body":"they're so strong, and it feels"},{"speaker":"Dr. Iyer","startTime":332.27,"endTime":335.48,"body":"overwhelming, that I feel"},{"speaker":"Dr. Iyer","startTime":335.48,"endTime":338.03,"body":"extremely happy, and I feel"},{"speaker":"Dr. Iyer","startTime":335.48,"endTime":338.03,"body":"grateful. But at the same time,"},{"speaker":"Dr. Iyer","startTime":338.03,"endTime":341.57000000000005,"body":"I feel really sad and angry. I"},{"speaker":"Dr. Iyer","startTime":338.03,"endTime":341.57000000000005,"body":"think what can be so"},{"speaker":"Dr. Iyer","startTime":341.57000000000005,"endTime":345.83000000000004,"body":"disorienting about that is that"},{"speaker":"Dr. Iyer","startTime":341.57000000000005,"endTime":345.83000000000004,"body":"those feelings are exact"},{"speaker":"Dr. Iyer","startTime":345.83000000000004,"endTime":349.54999999999995,"body":"opposites of each other. And yet"},{"speaker":"Dr. Iyer","startTime":345.83000000000004,"endTime":349.54999999999995,"body":"they can coexist in your brain"},{"speaker":"Dr. Iyer","startTime":350.09000000000003,"endTime":352.78999999999996,"body":"around the same time around"},{"speaker":"Dr. Iyer","startTime":350.09000000000003,"endTime":352.78999999999996,"body":"something that maybe might be"},{"speaker":"Dr. Iyer","startTime":352.78999999999996,"endTime":358.13,"body":"like, the happiest time in your"},{"speaker":"Dr. Iyer","startTime":352.78999999999996,"endTime":358.13,"body":"life otherwise. Yeah, you know,"},{"speaker":"Dr. Iyer","startTime":358.13,"endTime":362.57000000000005,"body":"to answer your question, um, you"},{"speaker":"Dr. Iyer","startTime":358.13,"endTime":362.57000000000005,"body":"know, a lot of women postpartum"},{"speaker":"Dr. Iyer","startTime":362.6,"endTime":364.49,"body":"as their bodies are"},{"speaker":"Dr. Iyer","startTime":362.6,"endTime":364.49,"body":"transitioning and sort of"},{"speaker":"Dr. Iyer","startTime":364.49,"endTime":368.0,"body":"adjusting to not only these"},{"speaker":"Dr. Iyer","startTime":364.49,"endTime":368.0,"body":"hormonal shifts, his biological"},{"speaker":"Dr. Iyer","startTime":368.0,"endTime":372.40999999999997,"body":"and physiological shifts, but"},{"speaker":"Dr. Iyer","startTime":368.0,"endTime":372.40999999999997,"body":"also a true identity shift, not"},{"speaker":"Dr. Iyer","startTime":372.40999999999997,"endTime":375.40999999999997,"body":"only as an individual and as a"},{"speaker":"Dr. Iyer","startTime":372.40999999999997,"endTime":375.40999999999997,"body":"mother, but also within your"},{"speaker":"Dr. Iyer","startTime":375.40999999999997,"endTime":381.59000000000003,"body":"marriage, that you can have all"},{"speaker":"Dr. Iyer","startTime":375.40999999999997,"endTime":381.59000000000003,"body":"of these shifting emotions, and"},{"speaker":"Dr. Iyer","startTime":381.59000000000003,"endTime":386.9,"body":"that's normal. What. What I"},{"speaker":"Dr. Iyer","startTime":381.59000000000003,"endTime":386.9,"body":"would like to say, though, is"},{"speaker":"Dr. Iyer","startTime":386.9,"endTime":391.78999999999996,"body":"that it can be really hard"},{"speaker":"Dr. Iyer","startTime":386.9,"endTime":391.78999999999996,"body":"sometimes to identify, where's"},{"speaker":"Dr. Iyer","startTime":391.78999999999996,"endTime":395.78,"body":"that line where I should seek"},{"speaker":"Dr. Iyer","startTime":391.78999999999996,"endTime":395.78,"body":"additional support professional"},{"speaker":"Dr. Iyer","startTime":395.78,"endTime":400.13,"body":"help? versus what's like, okay,"},{"speaker":"Dr. Iyer","startTime":395.78,"endTime":400.13,"body":"yeah, are you feeling right now."},{"speaker":"Dr. Iyer","startTime":400.13,"endTime":402.62,"body":"And for example, you know, when"},{"speaker":"Dr. Iyer","startTime":400.13,"endTime":402.62,"body":"we think about depression, for"},{"speaker":"Dr. Iyer","startTime":402.62,"endTime":405.65,"body":"example, people are not"},{"speaker":"Dr. Iyer","startTime":402.62,"endTime":405.65,"body":"sleeping, maybe people are not"},{"speaker":"Dr. Iyer","startTime":405.65,"endTime":408.35,"body":"eating the way they normally do,"},{"speaker":"Dr. Iyer","startTime":405.65,"endTime":408.35,"body":"maybe they have low energy,"},{"speaker":"Dr. Iyer","startTime":408.44000000000005,"endTime":411.35,"body":"well, you have all of that"},{"speaker":"Dr. Iyer","startTime":408.44000000000005,"endTime":411.35,"body":"postpartum anyways, right, you"},{"speaker":"Dr. Iyer","startTime":411.35,"endTime":415.1,"body":"have low energy, your sleep,"},{"speaker":"Dr. Iyer","startTime":411.35,"endTime":415.1,"body":"your sleep is super choppy. So"},{"speaker":"Dr. Iyer","startTime":415.1,"endTime":418.01,"body":"it can be hard to differentiate."},{"speaker":"Dr. Iyer","startTime":415.1,"endTime":418.01,"body":"But I find that there are some"},{"speaker":"Dr. Iyer","startTime":418.01,"endTime":421.46000000000004,"body":"key pieces here, where we can"},{"speaker":"Dr. Iyer","startTime":418.01,"endTime":421.46000000000004,"body":"point to them and say, if this"},{"speaker":"Dr. Iyer","startTime":421.46000000000004,"endTime":424.37,"body":"is what you're experiencing, you"},{"speaker":"Dr. Iyer","startTime":421.46000000000004,"endTime":424.37,"body":"absolutely should go to your"},{"speaker":"Dr. Iyer","startTime":424.37,"endTime":427.15999999999997,"body":"doctor and just say, hey, I need"},{"speaker":"Dr. Iyer","startTime":424.37,"endTime":427.15999999999997,"body":"another set of eyes on me, you"},{"speaker":"Dr. Iyer","startTime":427.15999999999997,"endTime":431.15,"body":"can tell me what you think."},{"speaker":"Dr. Iyer","startTime":427.15999999999997,"endTime":431.15,"body":"Okay, for example, if you feel"},{"speaker":"Dr. Iyer","startTime":431.17999999999995,"endTime":434.15,"body":"happiness and sadness, and your"},{"speaker":"Dr. Iyer","startTime":431.17999999999995,"endTime":434.15,"body":"feelings are fluctuating, and"},{"speaker":"Dr. Iyer","startTime":434.15,"endTime":436.94000000000005,"body":"you're having, like a lot of"},{"speaker":"Dr. Iyer","startTime":434.15,"endTime":436.94000000000005,"body":"different emotions, that might"},{"speaker":"Dr. Iyer","startTime":436.94000000000005,"endTime":439.88,"body":"be totally healthy and normal as"},{"speaker":"Dr. Iyer","startTime":436.94000000000005,"endTime":439.88,"body":"you adjust. But if you start"},{"speaker":"Dr. Iyer","startTime":439.88,"endTime":444.23,"body":"finding that your sadness,"},{"speaker":"Dr. Iyer","startTime":439.88,"endTime":444.23,"body":"moments of sadness become"},{"speaker":"Dr. Iyer","startTime":444.23,"endTime":446.9,"body":"periods of sadness, and they"},{"speaker":"Dr. Iyer","startTime":444.23,"endTime":446.9,"body":"start to become more sustained,"},{"speaker":"Dr. Iyer","startTime":446.9,"endTime":451.42999999999995,"body":"and it starts to get worse, it"},{"speaker":"Dr. Iyer","startTime":446.9,"endTime":451.42999999999995,"body":"starts to feel excessive to you."},{"speaker":"Dr. Iyer","startTime":453.02,"endTime":456.77,"body":"You know, maybe you're having"},{"speaker":"Dr. Iyer","startTime":453.02,"endTime":456.77,"body":"recurrent crying spells, it"},{"speaker":"Dr. Iyer","startTime":456.77,"endTime":460.15999999999997,"body":"starts some of these feelings,"},{"speaker":"Dr. Iyer","startTime":456.77,"endTime":460.15999999999997,"body":"start to impact your"},{"speaker":"Dr. Iyer","startTime":460.15999999999997,"endTime":465.44000000000005,"body":"functioning. And especially if"},{"speaker":"Dr. Iyer","startTime":460.15999999999997,"endTime":465.44000000000005,"body":"you have thoughts to hurt"},{"speaker":"Dr. Iyer","startTime":465.44000000000005,"endTime":468.44000000000005,"body":"yourself, or you have thoughts"},{"speaker":"Dr. Iyer","startTime":465.44000000000005,"endTime":468.44000000000005,"body":"to hurt your baby, all of those"},{"speaker":"Dr. Iyer","startTime":468.44000000000005,"endTime":471.67999999999995,"body":"more and, you know, immediate"},{"speaker":"Dr. Iyer","startTime":468.44000000000005,"endTime":471.67999999999995,"body":"medical care."},{"speaker":"Laurie Poole","startTime":472.82000000000005,"endTime":475.94000000000005,"body":"Is that something"},{"speaker":"Laurie Poole","startTime":472.82000000000005,"endTime":475.94000000000005,"body":"that a patient should be going"},{"speaker":"Laurie Poole","startTime":475.94000000000005,"endTime":480.08000000000004,"body":"to their OB for a parent? Is it"},{"speaker":"Laurie Poole","startTime":475.94000000000005,"endTime":480.08000000000004,"body":"something they should seek out a"},{"speaker":"Laurie Poole","startTime":480.08000000000004,"endTime":484.22,"body":"psychiatrist like yourself?"},{"speaker":"Laurie Poole","startTime":480.08000000000004,"endTime":484.22,"body":"Like, where? Where do Where do"},{"speaker":"Laurie Poole","startTime":484.22,"endTime":486.02,"body":"mothers start with this?"},{"speaker":"Dr. Iyer","startTime":486.98,"endTime":493.28,"body":"So the good news is"},{"speaker":"Dr. Iyer","startTime":486.98,"endTime":493.28,"body":"that if you are not feeling"},{"speaker":"Dr. Iyer","startTime":493.28,"endTime":498.67999999999995,"body":"well, I think that it's"},{"speaker":"Dr. Iyer","startTime":493.28,"endTime":498.67999999999995,"body":"important to let someone that"},{"speaker":"Dr. Iyer","startTime":498.67999999999995,"endTime":502.78999999999996,"body":"you know and trust know,"},{"speaker":"Dr. Iyer","startTime":498.67999999999995,"endTime":502.78999999999996,"body":"immediately, okay, of course, if"},{"speaker":"Dr. Iyer","startTime":502.78999999999996,"endTime":505.4,"body":"it's I think it kind of depends"},{"speaker":"Dr. Iyer","startTime":502.78999999999996,"endTime":505.4,"body":"on what it is you're struggling"},{"speaker":"Dr. Iyer","startTime":505.4,"endTime":507.83000000000004,"body":"with, you know, I mentioned the"},{"speaker":"Dr. Iyer","startTime":505.4,"endTime":507.83000000000004,"body":"thoughts to harm yourself or"},{"speaker":"Dr. Iyer","startTime":507.83000000000004,"endTime":512.96,"body":"harm the baby that warrants an"},{"speaker":"Dr. Iyer","startTime":507.83000000000004,"endTime":512.96,"body":"immediate call to 911 or to the"},{"speaker":"Dr. Iyer","startTime":512.96,"endTime":516.02,"body":"emergency room. But any of the"},{"speaker":"Dr. Iyer","startTime":512.96,"endTime":516.02,"body":"other stuff that I was"},{"speaker":"Dr. Iyer","startTime":516.02,"endTime":521.45,"body":"mentioning, I would seek medical"},{"speaker":"Dr. Iyer","startTime":516.02,"endTime":521.45,"body":"care with whoever can see you"},{"speaker":"Dr. Iyer","startTime":521.45,"endTime":525.41,"body":"soonest. So a lot of women"},{"speaker":"Dr. Iyer","startTime":521.45,"endTime":525.41,"body":"choose to just go see their"},{"speaker":"Dr. Iyer","startTime":525.44,"endTime":529.34,"body":"OBGYN because they can get in"},{"speaker":"Dr. Iyer","startTime":525.44,"endTime":529.34,"body":"much more quickly. And they have"},{"speaker":"Dr. Iyer","startTime":529.34,"endTime":533.36,"body":"a an ongoing relationship with"},{"speaker":"Dr. Iyer","startTime":529.34,"endTime":533.36,"body":"their OB land. But if you're"},{"speaker":"Dr. Iyer","startTime":533.36,"endTime":536.3,"body":"seeing a therapist, or if you're"},{"speaker":"Dr. Iyer","startTime":533.36,"endTime":536.3,"body":"seeing a psychiatrist or another"},{"speaker":"Dr. Iyer","startTime":536.3,"endTime":540.86,"body":"physician, I, you can certainly"},{"speaker":"Dr. Iyer","startTime":536.3,"endTime":540.86,"body":"get in and let them know and"},{"speaker":"Dr. Iyer","startTime":540.86,"endTime":543.41,"body":"they are equipped to kind of"},{"speaker":"Dr. Iyer","startTime":540.86,"endTime":543.41,"body":"help direct you at that point"},{"speaker":"Laurie Poole","startTime":543.409,"endTime":547.429,"body":"is good advice."},{"speaker":"Laurie Poole","startTime":543.409,"endTime":547.429,"body":"Good advice. Is there such a"},{"speaker":"Laurie Poole","startTime":547.429,"endTime":552.679,"body":"thing as postpartum anxiety? Or"},{"speaker":"Laurie Poole","startTime":547.429,"endTime":552.679,"body":"does that coexist with"},{"speaker":"Laurie Poole","startTime":552.679,"endTime":556.369,"body":"depression? I've heard that term"},{"speaker":"Laurie Poole","startTime":552.679,"endTime":556.369,"body":"come up more recently. And I'm"},{"speaker":"Laurie Poole","startTime":556.369,"endTime":559.459,"body":"wondering if that's something"},{"speaker":"Laurie Poole","startTime":556.369,"endTime":559.459,"body":"that is more something been"},{"speaker":"Laurie Poole","startTime":559.459,"endTime":563.119,"body":"diagnosed with in the last"},{"speaker":"Laurie Poole","startTime":559.459,"endTime":563.119,"body":"several years, or do they go"},{"speaker":"Laurie Poole","startTime":563.119,"endTime":565.0989999999999,"body":"hand in hand. So"},{"speaker":"Dr. Iyer","startTime":566.15,"endTime":569.48,"body":"it is its own entity,"},{"speaker":"Dr. Iyer","startTime":566.15,"endTime":569.48,"body":"and they can go hand in hand."},{"speaker":"Dr. Iyer","startTime":569.9,"endTime":573.26,"body":"And in fact, in the majority of"},{"speaker":"Dr. Iyer","startTime":569.9,"endTime":573.26,"body":"cases, anxiety and depression,"},{"speaker":"Dr. Iyer","startTime":573.26,"endTime":578.15,"body":"postpartum or otherwise do go"},{"speaker":"Dr. Iyer","startTime":573.26,"endTime":578.15,"body":"hand in hand. And sometimes it"},{"speaker":"Dr. Iyer","startTime":578.15,"endTime":580.91,"body":"can be driven by one. So it"},{"speaker":"Dr. Iyer","startTime":578.15,"endTime":580.91,"body":"could be predominantly a"},{"speaker":"Dr. Iyer","startTime":580.91,"endTime":584.3,"body":"depressive experience with"},{"speaker":"Dr. Iyer","startTime":580.91,"endTime":584.3,"body":"anxiety kind of creeping in or"},{"speaker":"Dr. Iyer","startTime":584.3,"endTime":588.1999999999999,"body":"the other way around. But"},{"speaker":"Dr. Iyer","startTime":584.3,"endTime":588.1999999999999,"body":"postpartum anxiety is very, very"},{"speaker":"Dr. Iyer","startTime":588.1999999999999,"endTime":590.99,"body":"common. And we're starting to"},{"speaker":"Dr. Iyer","startTime":588.1999999999999,"endTime":590.99,"body":"recognize it as more of a"},{"speaker":"Dr. Iyer","startTime":590.99,"endTime":594.14,"body":"pervasive and debilitating issue"},{"speaker":"Dr. Iyer","startTime":590.99,"endTime":594.14,"body":"than what we had realized"},{"speaker":"Dr. Iyer","startTime":594.14,"endTime":597.35,"body":"before. So I feel like we're"},{"speaker":"Dr. Iyer","startTime":594.14,"endTime":597.35,"body":"just we've been talking about"},{"speaker":"Dr. Iyer","startTime":597.35,"endTime":599.72,"body":"postpartum depression for a"},{"speaker":"Dr. Iyer","startTime":597.35,"endTime":599.72,"body":"little bit now. And now I think"},{"speaker":"Dr. Iyer","startTime":599.72,"endTime":601.97,"body":"we're really starting the"},{"speaker":"Dr. Iyer","startTime":599.72,"endTime":601.97,"body":"conversation around postpartum"},{"speaker":"Dr. Iyer","startTime":601.97,"endTime":605.36,"body":"anxiety as well. I think one of"},{"speaker":"Dr. Iyer","startTime":601.97,"endTime":605.36,"body":"the things about postpartum"},{"speaker":"Dr. Iyer","startTime":605.36,"endTime":611.99,"body":"anxiety is that it's really easy"},{"speaker":"Dr. Iyer","startTime":605.36,"endTime":611.99,"body":"to kind of frame it as Oh, well."},{"speaker":"Dr. Iyer","startTime":611.99,"endTime":617.51,"body":"I'm just being a protective mom."},{"speaker":"Dr. Iyer","startTime":611.99,"endTime":617.51,"body":"But when, when your worry about"},{"speaker":"Dr. Iyer","startTime":617.51,"endTime":620.54,"body":"your child starts to feel,"},{"speaker":"Dr. Iyer","startTime":617.51,"endTime":620.54,"body":"starts to dip into more of an"},{"speaker":"Dr. Iyer","startTime":620.54,"endTime":623.5699999999999,"body":"irrational space, it starts to"},{"speaker":"Dr. Iyer","startTime":620.54,"endTime":623.5699999999999,"body":"feel excessive, it starts to"},{"speaker":"Dr. Iyer","startTime":623.5699999999999,"endTime":627.86,"body":"impact your functioning. You"},{"speaker":"Dr. Iyer","startTime":623.5699999999999,"endTime":627.86,"body":"start getting panic attacks, or"},{"speaker":"Dr. Iyer","startTime":627.86,"endTime":631.49,"body":"obsessive If thoughts, then"},{"speaker":"Dr. Iyer","startTime":627.86,"endTime":631.49,"body":"we're really kind of looking at"},{"speaker":"Dr. Iyer","startTime":631.49,"endTime":635.51,"body":"something different that I think"},{"speaker":"Dr. Iyer","startTime":631.49,"endTime":635.51,"body":"might warrant a need to seek"},{"speaker":"Dr. Iyer","startTime":635.54,"endTime":638.54,"body":"that professional support. You"},{"speaker":"Dr. Iyer","startTime":635.54,"endTime":638.54,"body":"know, the one of the ways that"},{"speaker":"Dr. Iyer","startTime":638.54,"endTime":642.68,"body":"post that anxiety, we all have"},{"speaker":"Dr. Iyer","startTime":638.54,"endTime":642.68,"body":"anxiety to some extent. But one"},{"speaker":"Dr. Iyer","startTime":642.68,"endTime":646.52,"body":"of the ways that postpartum"},{"speaker":"Dr. Iyer","startTime":642.68,"endTime":646.52,"body":"anxiety is sort of its own"},{"speaker":"Dr. Iyer","startTime":646.64,"endTime":651.1999999999999,"body":"different entity compared to"},{"speaker":"Dr. Iyer","startTime":646.64,"endTime":651.1999999999999,"body":"just regular anxiety that people"},{"speaker":"Dr. Iyer","startTime":651.1999999999999,"endTime":654.5,"body":"might experience is that it"},{"speaker":"Dr. Iyer","startTime":651.1999999999999,"endTime":654.5,"body":"typically centers around the"},{"speaker":"Dr. Iyer","startTime":654.5,"endTime":659.03,"body":"safety and health of the baby."},{"speaker":"Dr. Iyer","startTime":654.5,"endTime":659.03,"body":"Okay. It could be quite"},{"speaker":"Dr. Iyer","startTime":659.03,"endTime":662.24,"body":"paralyzing. And sometimes it"},{"speaker":"Dr. Iyer","startTime":659.03,"endTime":662.24,"body":"makes it difficult, you can get"},{"speaker":"Dr. Iyer","startTime":662.24,"endTime":665.18,"body":"really rigid around it. And it"},{"speaker":"Dr. Iyer","startTime":662.24,"endTime":665.18,"body":"can be really difficult to make"},{"speaker":"Dr. Iyer","startTime":665.3,"endTime":670.16,"body":"decisions. Or, you know, we can"},{"speaker":"Dr. Iyer","startTime":665.3,"endTime":670.16,"body":"sometimes get ritualistic around"},{"speaker":"Dr. Iyer","startTime":670.16,"endTime":673.28,"body":"certain things because at some"},{"speaker":"Dr. Iyer","startTime":670.16,"endTime":673.28,"body":"level, we feel like it's the in"},{"speaker":"Dr. Iyer","startTime":673.28,"endTime":675.4399999999999,"body":"the best interest of the baby."},{"speaker":"Dr. Iyer","startTime":673.28,"endTime":675.4399999999999,"body":"But it might not be,"},{"speaker":"Laurie Poole","startTime":676.13,"endTime":678.65,"body":"I can see to a"},{"speaker":"Laurie Poole","startTime":676.13,"endTime":678.65,"body":"partner where that would be very"},{"speaker":"Laurie Poole","startTime":678.65,"endTime":683.42,"body":"difficult for partners and"},{"speaker":"Laurie Poole","startTime":678.65,"endTime":683.42,"body":"spouses to feel as though they"},{"speaker":"Laurie Poole","startTime":683.42,"endTime":688.9399999999999,"body":"can be part of the child's the"},{"speaker":"Laurie Poole","startTime":683.42,"endTime":688.9399999999999,"body":"caretaking and the relationship"},{"speaker":"Laurie Poole","startTime":688.9399999999999,"endTime":693.29,"body":"with mom, when that rigidity,"},{"speaker":"Laurie Poole","startTime":688.9399999999999,"endTime":693.29,"body":"overprotectiveness or the"},{"speaker":"Laurie Poole","startTime":693.29,"endTime":697.4599999999999,"body":"rituals and the anxiety really"},{"speaker":"Laurie Poole","startTime":693.29,"endTime":697.4599999999999,"body":"locks them up in a way that they"},{"speaker":"Laurie Poole","startTime":697.4599999999999,"endTime":702.47,"body":"can't be fully present, because"},{"speaker":"Laurie Poole","startTime":697.4599999999999,"endTime":702.47,"body":"of the preoccupation. And I'm"},{"speaker":"Laurie Poole","startTime":702.47,"endTime":706.0699999999999,"body":"wondering if you hear about, you"},{"speaker":"Laurie Poole","startTime":702.47,"endTime":706.0699999999999,"body":"know, challenges in"},{"speaker":"Laurie Poole","startTime":706.0699999999999,"endTime":708.47,"body":"relationships after a baby is"},{"speaker":"Laurie Poole","startTime":706.0699999999999,"endTime":708.47,"body":"born with that"},{"speaker":"Dr. Iyer","startTime":708.4689999999999,"endTime":714.1089999999999,"body":"kind of thing. So"},{"speaker":"Dr. Iyer","startTime":708.4689999999999,"endTime":714.1089999999999,"body":"100%, I mean, I think we can"},{"speaker":"Dr. Iyer","startTime":714.1089999999999,"endTime":717.559,"body":"both agree that having a baby is"},{"speaker":"Dr. Iyer","startTime":714.1089999999999,"endTime":717.559,"body":"probably one of the biggest, if"},{"speaker":"Dr. Iyer","startTime":717.559,"endTime":721.459,"body":"not the biggest challenges in"},{"speaker":"Dr. Iyer","startTime":717.559,"endTime":721.459,"body":"terms of this transition in your"},{"speaker":"Dr. Iyer","startTime":721.459,"endTime":725.8389999999999,"body":"relationship. So I think that"},{"speaker":"Dr. Iyer","startTime":721.459,"endTime":725.8389999999999,"body":"this is an added layer on top of"},{"speaker":"Dr. Iyer","startTime":725.869,"endTime":729.559,"body":"all of that. But I think that"},{"speaker":"Dr. Iyer","startTime":725.869,"endTime":729.559,"body":"what happens is that a lot of"},{"speaker":"Dr. Iyer","startTime":729.559,"endTime":732.919,"body":"times, if a partner if one"},{"speaker":"Dr. Iyer","startTime":729.559,"endTime":732.919,"body":"partner is having some sort of"},{"speaker":"Dr. Iyer","startTime":732.919,"endTime":737.449,"body":"postpartum anxiety, AND, OR, AND"},{"speaker":"Dr. Iyer","startTime":732.919,"endTime":737.449,"body":"or depression, and the other"},{"speaker":"Dr. Iyer","startTime":737.449,"endTime":741.829,"body":"partner maybe has not had those"},{"speaker":"Dr. Iyer","startTime":737.449,"endTime":741.829,"body":"experiences, it kind of feels"},{"speaker":"Dr. Iyer","startTime":741.829,"endTime":745.369,"body":"like you know, there's a lack of"},{"speaker":"Dr. Iyer","startTime":741.829,"endTime":745.369,"body":"understanding or maybe a"},{"speaker":"Dr. Iyer","startTime":745.369,"endTime":748.189,"body":"disconnect, or it can be hard to"},{"speaker":"Dr. Iyer","startTime":745.369,"endTime":748.189,"body":"feel to know how to be"},{"speaker":"Dr. Iyer","startTime":748.189,"endTime":751.639,"body":"supportive of your partner, and"},{"speaker":"Dr. Iyer","startTime":748.189,"endTime":751.639,"body":"how to kind of speak with them"},{"speaker":"Dr. Iyer","startTime":751.669,"endTime":755.809,"body":"on a logical level in terms of"},{"speaker":"Dr. Iyer","startTime":751.669,"endTime":755.809,"body":"like, let's make a plan in terms"},{"speaker":"Dr. Iyer","startTime":755.809,"endTime":760.459,"body":"of baby. But then also, if one"},{"speaker":"Dr. Iyer","startTime":755.809,"endTime":760.459,"body":"person has this rigidity around"},{"speaker":"Dr. Iyer","startTime":760.459,"endTime":763.129,"body":"like, No, this is what's best"},{"speaker":"Dr. Iyer","startTime":760.459,"endTime":763.129,"body":"for baby and the other partner"},{"speaker":"Dr. Iyer","startTime":763.129,"endTime":766.3389999999999,"body":"disagrees. That's challenging,"},{"speaker":"Dr. Iyer","startTime":763.129,"endTime":766.3389999999999,"body":"how do you move very,"},{"speaker":"Laurie Poole","startTime":767.39,"endTime":769.67,"body":"very, very"},{"speaker":"Laurie Poole","startTime":767.39,"endTime":769.67,"body":"challenging. That's when I see"},{"speaker":"Laurie Poole","startTime":769.67,"endTime":773.36,"body":"couples come in for therapy. And"},{"speaker":"Laurie Poole","startTime":769.67,"endTime":773.36,"body":"I'm always so grateful that they"},{"speaker":"Laurie Poole","startTime":773.36,"endTime":777.41,"body":"do because you're quite right,"},{"speaker":"Laurie Poole","startTime":773.36,"endTime":777.41,"body":"having a baby is a huge change"},{"speaker":"Laurie Poole","startTime":777.53,"endTime":780.74,"body":"across the board, for each"},{"speaker":"Laurie Poole","startTime":777.53,"endTime":780.74,"body":"individual and for their"},{"speaker":"Laurie Poole","startTime":780.74,"endTime":784.1,"body":"relationship, and navigating"},{"speaker":"Laurie Poole","startTime":780.74,"endTime":784.1,"body":"some of those waters is really"},{"speaker":"Laurie Poole","startTime":784.1,"endTime":790.97,"body":"tough. So being able to talk"},{"speaker":"Laurie Poole","startTime":784.1,"endTime":790.97,"body":"through that, and, you know,"},{"speaker":"Laurie Poole","startTime":791.06,"endTime":795.89,"body":"allow room for both opinions and"},{"speaker":"Laurie Poole","startTime":791.06,"endTime":795.89,"body":"so on to coexist, as you talked"},{"speaker":"Laurie Poole","startTime":795.89,"endTime":799.31,"body":"about coexisting emotions. You"},{"speaker":"Laurie Poole","startTime":795.89,"endTime":799.31,"body":"know, I think the same is true"},{"speaker":"Laurie Poole","startTime":799.31,"endTime":804.05,"body":"in this case as well. Are there"},{"speaker":"Laurie Poole","startTime":799.31,"endTime":804.05,"body":"other signs, symptoms, things"},{"speaker":"Laurie Poole","startTime":804.05,"endTime":806.15,"body":"that people should keep their"},{"speaker":"Laurie Poole","startTime":804.05,"endTime":806.15,"body":"eye out for?"},{"speaker":"Dr. Iyer","startTime":807.559,"endTime":815.149,"body":"No, I think that the"},{"speaker":"Dr. Iyer","startTime":807.559,"endTime":815.149,"body":"big thing here is to remember"},{"speaker":"Dr. Iyer","startTime":815.179,"endTime":823.669,"body":"that the symptoms are, what we"},{"speaker":"Dr. Iyer","startTime":815.179,"endTime":823.669,"body":"find is that it's more about"},{"speaker":"Dr. Iyer","startTime":823.669,"endTime":830.029,"body":"sustained, sustained symptoms,"},{"speaker":"Dr. Iyer","startTime":823.669,"endTime":830.029,"body":"that you know, snapshots of sort"},{"speaker":"Dr. Iyer","startTime":830.029,"endTime":834.9789999999999,"body":"of symptoms and emotions,"},{"speaker":"Dr. Iyer","startTime":830.029,"endTime":834.9789999999999,"body":"agitation, irritability, anger,"},{"speaker":"Dr. Iyer","startTime":834.9789999999999,"endTime":840.139,"body":"sadness, that those that range"},{"speaker":"Dr. Iyer","startTime":834.9789999999999,"endTime":840.139,"body":"of emotions, I think, is okay"},{"speaker":"Dr. Iyer","startTime":840.139,"endTime":843.709,"body":"and normal to experience. And"},{"speaker":"Dr. Iyer","startTime":840.139,"endTime":843.709,"body":"they can fluctuate, but the"},{"speaker":"Dr. Iyer","startTime":843.709,"endTime":848.029,"body":"sustained level of negative"},{"speaker":"Dr. Iyer","startTime":843.709,"endTime":848.029,"body":"emotions or difficult emotion"},{"speaker":"Dr. Iyer","startTime":848.029,"endTime":850.759,"body":"towards debilitating emotions is"},{"speaker":"Dr. Iyer","startTime":848.029,"endTime":850.759,"body":"in particular, what is"},{"speaker":"Dr. Iyer","startTime":850.759,"endTime":854.179,"body":"challenging. And I think one of"},{"speaker":"Dr. Iyer","startTime":850.759,"endTime":854.179,"body":"the things is to keep in mind"},{"speaker":"Dr. Iyer","startTime":854.2389999999999,"endTime":859.399,"body":"that the timing is really"},{"speaker":"Dr. Iyer","startTime":854.2389999999999,"endTime":859.399,"body":"important also to be able to"},{"speaker":"Dr. Iyer","startTime":859.399,"endTime":863.389,"body":"determine what it is you're"},{"speaker":"Dr. Iyer","startTime":859.399,"endTime":863.389,"body":"experiencing. So for example,"},{"speaker":"Dr. Iyer","startTime":865.759,"endTime":869.3589999999999,"body":"postpartum depression, we"},{"speaker":"Dr. Iyer","startTime":865.759,"endTime":869.3589999999999,"body":"typically look at the postpartum"},{"speaker":"Dr. Iyer","startTime":869.3589999999999,"endTime":876.769,"body":"timeframe frame for this purpose"},{"speaker":"Dr. Iyer","startTime":869.3589999999999,"endTime":876.769,"body":"as the first one to 12 months"},{"speaker":"Dr. Iyer","startTime":876.769,"endTime":877.549,"body":"postpartum"},{"speaker":"Laurie Poole","startTime":877.639,"endTime":879.199,"body":"one to 12 months."},{"speaker":"Dr. Iyer","startTime":880.13,"endTime":883.1899999999999,"body":"Okay, when we"},{"speaker":"Dr. Iyer","startTime":880.13,"endTime":883.1899999999999,"body":"typically see symptoms starting"},{"speaker":"Dr. Iyer","startTime":883.1899999999999,"endTime":889.4,"body":"to occur is in the first six"},{"speaker":"Dr. Iyer","startTime":883.1899999999999,"endTime":889.4,"body":"months. Okay. Now, the one thing"},{"speaker":"Dr. Iyer","startTime":889.4,"endTime":892.67,"body":"I will tell you when you ask"},{"speaker":"Dr. Iyer","startTime":889.4,"endTime":892.67,"body":"about what other symptoms could"},{"speaker":"Dr. Iyer","startTime":892.67,"endTime":896.72,"body":"occur, we have sort of a"},{"speaker":"Dr. Iyer","startTime":892.67,"endTime":896.72,"body":"textbook viewpoint. And we have"},{"speaker":"Dr. Iyer","startTime":896.72,"endTime":899.48,"body":"that down pat, in terms of what"},{"speaker":"Dr. Iyer","startTime":896.72,"endTime":899.48,"body":"is depression, you can Google"},{"speaker":"Dr. Iyer","startTime":899.48,"endTime":902.24,"body":"that and see like a list of"},{"speaker":"Dr. Iyer","startTime":899.48,"endTime":902.24,"body":"symptoms that come up from our"},{"speaker":"Dr. Iyer","startTime":902.3,"endTime":905.8399999999999,"body":"DSM or our diagnostic manual."},{"speaker":"Dr. Iyer","startTime":902.3,"endTime":905.8399999999999,"body":"You know, there's some people"},{"speaker":"Dr. Iyer","startTime":905.8399999999999,"endTime":908.87,"body":"where they don't present that"},{"speaker":"Dr. Iyer","startTime":905.8399999999999,"endTime":908.87,"body":"way. I don't know if it's that"},{"speaker":"Dr. Iyer","startTime":908.9,"endTime":911.75,"body":"there just shows up differently"},{"speaker":"Dr. Iyer","startTime":908.9,"endTime":911.75,"body":"for them, or maybe they're not"},{"speaker":"Dr. Iyer","startTime":911.75,"endTime":914.8399999999999,"body":"comfortable expressing those"},{"speaker":"Dr. Iyer","startTime":911.75,"endTime":914.8399999999999,"body":"emotions. But we'll see people"},{"speaker":"Dr. Iyer","startTime":914.8399999999999,"endTime":918.74,"body":"come in sometimes, and their"},{"speaker":"Dr. Iyer","startTime":914.8399999999999,"endTime":918.74,"body":"initial complaint is, I'm having"},{"speaker":"Dr. Iyer","startTime":918.74,"endTime":921.77,"body":"marital difficulties. My"},{"speaker":"Dr. Iyer","startTime":918.74,"endTime":921.77,"body":"husband's being so difficult. I"},{"speaker":"Dr. Iyer","startTime":921.77,"endTime":925.43,"body":"don't know why he's being so"},{"speaker":"Dr. Iyer","startTime":921.77,"endTime":925.43,"body":"difficult. Or sometimes they"},{"speaker":"Dr. Iyer","startTime":925.43,"endTime":928.76,"body":"manifest physically like in what"},{"speaker":"Dr. Iyer","startTime":925.43,"endTime":928.76,"body":"we call somatic Press. patient"},{"speaker":"Dr. Iyer","startTime":928.79,"endTime":932.4499999999999,"body":"might my tummy keeps hurting, I"},{"speaker":"Dr. Iyer","startTime":928.79,"endTime":932.4499999999999,"body":"can't, I have so much gastric"},{"speaker":"Dr. Iyer","startTime":932.4499999999999,"endTime":937.0699999999999,"body":"upset. My chest is tight, my"},{"speaker":"Dr. Iyer","startTime":932.4499999999999,"endTime":937.0699999999999,"body":"neck is tight. I'm feeling weird"},{"speaker":"Dr. Iyer","startTime":937.0699999999999,"endTime":941.42,"body":"numbness and sensations all over"},{"speaker":"Dr. Iyer","startTime":937.0699999999999,"endTime":941.42,"body":"my body. I mean, there's there's"},{"speaker":"Dr. Iyer","startTime":941.42,"endTime":943.8199999999999,"body":"a multitude of symptoms,"},{"speaker":"Dr. Iyer","startTime":941.42,"endTime":943.8199999999999,"body":"sometimes shallow breathing,"},{"speaker":"Dr. Iyer","startTime":943.8199999999999,"endTime":947.6,"body":"it's hard to catch my breath at"},{"speaker":"Dr. Iyer","startTime":943.8199999999999,"endTime":947.6,"body":"times. And so it's easy"},{"speaker":"Dr. Iyer","startTime":947.6,"endTime":950.24,"body":"postpartum to look at that and"},{"speaker":"Dr. Iyer","startTime":947.6,"endTime":950.24,"body":"say, Well, is there something"},{"speaker":"Dr. Iyer","startTime":950.27,"endTime":954.26,"body":"physiologically that shifted in"},{"speaker":"Dr. Iyer","startTime":950.27,"endTime":954.26,"body":"the body after giving birth? But"},{"speaker":"Dr. Iyer","startTime":954.29,"endTime":957.9499999999999,"body":"a lot of times, it's not that"},{"speaker":"Dr. Iyer","startTime":954.29,"endTime":957.9499999999999,"body":"it's a manifestation of these"},{"speaker":"Dr. Iyer","startTime":957.9499999999999,"endTime":960.8299999999999,"body":"sort of emotional struggles."},{"speaker":"Dr. Iyer","startTime":957.9499999999999,"endTime":960.8299999999999,"body":"Something's happening. Okay?"},{"speaker":"Laurie Poole","startTime":961.28,"endTime":965.48,"body":"Interesting. So it"},{"speaker":"Laurie Poole","startTime":961.28,"endTime":965.48,"body":"can it can be, it can present to"},{"speaker":"Laurie Poole","startTime":965.48,"endTime":968.51,"body":"someone else, as though there"},{"speaker":"Laurie Poole","startTime":965.48,"endTime":968.51,"body":"are complaints about other"},{"speaker":"Laurie Poole","startTime":968.51,"endTime":973.01,"body":"things outside or within right,"},{"speaker":"Laurie Poole","startTime":968.51,"endTime":973.01,"body":"that whole mind body connection,"},{"speaker":"Laurie Poole","startTime":973.01,"endTime":976.22,"body":"when you don't speak, your body"},{"speaker":"Laurie Poole","startTime":973.01,"endTime":976.22,"body":"starts speaking on your behalf."},{"speaker":"Dr. Iyer","startTime":976.97,"endTime":981.41,"body":"Exactly. Exactly. And,"},{"speaker":"Dr. Iyer","startTime":976.97,"endTime":981.41,"body":"you know, we do see that with a"},{"speaker":"Dr. Iyer","startTime":981.41,"endTime":985.1899999999999,"body":"number of people. Right, I find"},{"speaker":"Dr. Iyer","startTime":981.41,"endTime":985.1899999999999,"body":"that that is a typical, more"},{"speaker":"Dr. Iyer","startTime":985.1899999999999,"endTime":989.36,"body":"typical presentation, is"},{"speaker":"Dr. Iyer","startTime":985.1899999999999,"endTime":989.36,"body":"sometimes in people who might"},{"speaker":"Dr. Iyer","startTime":989.36,"endTime":992.5699999999999,"body":"not feel like they have the"},{"speaker":"Dr. Iyer","startTime":989.36,"endTime":992.5699999999999,"body":"language to be able to express"},{"speaker":"Dr. Iyer","startTime":992.5699999999999,"endTime":996.9499999999999,"body":"their emotional sort of status"},{"speaker":"Dr. Iyer","startTime":992.5699999999999,"endTime":996.9499999999999,"body":"or needs. And a lot of times in"},{"speaker":"Dr. Iyer","startTime":996.9499999999999,"endTime":1002.68,"body":"more traditional cultures, where"},{"speaker":"Dr. Iyer","startTime":996.9499999999999,"endTime":1002.68,"body":"mental health discussions are"},{"speaker":"Dr. Iyer","startTime":1002.68,"endTime":1007.48,"body":"not, we don't speak about us"},{"speaker":"Dr. Iyer","startTime":1002.68,"endTime":1007.48,"body":"openly, maybe that's not those"},{"speaker":"Dr. Iyer","startTime":1007.48,"endTime":1009.73,"body":"are not the words we use to"},{"speaker":"Dr. Iyer","startTime":1007.48,"endTime":1009.73,"body":"express it. So then your body"},{"speaker":"Dr. Iyer","startTime":1009.73,"endTime":1011.8,"body":"says, Well, I have to express it"},{"speaker":"Dr. Iyer","startTime":1009.73,"endTime":1011.8,"body":"somehow."},{"speaker":"Laurie Poole","startTime":1011.919,"endTime":1013.659,"body":"That's right. And"},{"speaker":"Laurie Poole","startTime":1011.919,"endTime":1013.659,"body":"then it becomes something more"},{"speaker":"Laurie Poole","startTime":1013.659,"endTime":1016.779,"body":"tangible when your digestive"},{"speaker":"Laurie Poole","startTime":1013.659,"endTime":1016.779,"body":"system is upset, or you have"},{"speaker":"Laurie Poole","startTime":1016.779,"endTime":1020.319,"body":"migraine headaches, are present"},{"speaker":"Laurie Poole","startTime":1016.779,"endTime":1020.319,"body":"in other ways, that's an easier"},{"speaker":"Laurie Poole","startTime":1020.319,"endTime":1025.179,"body":"way to get help. Absolutely."},{"speaker":"Laurie Poole","startTime":1020.319,"endTime":1025.179,"body":"When it's physiologic or somatic"},{"speaker":"Laurie Poole","startTime":1025.179,"endTime":1030.3690000000001,"body":"is, as you've described, what"},{"speaker":"Laurie Poole","startTime":1025.179,"endTime":1030.3690000000001,"body":"are the types of treatment that"},{"speaker":"Laurie Poole","startTime":1030.3690000000001,"endTime":1033.759,"body":"you recommend for patients, I"},{"speaker":"Laurie Poole","startTime":1030.3690000000001,"endTime":1033.759,"body":"know that sometimes, you know,"},{"speaker":"Laurie Poole","startTime":1033.759,"endTime":1037.299,"body":"when you talk about, even with"},{"speaker":"Laurie Poole","startTime":1033.759,"endTime":1037.299,"body":"pregnant women who may"},{"speaker":"Laurie Poole","startTime":1037.299,"endTime":1041.559,"body":"experience you know, escalated"},{"speaker":"Laurie Poole","startTime":1037.299,"endTime":1041.559,"body":"anxiety, as part of their"},{"speaker":"Laurie Poole","startTime":1041.559,"endTime":1047.409,"body":"pregnancy, are very reluctant to"},{"speaker":"Laurie Poole","startTime":1041.559,"endTime":1047.409,"body":"think about medication or to"},{"speaker":"Laurie Poole","startTime":1047.409,"endTime":1050.1390000000001,"body":"consider medication. And I know,"},{"speaker":"Laurie Poole","startTime":1047.409,"endTime":1050.1390000000001,"body":"this is something you just"},{"speaker":"Laurie Poole","startTime":1050.1390000000001,"endTime":1053.859,"body":"posted about on Instagram, can"},{"speaker":"Laurie Poole","startTime":1050.1390000000001,"endTime":1053.859,"body":"you give our listeners some"},{"speaker":"Laurie Poole","startTime":1053.859,"endTime":1058.059,"body":"guidelines, or just some in"},{"speaker":"Laurie Poole","startTime":1053.859,"endTime":1058.059,"body":"insight about medication when"},{"speaker":"Laurie Poole","startTime":1058.059,"endTime":1062.529,"body":"you are experiencing postpartum"},{"speaker":"Laurie Poole","startTime":1058.059,"endTime":1062.529,"body":"depression or anxiety during"},{"speaker":"Laurie Poole","startTime":1062.529,"endTime":1067.869,"body":"pregnancy, or any of these sort"},{"speaker":"Laurie Poole","startTime":1062.529,"endTime":1067.869,"body":"of emotional and, you know,"},{"speaker":"Laurie Poole","startTime":1067.869,"endTime":1072.459,"body":"mental concerns, mental health"},{"speaker":"Laurie Poole","startTime":1067.869,"endTime":1072.459,"body":"concerns. So,"},{"speaker":"Dr. Iyer","startTime":1073.12,"endTime":1074.83,"body":"you know, I'm glad"},{"speaker":"Dr. Iyer","startTime":1073.12,"endTime":1074.83,"body":"we're talking about this,"},{"speaker":"Dr. Iyer","startTime":1074.83,"endTime":1078.28,"body":"because I just, I just told you"},{"speaker":"Dr. Iyer","startTime":1074.83,"endTime":1078.28,"body":"kind of give you a bleak view of"},{"speaker":"Dr. Iyer","startTime":1078.28,"endTime":1080.8899999999999,"body":"kind of depression, anxiety"},{"speaker":"Dr. Iyer","startTime":1078.28,"endTime":1080.8899999999999,"body":"postpartum. But the good news is"},{"speaker":"Dr. Iyer","startTime":1080.8899999999999,"endTime":1083.71,"body":"that they are both very"},{"speaker":"Dr. Iyer","startTime":1080.8899999999999,"endTime":1083.71,"body":"treatable, and treatment is"},{"speaker":"Dr. Iyer","startTime":1083.71,"endTime":1088.33,"body":"typically very rapidly"},{"speaker":"Dr. Iyer","startTime":1083.71,"endTime":1088.33,"body":"effective. Okay. And the other"},{"speaker":"Dr. Iyer","startTime":1088.33,"endTime":1091.27,"body":"positive that we don't talk"},{"speaker":"Dr. Iyer","startTime":1088.33,"endTime":1091.27,"body":"about the treatment is that"},{"speaker":"Dr. Iyer","startTime":1091.27,"endTime":1094.8999999999999,"body":"sometimes when you have a baby,"},{"speaker":"Dr. Iyer","startTime":1091.27,"endTime":1094.8999999999999,"body":"it can almost expose the cracks"},{"speaker":"Dr. Iyer","startTime":1094.8999999999999,"endTime":1097.51,"body":"that were already there that"},{"speaker":"Dr. Iyer","startTime":1094.8999999999999,"endTime":1097.51,"body":"maybe we weren't paying"},{"speaker":"Dr. Iyer","startTime":1097.51,"endTime":1101.32,"body":"attention to, and can actually"},{"speaker":"Dr. Iyer","startTime":1097.51,"endTime":1101.32,"body":"move us forward not just from an"},{"speaker":"Dr. Iyer","startTime":1101.32,"endTime":1104.26,"body":"acute place, but in a big"},{"speaker":"Dr. Iyer","startTime":1101.32,"endTime":1104.26,"body":"picture perspective, it can make"},{"speaker":"Dr. Iyer","startTime":1104.56,"endTime":1108.79,"body":"our marriages stronger, it can"},{"speaker":"Dr. Iyer","startTime":1104.56,"endTime":1108.79,"body":"make us feel safer and stronger."},{"speaker":"Dr. Iyer","startTime":1109.09,"endTime":1113.08,"body":"And really, I mean, incredible"},{"speaker":"Dr. Iyer","startTime":1109.09,"endTime":1113.08,"body":"things can come from treatment,"},{"speaker":"Dr. Iyer","startTime":1114.07,"endTime":1116.8,"body":"do you want to just, you know,"},{"speaker":"Dr. Iyer","startTime":1114.07,"endTime":1116.8,"body":"take a step back and tell you"},{"speaker":"Dr. Iyer","startTime":1116.83,"endTime":1122.83,"body":"that there are a lot of women,"},{"speaker":"Dr. Iyer","startTime":1116.83,"endTime":1122.83,"body":"and I was one of them, who want"},{"speaker":"Dr. Iyer","startTime":1122.83,"endTime":1127.12,"body":"to just be as organic and as"},{"speaker":"Dr. Iyer","startTime":1122.83,"endTime":1127.12,"body":"natural as possible. Because"},{"speaker":"Dr. Iyer","startTime":1127.1499999999999,"endTime":1130.69,"body":"they feel like that's what's"},{"speaker":"Dr. Iyer","startTime":1127.1499999999999,"endTime":1130.69,"body":"best for baby. And part of that"},{"speaker":"Dr. Iyer","startTime":1130.72,"endTime":1133.57,"body":"feels like, you know, they feel"},{"speaker":"Dr. Iyer","startTime":1130.72,"endTime":1133.57,"body":"this pressure to be met for your"},{"speaker":"Dr. Iyer","startTime":1133.57,"endTime":1139.0,"body":"drug free during their pregnancy"},{"speaker":"Dr. Iyer","startTime":1133.57,"endTime":1139.0,"body":"or during breastfeeding. And so"},{"speaker":"Dr. Iyer","startTime":1139.0,"endTime":1141.34,"body":"I'm going to tell you that when"},{"speaker":"Dr. Iyer","startTime":1139.0,"endTime":1141.34,"body":"I first went, I had my"},{"speaker":"Dr. Iyer","startTime":1141.34,"endTime":1146.6499999999999,"body":"firstborn. during my pregnancy,"},{"speaker":"Dr. Iyer","startTime":1141.34,"endTime":1146.6499999999999,"body":"I was I, you know, tried to get"},{"speaker":"Dr. Iyer","startTime":1146.6499999999999,"endTime":1151.48,"body":"all organic, spent my whole"},{"speaker":"Dr. Iyer","startTime":1146.6499999999999,"endTime":1151.48,"body":"paycheck on organic foods. You"},{"speaker":"Dr. Iyer","startTime":1151.48,"endTime":1154.36,"body":"know, I made my own spices, it"},{"speaker":"Dr. Iyer","startTime":1151.48,"endTime":1154.36,"body":"was just incredible, a little"},{"speaker":"Dr. Iyer","startTime":1154.36,"endTime":1157.06,"body":"excessive, but you know, I"},{"speaker":"Dr. Iyer","startTime":1154.36,"endTime":1157.06,"body":"really, really, really, truly"},{"speaker":"Dr. Iyer","startTime":1157.06,"endTime":1160.66,"body":"bought into this. And there was"},{"speaker":"Dr. Iyer","startTime":1157.06,"endTime":1160.66,"body":"nothing wrong with I was feeling"},{"speaker":"Dr. Iyer","startTime":1160.66,"endTime":1162.7,"body":"like I could control the"},{"speaker":"Dr. Iyer","startTime":1160.66,"endTime":1162.7,"body":"goodness that comes into my"},{"speaker":"Dr. Iyer","startTime":1162.7,"endTime":1168.31,"body":"body, the nurse is my baby."},{"speaker":"Dr. Iyer","startTime":1162.7,"endTime":1168.31,"body":"Well, you know, there's a couple"},{"speaker":"Dr. Iyer","startTime":1168.31,"endTime":1173.47,"body":"things to think about with that"},{"speaker":"Dr. Iyer","startTime":1168.31,"endTime":1173.47,"body":"I would have given anything, I"},{"speaker":"Dr. Iyer","startTime":1173.47,"endTime":1178.21,"body":"would have gone on medications"},{"speaker":"Dr. Iyer","startTime":1173.47,"endTime":1178.21,"body":"on hindsight, to protect myself"},{"speaker":"Dr. Iyer","startTime":1178.21,"endTime":1181.6,"body":"from what happened next, from"},{"speaker":"Dr. Iyer","startTime":1178.21,"endTime":1181.6,"body":"the postpartum depression that I"},{"speaker":"Dr. Iyer","startTime":1181.6,"endTime":1185.71,"body":"had experienced. Because I lost"},{"speaker":"Dr. Iyer","startTime":1181.6,"endTime":1185.71,"body":"six months. I don't remember"},{"speaker":"Dr. Iyer","startTime":1185.71,"endTime":1187.99,"body":"anything from the first six"},{"speaker":"Dr. Iyer","startTime":1185.71,"endTime":1187.99,"body":"months of my child's life, I"},{"speaker":"Dr. Iyer","startTime":1187.99,"endTime":1190.72,"body":"have to go back and look at"},{"speaker":"Dr. Iyer","startTime":1187.99,"endTime":1190.72,"body":"pictures and he looks like a"},{"speaker":"Dr. Iyer","startTime":1190.72,"endTime":1194.8,"body":"stranger to me, because I don't"},{"speaker":"Dr. Iyer","startTime":1190.72,"endTime":1194.8,"body":"remember I was in a fog. I can't"},{"speaker":"Dr. Iyer","startTime":1194.8,"endTime":1199.06,"body":"tell you how many times I've"},{"speaker":"Dr. Iyer","startTime":1194.8,"endTime":1199.06,"body":"heard that from women. That if"},{"speaker":"Dr. Iyer","startTime":1199.06,"endTime":1202.06,"body":"only I could have gone back and"},{"speaker":"Dr. Iyer","startTime":1199.06,"endTime":1202.06,"body":"done something differently. I"},{"speaker":"Dr. Iyer","startTime":1202.06,"endTime":1205.27,"body":"would give anything to have"},{"speaker":"Dr. Iyer","startTime":1202.06,"endTime":1205.27,"body":"experienced those moments with"},{"speaker":"Dr. Iyer","startTime":1205.27,"endTime":1209.44,"body":"my child. Well, you know,"},{"speaker":"Dr. Iyer","startTime":1205.27,"endTime":1209.44,"body":"medications are not off the"},{"speaker":"Dr. Iyer","startTime":1209.44,"endTime":1213.85,"body":"table. Even for those of us who"},{"speaker":"Dr. Iyer","startTime":1209.44,"endTime":1213.85,"body":"want to be natural and"},{"speaker":"Dr. Iyer","startTime":1213.85,"endTime":1216.82,"body":"conservative, there's ways to do"},{"speaker":"Dr. Iyer","startTime":1213.85,"endTime":1216.82,"body":"it even if you need to go on"},{"speaker":"Dr. Iyer","startTime":1216.82,"endTime":1220.75,"body":"vacation. So first, as as you"},{"speaker":"Dr. Iyer","startTime":1216.82,"endTime":1220.75,"body":"know, you know, treatment for"},{"speaker":"Dr. Iyer","startTime":1220.75,"endTime":1223.81,"body":"mental health even went during"},{"speaker":"Dr. Iyer","startTime":1220.75,"endTime":1223.81,"body":"pregnancy or postpartum. It"},{"speaker":"Dr. Iyer","startTime":1223.81,"endTime":1226.81,"body":"could mean therapy. It could"},{"speaker":"Dr. Iyer","startTime":1223.81,"endTime":1226.81,"body":"mean medications. It could mean"},{"speaker":"Dr. Iyer","startTime":1226.81,"endTime":1230.3799999999999,"body":"both. It could mean a number of"},{"speaker":"Dr. Iyer","startTime":1226.81,"endTime":1230.3799999999999,"body":"things. If we're talking about"},{"speaker":"Dr. Iyer","startTime":1230.3799999999999,"endTime":1233.95,"body":"the medication piece, it is"},{"speaker":"Dr. Iyer","startTime":1230.3799999999999,"endTime":1233.95,"body":"reasonable to meet with a"},{"speaker":"Dr. Iyer","startTime":1233.95,"endTime":1237.46,"body":"psychiatrist or with your"},{"speaker":"Dr. Iyer","startTime":1233.95,"endTime":1237.46,"body":"physician, your OBGYN and to"},{"speaker":"Dr. Iyer","startTime":1237.46,"endTime":1239.71,"body":"say, Hey, this is what I'm"},{"speaker":"Dr. Iyer","startTime":1237.46,"endTime":1239.71,"body":"experiencing, what do you think?"},{"speaker":"Dr. Iyer","startTime":1239.71,"endTime":1242.5,"body":"Do you think I need to go on"},{"speaker":"Dr. Iyer","startTime":1239.71,"endTime":1242.5,"body":"medications, and just have that"},{"speaker":"Dr. Iyer","startTime":1242.5,"endTime":1246.01,"body":"discussion to kind of know what"},{"speaker":"Dr. Iyer","startTime":1242.5,"endTime":1246.01,"body":"your options are. And remember"},{"speaker":"Dr. Iyer","startTime":1246.01,"endTime":1250.51,"body":"that there, it's not typically a"},{"speaker":"Dr. Iyer","startTime":1246.01,"endTime":1250.51,"body":"black and white meds are good or"},{"speaker":"Dr. Iyer","startTime":1250.51,"endTime":1253.45,"body":"bad, but rather, weighing out"},{"speaker":"Dr. Iyer","startTime":1250.51,"endTime":1253.45,"body":"the potential risks and"},{"speaker":"Dr. Iyer","startTime":1253.45,"endTime":1257.29,"body":"benefits, right? Sometimes"},{"speaker":"Dr. Iyer","startTime":1253.45,"endTime":1257.29,"body":"people think of it as only one"},{"speaker":"Dr. Iyer","startTime":1257.29,"endTime":1260.35,"body":"way skill, we look at the risks"},{"speaker":"Dr. Iyer","startTime":1257.29,"endTime":1260.35,"body":"and benefits of this medication"},{"speaker":"Dr. Iyer","startTime":1260.3799999999999,"endTime":1264.82,"body":"on my brain, my body, my breast"},{"speaker":"Dr. Iyer","startTime":1260.3799999999999,"endTime":1264.82,"body":"milk, the baby or my fetus in my"},{"speaker":"Dr. Iyer","startTime":1264.82,"endTime":1268.57,"body":"belly. But actually, there's two"},{"speaker":"Dr. Iyer","startTime":1264.82,"endTime":1268.57,"body":"ways skills occurring"},{"speaker":"Dr. Iyer","startTime":1268.6,"endTime":1272.32,"body":"simultaneously. The other one is"},{"speaker":"Dr. Iyer","startTime":1268.6,"endTime":1272.32,"body":"what is the risk of untreated or"},{"speaker":"Dr. Iyer","startTime":1272.32,"endTime":1277.72,"body":"undertreated depression and or"},{"speaker":"Dr. Iyer","startTime":1272.32,"endTime":1277.72,"body":"anxiety, during pregnancy, or"},{"speaker":"Dr. Iyer","startTime":1277.72,"endTime":1283.03,"body":"postpartum. And that's a"},{"speaker":"Dr. Iyer","startTime":1277.72,"endTime":1283.03,"body":"concern, because our data is not"},{"speaker":"Dr. Iyer","startTime":1283.03,"endTime":1287.08,"body":"great. Like it doesn't show good"},{"speaker":"Dr. Iyer","startTime":1283.03,"endTime":1287.08,"body":"things about that. Sometimes"},{"speaker":"Dr. Iyer","startTime":1287.08,"endTime":1289.78,"body":"women will say, if I take a"},{"speaker":"Dr. Iyer","startTime":1287.08,"endTime":1289.78,"body":"medication, my baby's going to"},{"speaker":"Dr. Iyer","startTime":1289.78,"endTime":1293.26,"body":"get exposed. Well, guess what,"},{"speaker":"Dr. Iyer","startTime":1289.78,"endTime":1293.26,"body":"if you're experiencing severe"},{"speaker":"Dr. Iyer","startTime":1293.26,"endTime":1296.47,"body":"depression and anxiety, your"},{"speaker":"Dr. Iyer","startTime":1293.26,"endTime":1296.47,"body":"baby's getting exposed to both."},{"speaker":"Dr. Iyer","startTime":1296.5,"endTime":1301.48,"body":"Absolutely. And that's not safe"},{"speaker":"Dr. Iyer","startTime":1296.5,"endTime":1301.48,"body":"either. In fact, our data shows"},{"speaker":"Dr. Iyer","startTime":1301.57,"endTime":1305.26,"body":"definitively, there's a lot of"},{"speaker":"Dr. Iyer","startTime":1301.57,"endTime":1305.26,"body":"risk that is associated with the"},{"speaker":"Dr. Iyer","startTime":1305.26,"endTime":1308.71,"body":"baby being exposed or the"},{"speaker":"Dr. Iyer","startTime":1305.26,"endTime":1308.71,"body":"pregnancy being exposed. So we"},{"speaker":"Dr. Iyer","startTime":1308.71,"endTime":1310.78,"body":"want to take that into"},{"speaker":"Dr. Iyer","startTime":1308.71,"endTime":1310.78,"body":"consideration as we have the"},{"speaker":"Dr. Iyer","startTime":1310.78,"endTime":1314.44,"body":"medication discussion. But like"},{"speaker":"Dr. Iyer","startTime":1310.78,"endTime":1314.44,"body":"I said, treatment is rapidly"},{"speaker":"Dr. Iyer","startTime":1314.44,"endTime":1317.77,"body":"effective. And the ways that we"},{"speaker":"Dr. Iyer","startTime":1314.44,"endTime":1317.77,"body":"can be conservative with regards"},{"speaker":"Dr. Iyer","startTime":1317.77,"endTime":1321.7,"body":"to medications is tried to take"},{"speaker":"Dr. Iyer","startTime":1317.77,"endTime":1321.7,"body":"the lowest effective dose, try"},{"speaker":"Dr. Iyer","startTime":1321.7,"endTime":1324.61,"body":"to use the least number of"},{"speaker":"Dr. Iyer","startTime":1321.7,"endTime":1324.61,"body":"medications, maybe one over two,"},{"speaker":"Dr. Iyer","startTime":1325.09,"endTime":1328.12,"body":"and maybe just stay on the"},{"speaker":"Dr. Iyer","startTime":1325.09,"endTime":1328.12,"body":"medications for a shorter time"},{"speaker":"Dr. Iyer","startTime":1328.1499999999999,"endTime":1330.46,"body":"as possible. You know, of"},{"speaker":"Dr. Iyer","startTime":1328.1499999999999,"endTime":1330.46,"body":"course, you and your doctor have"},{"speaker":"Dr. Iyer","startTime":1330.46,"endTime":1332.35,"body":"to come up with that plan, I"},{"speaker":"Dr. Iyer","startTime":1330.46,"endTime":1332.35,"body":"would never recommend someone"},{"speaker":"Dr. Iyer","startTime":1332.35,"endTime":1337.27,"body":"just discontinue it on their"},{"speaker":"Dr. Iyer","startTime":1332.35,"endTime":1337.27,"body":"own. And then the other thing to"},{"speaker":"Dr. Iyer","startTime":1337.27,"endTime":1341.59,"body":"think about is that in the last"},{"speaker":"Dr. Iyer","startTime":1337.27,"endTime":1341.59,"body":"couple of years, there is a new"},{"speaker":"Dr. Iyer","startTime":1341.59,"endTime":1346.57,"body":"medication that was it's called"},{"speaker":"Dr. Iyer","startTime":1341.59,"endTime":1346.57,"body":"Work sent alone and it was"},{"speaker":"Dr. Iyer","startTime":1346.6,"endTime":1350.3799999999999,"body":"introduced into the market. The"},{"speaker":"Dr. Iyer","startTime":1346.6,"endTime":1350.3799999999999,"body":"fact that it was fast tracked"},{"speaker":"Dr. Iyer","startTime":1350.3799999999999,"endTime":1352.3899999999999,"body":"into the market should really"},{"speaker":"Dr. Iyer","startTime":1350.3799999999999,"endTime":1352.3899999999999,"body":"tell us something about the"},{"speaker":"Dr. Iyer","startTime":1352.3899999999999,"endTime":1353.05,"body":"need."},{"speaker":"Laurie Poole","startTime":1353.08,"endTime":1354.94,"body":"Yeah, absolutely."},{"speaker":"Dr. Iyer","startTime":1355.72,"endTime":1359.8,"body":"But it is a rapidly"},{"speaker":"Dr. Iyer","startTime":1355.72,"endTime":1359.8,"body":"effective infusion. So it's a"},{"speaker":"Dr. Iyer","startTime":1359.8,"endTime":1365.68,"body":"medication that is given through"},{"speaker":"Dr. Iyer","startTime":1359.8,"endTime":1365.68,"body":"the IV. For specifically for"},{"speaker":"Dr. Iyer","startTime":1365.68,"endTime":1368.1399999999999,"body":"postpartum depression, it's the"},{"speaker":"Dr. Iyer","startTime":1365.68,"endTime":1368.1399999999999,"body":"only medication out there that"},{"speaker":"Dr. Iyer","startTime":1368.1399999999999,"endTime":1371.86,"body":"is only approved for postpartum"},{"speaker":"Dr. Iyer","startTime":1368.1399999999999,"endTime":1371.86,"body":"depression. That is a group"},{"speaker":"Dr. Iyer","startTime":1371.86,"endTime":1372.19,"body":"proposal."},{"speaker":"Laurie Poole","startTime":1373.1499999999999,"endTime":1376.24,"body":"You know, I will"},{"speaker":"Laurie Poole","startTime":1373.1499999999999,"endTime":1376.24,"body":"say, a Purna in my own"},{"speaker":"Laurie Poole","startTime":1376.24,"endTime":1379.24,"body":"experience as a couples"},{"speaker":"Laurie Poole","startTime":1376.24,"endTime":1379.24,"body":"therapist, when I have worked"},{"speaker":"Laurie Poole","startTime":1379.24,"endTime":1383.11,"body":"with women who are having I'm"},{"speaker":"Laurie Poole","startTime":1379.24,"endTime":1383.11,"body":"going to say postpartum"},{"speaker":"Laurie Poole","startTime":1383.11,"endTime":1388.09,"body":"distress, like mental distress,"},{"speaker":"Laurie Poole","startTime":1383.11,"endTime":1388.09,"body":"the effect of medication is"},{"speaker":"Laurie Poole","startTime":1388.09,"endTime":1393.67,"body":"really remarkable how quickly"},{"speaker":"Laurie Poole","startTime":1388.09,"endTime":1393.67,"body":"they feel better, and more"},{"speaker":"Laurie Poole","startTime":1393.67,"endTime":1399.94,"body":"present and can enjoy their baby"},{"speaker":"Laurie Poole","startTime":1393.67,"endTime":1399.94,"body":"more. And, you know, it seems to"},{"speaker":"Laurie Poole","startTime":1399.94,"endTime":1405.73,"body":"me that with in combination with"},{"speaker":"Laurie Poole","startTime":1399.94,"endTime":1405.73,"body":"therapy, or something like yoga,"},{"speaker":"Laurie Poole","startTime":1405.76,"endTime":1411.22,"body":"or whatever it is, that helps"},{"speaker":"Laurie Poole","startTime":1405.76,"endTime":1411.22,"body":"helps women to feel better by"},{"speaker":"Laurie Poole","startTime":1411.22,"endTime":1414.37,"body":"moving their body in proper"},{"speaker":"Laurie Poole","startTime":1411.22,"endTime":1414.37,"body":"nutrition. And these kinds of"},{"speaker":"Laurie Poole","startTime":1414.37,"endTime":1418.0,"body":"holistic approaches as well,"},{"speaker":"Laurie Poole","startTime":1414.37,"endTime":1418.0,"body":"combined with medication can"},{"speaker":"Laurie Poole","startTime":1418.0,"endTime":1421.09,"body":"make a world of difference. I"},{"speaker":"Laurie Poole","startTime":1418.0,"endTime":1421.09,"body":"wish I had had something that I"},{"speaker":"Laurie Poole","startTime":1421.09,"endTime":1426.1299999999999,"body":"could have taken. You know, as I"},{"speaker":"Laurie Poole","startTime":1421.09,"endTime":1426.1299999999999,"body":"as I just I mean, it was a"},{"speaker":"Laurie Poole","startTime":1426.1299999999999,"endTime":1429.28,"body":"horrific situation. I don't"},{"speaker":"Laurie Poole","startTime":1426.1299999999999,"endTime":1429.28,"body":"think I've ever felt that bad in"},{"speaker":"Laurie Poole","startTime":1429.28,"endTime":1429.97,"body":"my life."},{"speaker":"Dr. Iyer","startTime":1430.84,"endTime":1434.6499999999999,"body":"I think one of the"},{"speaker":"Dr. Iyer","startTime":1430.84,"endTime":1434.6499999999999,"body":"things also to consider, or is,"},{"speaker":"Dr. Iyer","startTime":1434.68,"endTime":1440.98,"body":"you know, when we don't treat"},{"speaker":"Dr. Iyer","startTime":1434.68,"endTime":1440.98,"body":"it, it could resolve or it could"},{"speaker":"Dr. Iyer","startTime":1440.98,"endTime":1445.99,"body":"continue? Yes. Not sort of like,"},{"speaker":"Dr. Iyer","startTime":1440.98,"endTime":1445.99,"body":"oh, I stubbed my toe, and the"},{"speaker":"Dr. Iyer","startTime":1445.99,"endTime":1448.8999999999999,"body":"pain is just temporary, and it's"},{"speaker":"Dr. Iyer","startTime":1445.99,"endTime":1448.8999999999999,"body":"going to go away. The other"},{"speaker":"Dr. Iyer","startTime":1448.8999999999999,"endTime":1451.72,"body":"concern that we have is that"},{"speaker":"Dr. Iyer","startTime":1448.8999999999999,"endTime":1451.72,"body":"when we don't treat it, if you"},{"speaker":"Dr. Iyer","startTime":1451.72,"endTime":1455.08,"body":"have a lasting impact in regards"},{"speaker":"Dr. Iyer","startTime":1451.72,"endTime":1455.08,"body":"to you know, how well do you"},{"speaker":"Dr. Iyer","startTime":1455.08,"endTime":1458.08,"body":"bond with the baby? How much are"},{"speaker":"Dr. Iyer","startTime":1455.08,"endTime":1458.08,"body":"you able to emotionally attend"},{"speaker":"Dr. Iyer","startTime":1458.08,"endTime":1461.8899999999999,"body":"to his or her needs? What about"},{"speaker":"Dr. Iyer","startTime":1458.08,"endTime":1461.8899999999999,"body":"with your marriage? What about"},{"speaker":"Dr. Iyer","startTime":1461.8899999999999,"endTime":1466.27,"body":"with other aspects of your life?"},{"speaker":"Dr. Iyer","startTime":1461.8899999999999,"endTime":1466.27,"body":"So, um, so those were all kind"},{"speaker":"Dr. Iyer","startTime":1466.27,"endTime":1469.03,"body":"of things that we had to take"},{"speaker":"Dr. Iyer","startTime":1466.27,"endTime":1469.03,"body":"into consideration too. And I"},{"speaker":"Dr. Iyer","startTime":1469.03,"endTime":1474.73,"body":"agree with you, if I had allowed"},{"speaker":"Dr. Iyer","startTime":1469.03,"endTime":1474.73,"body":"myself to reach out for help."},{"speaker":"Dr. Iyer","startTime":1475.12,"endTime":1477.85,"body":"When I needed it, I think"},{"speaker":"Dr. Iyer","startTime":1475.12,"endTime":1477.85,"body":"everything would have been"},{"speaker":"Dr. Iyer","startTime":1477.85,"endTime":1480.28,"body":"different with my life."},{"speaker":"Dr. Iyer","startTime":1477.85,"endTime":1480.28,"body":"Everything would have been"},{"speaker":"Dr. Iyer","startTime":1480.28,"endTime":1482.2,"body":"different with my relationship"},{"speaker":"Dr. Iyer","startTime":1480.28,"endTime":1482.2,"body":"with my firstborn."},{"speaker":"Laurie Poole","startTime":1482.3799999999999,"endTime":1486.19,"body":"Yes, no, I concur."},{"speaker":"Laurie Poole","startTime":1482.3799999999999,"endTime":1486.19,"body":"I think that is true for me,"},{"speaker":"Laurie Poole","startTime":1486.19,"endTime":1491.3799999999999,"body":"too. It was a very, very tough"},{"speaker":"Laurie Poole","startTime":1486.19,"endTime":1491.3799999999999,"body":"time. A pirnas. We're talking we"},{"speaker":"Laurie Poole","startTime":1491.3799999999999,"endTime":1493.8999999999999,"body":"haven't talked much about"},{"speaker":"Laurie Poole","startTime":1491.3799999999999,"endTime":1493.8999999999999,"body":"pregnancy. And I don't we don't"},{"speaker":"Laurie Poole","startTime":1493.8999999999999,"endTime":1497.23,"body":"have a lot of time left. But I"},{"speaker":"Laurie Poole","startTime":1493.8999999999999,"endTime":1497.23,"body":"wonder if you might talk a"},{"speaker":"Laurie Poole","startTime":1497.23,"endTime":1501.04,"body":"little about what happens with"},{"speaker":"Laurie Poole","startTime":1497.23,"endTime":1501.04,"body":"women during pregnancy. Because"},{"speaker":"Laurie Poole","startTime":1501.04,"endTime":1504.52,"body":"there can be, as I say,"},{"speaker":"Laurie Poole","startTime":1501.04,"endTime":1504.52,"body":"increased anxiety or this"},{"speaker":"Laurie Poole","startTime":1505.12,"endTime":1508.75,"body":"feeling of ambivalence and self"},{"speaker":"Laurie Poole","startTime":1505.12,"endTime":1508.75,"body":"judgment that kicks in and so"},{"speaker":"Laurie Poole","startTime":1508.75,"endTime":1513.46,"body":"on. And I'm wondering, what do"},{"speaker":"Laurie Poole","startTime":1508.75,"endTime":1513.46,"body":"you see amongst pregnant women"},{"speaker":"Laurie Poole","startTime":1513.46,"endTime":1515.35,"body":"coming in seeking treatment?"},{"speaker":"Dr. Iyer","startTime":1516.79,"endTime":1518.8899999999999,"body":"A lot of this stuff"},{"speaker":"Dr. Iyer","startTime":1516.79,"endTime":1518.8899999999999,"body":"that we had talked about with"},{"speaker":"Dr. Iyer","startTime":1518.8899999999999,"endTime":1523.42,"body":"regards to postpartum I think"},{"speaker":"Dr. Iyer","startTime":1518.8899999999999,"endTime":1523.42,"body":"holds true during pregnancy to a"},{"speaker":"Dr. Iyer","startTime":1523.42,"endTime":1526.18,"body":"lot of mixed emotions, even if"},{"speaker":"Dr. Iyer","startTime":1523.42,"endTime":1526.18,"body":"this is a pregnancy that you've"},{"speaker":"Dr. Iyer","startTime":1526.18,"endTime":1531.3999999999999,"body":"always wanted. It is common and"},{"speaker":"Dr. Iyer","startTime":1526.18,"endTime":1531.3999999999999,"body":"normal to have a lot of"},{"speaker":"Dr. Iyer","startTime":1531.43,"endTime":1535.0,"body":"ambivalent emotions around it."},{"speaker":"Dr. Iyer","startTime":1531.43,"endTime":1535.0,"body":"But I think that there are a few"},{"speaker":"Dr. Iyer","startTime":1535.0,"endTime":1539.95,"body":"other things to take into"},{"speaker":"Dr. Iyer","startTime":1535.0,"endTime":1539.95,"body":"consideration. That. One is"},{"speaker":"Dr. Iyer","startTime":1539.95,"endTime":1546.76,"body":"sometimes it can be challenging"},{"speaker":"Dr. Iyer","startTime":1539.95,"endTime":1546.76,"body":"to look at your growing body"},{"speaker":"Dr. Iyer","startTime":1547.27,"endTime":1550.03,"body":"that's changing shape and"},{"speaker":"Dr. Iyer","startTime":1547.27,"endTime":1550.03,"body":"changing size and maybe gaining"},{"speaker":"Dr. Iyer","startTime":1550.03,"endTime":1553.27,"body":"weight. And certainly it's true"},{"speaker":"Dr. Iyer","startTime":1550.03,"endTime":1553.27,"body":"in postpartum as well that your"},{"speaker":"Dr. Iyer","startTime":1553.27,"endTime":1555.61,"body":"body has completely shifted, I"},{"speaker":"Dr. Iyer","startTime":1553.27,"endTime":1555.61,"body":"can't tell you the number of"},{"speaker":"Dr. Iyer","startTime":1555.61,"endTime":1558.01,"body":"women who look at themselves and"},{"speaker":"Dr. Iyer","startTime":1555.61,"endTime":1558.01,"body":"they say, Oh, my goodness, this"},{"speaker":"Dr. Iyer","startTime":1558.01,"endTime":1561.76,"body":"is so different than how I was"},{"speaker":"Dr. Iyer","startTime":1558.01,"endTime":1561.76,"body":"before. So that can be really"},{"speaker":"Dr. Iyer","startTime":1561.76,"endTime":1565.21,"body":"challenging. And I think that"},{"speaker":"Dr. Iyer","startTime":1561.76,"endTime":1565.21,"body":"the other piece too, is that if"},{"speaker":"Dr. Iyer","startTime":1565.24,"endTime":1570.55,"body":"a pregnancy is difficult in"},{"speaker":"Dr. Iyer","startTime":1565.24,"endTime":1570.55,"body":"terms of physical symptoms, like"},{"speaker":"Dr. Iyer","startTime":1570.55,"endTime":1574.36,"body":"nausea, you know, especially"},{"speaker":"Dr. Iyer","startTime":1570.55,"endTime":1574.36,"body":"chronic sort of nausea, pains"},{"speaker":"Dr. Iyer","startTime":1574.36,"endTime":1578.77,"body":"or, you know, sleeplessness or"},{"speaker":"Dr. Iyer","startTime":1574.36,"endTime":1578.77,"body":"whatever it may be, that can be"},{"speaker":"Dr. Iyer","startTime":1578.77,"endTime":1581.47,"body":"really challenging for women,"},{"speaker":"Dr. Iyer","startTime":1578.77,"endTime":1581.47,"body":"and can have some impacts on"},{"speaker":"Dr. Iyer","startTime":1581.47,"endTime":1582.61,"body":"their emotional wellness as"},{"speaker":"Laurie Poole","startTime":1582.6399999999999,"endTime":1588.19,"body":"well. Okay, very"},{"speaker":"Laurie Poole","startTime":1582.6399999999999,"endTime":1588.19,"body":"good. Tell me about any trends"},{"speaker":"Laurie Poole","startTime":1588.19,"endTime":1591.1299999999999,"body":"that you saw during the"},{"speaker":"Laurie Poole","startTime":1588.19,"endTime":1591.1299999999999,"body":"pandemic, I know we're still in"},{"speaker":"Laurie Poole","startTime":1591.1299999999999,"endTime":1595.6299999999999,"body":"it. But I can only imagine that"},{"speaker":"Laurie Poole","startTime":1591.1299999999999,"endTime":1595.6299999999999,"body":"it's been a particularly"},{"speaker":"Laurie Poole","startTime":1595.6299999999999,"endTime":1600.55,"body":"difficult time for new mothers"},{"speaker":"Laurie Poole","startTime":1595.6299999999999,"endTime":1600.55,"body":"and pregnant women, when they"},{"speaker":"Laurie Poole","startTime":1600.55,"endTime":1603.79,"body":"have been isolated the fear of"},{"speaker":"Laurie Poole","startTime":1600.55,"endTime":1603.79,"body":"their children getting sick. Are"},{"speaker":"Laurie Poole","startTime":1603.79,"endTime":1608.77,"body":"you seeing any of this sort of"},{"speaker":"Laurie Poole","startTime":1603.79,"endTime":1608.77,"body":"amplifying anxiety and worry and"},{"speaker":"Laurie Poole","startTime":1608.77,"endTime":1609.43,"body":"so on?"},{"speaker":"Dr. Iyer","startTime":1610.12,"endTime":1613.33,"body":"Absolutely,"},{"speaker":"Dr. Iyer","startTime":1610.12,"endTime":1613.33,"body":"absolutely. I think one of the"},{"speaker":"Dr. Iyer","startTime":1613.33,"endTime":1618.91,"body":"really hard pieces is that a lot"},{"speaker":"Dr. Iyer","startTime":1613.33,"endTime":1618.91,"body":"of the women that I see, tend to"},{"speaker":"Dr. Iyer","startTime":1618.91,"endTime":1624.8799999999999,"body":"be pretty perfectionistic. And,"},{"speaker":"Dr. Iyer","startTime":1618.91,"endTime":1624.8799999999999,"body":"you know, solution focused. And,"},{"speaker":"Dr. Iyer","startTime":1625.99,"endTime":1630.22,"body":"you know, they have they enjoy"},{"speaker":"Dr. Iyer","startTime":1625.99,"endTime":1630.22,"body":"having like data and more full"},{"speaker":"Dr. Iyer","startTime":1630.22,"endTime":1634.6,"body":"linearity upon which to make"},{"speaker":"Dr. Iyer","startTime":1630.22,"endTime":1634.6,"body":"decisions, right algorithms,"},{"speaker":"Dr. Iyer","startTime":1634.6,"endTime":1637.12,"body":"things like that. But during the"},{"speaker":"Dr. Iyer","startTime":1634.6,"endTime":1637.12,"body":"pandemic, it was very"},{"speaker":"Dr. Iyer","startTime":1637.12,"endTime":1640.6299999999999,"body":"disorienting half of the time,"},{"speaker":"Dr. Iyer","startTime":1637.12,"endTime":1640.6299999999999,"body":"you know, especially 2020, half"},{"speaker":"Dr. Iyer","startTime":1640.6299999999999,"endTime":1646.36,"body":"the time, nobody had any idea of"},{"speaker":"Dr. Iyer","startTime":1640.6299999999999,"endTime":1646.36,"body":"like, with regards to what was"},{"speaker":"Dr. Iyer","startTime":1646.36,"endTime":1649.21,"body":"safe and what was not safe. And"},{"speaker":"Dr. Iyer","startTime":1646.36,"endTime":1649.21,"body":"I think that that's really"},{"speaker":"Dr. Iyer","startTime":1649.21,"endTime":1651.7,"body":"disorienting, particularly if"},{"speaker":"Dr. Iyer","startTime":1649.21,"endTime":1651.7,"body":"you have a child who's looking"},{"speaker":"Dr. Iyer","startTime":1651.7,"endTime":1656.05,"body":"to you to keep him or her safe."},{"speaker":"Dr. Iyer","startTime":1651.7,"endTime":1656.05,"body":"Or if you're pregnant, and you"},{"speaker":"Dr. Iyer","startTime":1656.05,"endTime":1660.6399999999999,"body":"know, like, how do you approach"},{"speaker":"Dr. Iyer","startTime":1656.05,"endTime":1660.6399999999999,"body":"that, but then so you know, some"},{"speaker":"Dr. Iyer","startTime":1660.6399999999999,"endTime":1664.66,"body":"part of you wants to kind of"},{"speaker":"Dr. Iyer","startTime":1660.6399999999999,"endTime":1664.66,"body":"stay in your house and socially"},{"speaker":"Dr. Iyer","startTime":1664.66,"endTime":1668.1399999999999,"body":"distance. But the problem is"},{"speaker":"Dr. Iyer","startTime":1664.66,"endTime":1668.1399999999999,"body":"that during pregnancy and"},{"speaker":"Dr. Iyer","startTime":1668.1399999999999,"endTime":1670.81,"body":"postpartum at any point in"},{"speaker":"Dr. Iyer","startTime":1668.1399999999999,"endTime":1670.81,"body":"motherhood is when you need your"},{"speaker":"Dr. Iyer","startTime":1670.81,"endTime":1674.68,"body":"village more than ever, so true."},{"speaker":"Dr. Iyer","startTime":1670.81,"endTime":1674.68,"body":"How do you toggle that fine"},{"speaker":"Dr. Iyer","startTime":1674.68,"endTime":1677.41,"body":"line, you know, I want to keep"},{"speaker":"Dr. Iyer","startTime":1674.68,"endTime":1677.41,"body":"myself physically safe. But also"},{"speaker":"Dr. Iyer","startTime":1677.41,"endTime":1679.99,"body":"front and center was my mental"},{"speaker":"Dr. Iyer","startTime":1677.41,"endTime":1679.99,"body":"wellness, I need to keep myself"},{"speaker":"Dr. Iyer","startTime":1679.99,"endTime":1683.05,"body":"emotionally healthy as well. So"},{"speaker":"Dr. Iyer","startTime":1679.99,"endTime":1683.05,"body":"it was very, very challenging. A"},{"speaker":"Dr. Iyer","startTime":1683.05,"endTime":1687.01,"body":"lot of women who were looking to"},{"speaker":"Dr. Iyer","startTime":1683.05,"endTime":1687.01,"body":"have their family members or"},{"speaker":"Dr. Iyer","startTime":1687.01,"endTime":1689.26,"body":"friends come help them"},{"speaker":"Dr. Iyer","startTime":1687.01,"endTime":1689.26,"body":"postpartum. And maybe even just"},{"speaker":"Dr. Iyer","startTime":1689.29,"endTime":1691.78,"body":"watch the baby while they slept."},{"speaker":"Dr. Iyer","startTime":1689.29,"endTime":1691.78,"body":"They couldn't do that. So"},{"speaker":"Dr. Iyer","startTime":1691.78,"endTime":1696.01,"body":"everything fell on them. I think"},{"speaker":"Dr. Iyer","startTime":1691.78,"endTime":1696.01,"body":"also during the pandemic, you"},{"speaker":"Dr. Iyer","startTime":1696.01,"endTime":1698.68,"body":"know, there was a lot of"},{"speaker":"Dr. Iyer","startTime":1696.01,"endTime":1698.68,"body":"economic uncertainty and job"},{"speaker":"Dr. Iyer","startTime":1698.68,"endTime":1702.43,"body":"uncertainty and instability that"},{"speaker":"Dr. Iyer","startTime":1698.68,"endTime":1702.43,"body":"just added another layer. Plus"},{"speaker":"Dr. Iyer","startTime":1702.43,"endTime":1704.8,"body":"you had both partners, a lot of"},{"speaker":"Dr. Iyer","startTime":1702.43,"endTime":1704.8,"body":"times you were both working from"},{"speaker":"Dr. Iyer","startTime":1704.8,"endTime":1708.34,"body":"home and the house at the same"},{"speaker":"Dr. Iyer","startTime":1704.8,"endTime":1708.34,"body":"time all the time, which added"},{"speaker":"Dr. Iyer","startTime":1708.34,"endTime":1711.6399999999999,"body":"another layer of complexity to"},{"speaker":"Dr. Iyer","startTime":1708.34,"endTime":1711.6399999999999,"body":"the whole marital situation."},{"speaker":"Laurie Poole","startTime":1711.82,"endTime":1714.85,"body":"Oh, it's been"},{"speaker":"Laurie Poole","startTime":1711.82,"endTime":1714.85,"body":"terrible for a lot of people for"},{"speaker":"Laurie Poole","startTime":1714.85,"endTime":1719.02,"body":"all of those reasons."},{"speaker":"Laurie Poole","startTime":1714.85,"endTime":1719.02,"body":"Apparently, you mentioned, I"},{"speaker":"Laurie Poole","startTime":1719.02,"endTime":1723.43,"body":"think on what I saw last night"},{"speaker":"Laurie Poole","startTime":1719.02,"endTime":1723.43,"body":"on your Instagram that you are"},{"speaker":"Laurie Poole","startTime":1724.36,"endTime":1727.93,"body":"preparing for the release of a"},{"speaker":"Laurie Poole","startTime":1724.36,"endTime":1727.93,"body":"book coming up. Can you tell us"},{"speaker":"Laurie Poole","startTime":1727.93,"endTime":1729.22,"body":"a little bit about that?"},{"speaker":"Dr. Iyer","startTime":1729.28,"endTime":1734.83,"body":"Yeah, actually, we"},{"speaker":"Dr. Iyer","startTime":1729.28,"endTime":1734.83,"body":"have an I have a few. But I"},{"speaker":"Dr. Iyer","startTime":1734.83,"endTime":1738.76,"body":"think the one that I am"},{"speaker":"Dr. Iyer","startTime":1734.83,"endTime":1738.76,"body":"releasing, first we're going to"},{"speaker":"Dr. Iyer","startTime":1738.76,"endTime":1742.09,"body":"be publishing first is a"},{"speaker":"Dr. Iyer","startTime":1738.76,"endTime":1742.09,"body":"coloring book. It's a meditative"},{"speaker":"Dr. Iyer","startTime":1742.09,"endTime":1745.66,"body":"experience from from others. And"},{"speaker":"Dr. Iyer","startTime":1742.09,"endTime":1745.66,"body":"it's kind of a gentle"},{"speaker":"Dr. Iyer","startTime":1745.66,"endTime":1749.92,"body":"recognition that motherhood may"},{"speaker":"Dr. Iyer","startTime":1745.66,"endTime":1749.92,"body":"not be exactly what we"},{"speaker":"Dr. Iyer","startTime":1749.92,"endTime":1753.67,"body":"anticipated it was going to be,"},{"speaker":"Dr. Iyer","startTime":1749.92,"endTime":1753.67,"body":"but there's a beauty in sort of"},{"speaker":"Dr. Iyer","startTime":1753.7,"endTime":1757.18,"body":"the growth and the transition"},{"speaker":"Dr. Iyer","startTime":1753.7,"endTime":1757.18,"body":"and the highs and the lows of"},{"speaker":"Dr. Iyer","startTime":1757.18,"endTime":1761.8,"body":"it. And to be able to kind of"},{"speaker":"Dr. Iyer","startTime":1757.18,"endTime":1761.8,"body":"meditate on that at times when"},{"speaker":"Dr. Iyer","startTime":1761.8,"endTime":1765.04,"body":"you need it the most. So that"},{"speaker":"Dr. Iyer","startTime":1761.8,"endTime":1765.04,"body":"the adult coloring book thing is"},{"speaker":"Dr. Iyer","startTime":1765.22,"endTime":1768.31,"body":"sort of a new way to engage in"},{"speaker":"Dr. Iyer","startTime":1765.22,"endTime":1768.31,"body":"artistry and tap into"},{"speaker":"Dr. Iyer","startTime":1768.31,"endTime":1772.33,"body":"mindfulness at the same time. We"},{"speaker":"Dr. Iyer","startTime":1768.31,"endTime":1772.33,"body":"do have a couple others, you"},{"speaker":"Dr. Iyer","startTime":1772.33,"endTime":1777.19,"body":"know, I have a guided journal"},{"speaker":"Dr. Iyer","startTime":1772.33,"endTime":1777.19,"body":"that is coming out that's also"},{"speaker":"Dr. Iyer","startTime":1777.19,"endTime":1780.55,"body":"geared towards mothers. And so"},{"speaker":"Dr. Iyer","startTime":1777.19,"endTime":1780.55,"body":"our goal here is to really"},{"speaker":"Dr. Iyer","startTime":1780.55,"endTime":1785.1399999999999,"body":"helped form a sense of community"},{"speaker":"Dr. Iyer","startTime":1780.55,"endTime":1785.1399999999999,"body":"amongst mothers, I know that"},{"speaker":"Dr. Iyer","startTime":1785.44,"endTime":1786.52,"body":"that's front and center."},{"speaker":"Laurie Poole","startTime":1788.5,"endTime":1789.6399999999999,"body":"badly needed."},{"speaker":"Dr. Iyer","startTime":1791.17,"endTime":1793.27,"body":"The last one, and this"},{"speaker":"Dr. Iyer","startTime":1791.17,"endTime":1793.27,"body":"is the book that's been in the"},{"speaker":"Dr. Iyer","startTime":1793.27,"endTime":1796.93,"body":"works for a while here is really"},{"speaker":"Dr. Iyer","startTime":1793.27,"endTime":1796.93,"body":"about inclusion. And so all of"},{"speaker":"Dr. Iyer","startTime":1796.93,"endTime":1800.8899999999999,"body":"these topics are sort of"},{"speaker":"Dr. Iyer","startTime":1796.93,"endTime":1800.8899999999999,"body":"related, but it's about it's a"},{"speaker":"Dr. Iyer","startTime":1800.8899999999999,"endTime":1804.61,"body":"children's book, but you know,"},{"speaker":"Dr. Iyer","startTime":1800.8899999999999,"endTime":1804.61,"body":"all these kids will eventually"},{"speaker":"Dr. Iyer","startTime":1804.73,"endTime":1808.06,"body":"grow up. So we wanted to start"},{"speaker":"Dr. Iyer","startTime":1804.73,"endTime":1808.06,"body":"sending out that message early"},{"speaker":"Dr. Iyer","startTime":1808.06,"endTime":1812.6499999999999,"body":"the importance of inclusion."},{"speaker":"Dr. Iyer","startTime":1808.06,"endTime":1812.6499999999999,"body":"Maybe for a child who might feel"},{"speaker":"Dr. Iyer","startTime":1812.6499999999999,"endTime":1818.62,"body":"like he or she is different, and"},{"speaker":"Dr. Iyer","startTime":1812.6499999999999,"endTime":1818.62,"body":"classmates or peers."},{"speaker":"Laurie Poole","startTime":1819.1299999999999,"endTime":1821.95,"body":"Beautiful. Well,"},{"speaker":"Laurie Poole","startTime":1819.1299999999999,"endTime":1821.95,"body":"we will look forward to those"},{"speaker":"Laurie Poole","startTime":1821.98,"endTime":1825.94,"body":"books. And people who are"},{"speaker":"Laurie Poole","startTime":1821.98,"endTime":1825.94,"body":"listeners who are interested in"},{"speaker":"Laurie Poole","startTime":1825.94,"endTime":1830.83,"body":"learning more can follow you on"},{"speaker":"Laurie Poole","startTime":1825.94,"endTime":1830.83,"body":"Instagram At Aparna Iyer, MD,"},{"speaker":"Laurie Poole","startTime":1831.22,"endTime":1834.07,"body":"and we look forward to the"},{"speaker":"Laurie Poole","startTime":1831.22,"endTime":1834.07,"body":"launch of those books, any"},{"speaker":"Laurie Poole","startTime":1834.07,"endTime":1839.29,"body":"parting advice, Aparna guidance"},{"speaker":"Laurie Poole","startTime":1834.07,"endTime":1839.29,"body":"you'd like to offer before we"},{"speaker":"Laurie Poole","startTime":1839.29,"endTime":1841.87,"body":"wrap up? Or Hado?"},{"speaker":"Dr. Iyer","startTime":1841.96,"endTime":1845.3799999999999,"body":"Yes, I will tell you,"},{"speaker":"Dr. Iyer","startTime":1841.96,"endTime":1845.3799999999999,"body":"Laurie, I've had the good"},{"speaker":"Dr. Iyer","startTime":1845.3799999999999,"endTime":1850.12,"body":"fortune of treating women and"},{"speaker":"Dr. Iyer","startTime":1845.3799999999999,"endTime":1850.12,"body":"men at all ages really, really"},{"speaker":"Dr. Iyer","startTime":1850.12,"endTime":1854.2,"body":"young, much older and everywhere"},{"speaker":"Dr. Iyer","startTime":1850.12,"endTime":1854.2,"body":"in between, and from all walks"},{"speaker":"Dr. Iyer","startTime":1854.2,"endTime":1857.77,"body":"of life. And I will tell you,"},{"speaker":"Dr. Iyer","startTime":1854.2,"endTime":1857.77,"body":"the one consistent thing that I"},{"speaker":"Dr. Iyer","startTime":1857.77,"endTime":1861.94,"body":"find is that people eventually,"},{"speaker":"Dr. Iyer","startTime":1857.77,"endTime":1861.94,"body":"especially people who tried to"},{"speaker":"Dr. Iyer","startTime":1861.94,"endTime":1865.42,"body":"strong arm their way through"},{"speaker":"Dr. Iyer","startTime":1861.94,"endTime":1865.42,"body":"their mental health struggles"},{"speaker":"Dr. Iyer","startTime":1865.42,"endTime":1869.05,"body":"without ever seeking"},{"speaker":"Dr. Iyer","startTime":1865.42,"endTime":1869.05,"body":"professional support, will"},{"speaker":"Dr. Iyer","startTime":1869.05,"endTime":1872.44,"body":"eventually typically come to the"},{"speaker":"Dr. Iyer","startTime":1869.05,"endTime":1872.44,"body":"realization that there's no"},{"speaker":"Dr. Iyer","startTime":1872.44,"endTime":1876.8799999999999,"body":"glory, and that the glory is in"},{"speaker":"Dr. Iyer","startTime":1872.44,"endTime":1876.8799999999999,"body":"a life well lived. Someone who"},{"speaker":"Dr. Iyer","startTime":1876.8799999999999,"endTime":1881.62,"body":"might be struggling and might"},{"speaker":"Dr. Iyer","startTime":1876.8799999999999,"endTime":1881.62,"body":"need that extra support. It's"},{"speaker":"Dr. Iyer","startTime":1881.62,"endTime":1885.01,"body":"really, really important that"},{"speaker":"Dr. Iyer","startTime":1881.62,"endTime":1885.01,"body":"you give yourself some grace and"},{"speaker":"Dr. Iyer","startTime":1885.04,"endTime":1888.31,"body":"allow yourself the your life is"},{"speaker":"Dr. Iyer","startTime":1885.04,"endTime":1888.31,"body":"important. Your health is"},{"speaker":"Dr. Iyer","startTime":1888.31,"endTime":1891.07,"body":"important. So allow yourself to"},{"speaker":"Dr. Iyer","startTime":1888.31,"endTime":1891.07,"body":"get that support that you need."},{"speaker":"Laurie Poole","startTime":1891.91,"endTime":1895.93,"body":"That's a beautiful"},{"speaker":"Laurie Poole","startTime":1891.91,"endTime":1895.93,"body":"message, there is no glory in"},{"speaker":"Laurie Poole","startTime":1895.93,"endTime":1899.26,"body":"the struggle and strong arming"},{"speaker":"Laurie Poole","startTime":1895.93,"endTime":1899.26,"body":"your way through it. That is"},{"speaker":"Laurie Poole","startTime":1899.26,"endTime":1902.8899999999999,"body":"absolutely true. Aparna next"},{"speaker":"Laurie Poole","startTime":1899.26,"endTime":1902.8899999999999,"body":"time, maybe we can talk about"},{"speaker":"Laurie Poole","startTime":1902.8899999999999,"endTime":1906.34,"body":"men and mental health because I"},{"speaker":"Laurie Poole","startTime":1902.8899999999999,"endTime":1906.34,"body":"think that's a really, really"},{"speaker":"Laurie Poole","startTime":1906.34,"endTime":1911.26,"body":"important topic, as and we"},{"speaker":"Laurie Poole","startTime":1906.34,"endTime":1911.26,"body":"didn't talk about men very much"},{"speaker":"Laurie Poole","startTime":1911.26,"endTime":1914.17,"body":"today. But I know men are"},{"speaker":"Laurie Poole","startTime":1911.26,"endTime":1914.17,"body":"profoundly affected by their"},{"speaker":"Laurie Poole","startTime":1914.17,"endTime":1918.1299999999999,"body":"wives postpartum experience, and"},{"speaker":"Laurie Poole","startTime":1914.17,"endTime":1918.1299999999999,"body":"their emotional and mental"},{"speaker":"Laurie Poole","startTime":1918.1299999999999,"endTime":1922.6299999999999,"body":"health as well. It affects"},{"speaker":"Laurie Poole","startTime":1918.1299999999999,"endTime":1922.6299999999999,"body":"partners deeply. And that's"},{"speaker":"Laurie Poole","startTime":1922.6299999999999,"endTime":1926.8,"body":"something that actually in our"},{"speaker":"Laurie Poole","startTime":1922.6299999999999,"endTime":1926.8,"body":"previous podcast, Kristen, and"},{"speaker":"Laurie Poole","startTime":1926.8,"endTime":1929.53,"body":"Jason talked about the"},{"speaker":"Laurie Poole","startTime":1926.8,"endTime":1929.53,"body":"importance of teamwork and"},{"speaker":"Laurie Poole","startTime":1929.53,"endTime":1933.82,"body":"partnership, and being tuned"},{"speaker":"Laurie Poole","startTime":1929.53,"endTime":1933.82,"body":"into each other, because it's"},{"speaker":"Laurie Poole","startTime":1933.82,"endTime":1937.75,"body":"experienced differently by men"},{"speaker":"Laurie Poole","startTime":1933.82,"endTime":1937.75,"body":"and women. And sometimes it can"},{"speaker":"Laurie Poole","startTime":1937.75,"endTime":1941.02,"body":"create the Great Divide, but in"},{"speaker":"Laurie Poole","startTime":1937.75,"endTime":1941.02,"body":"fact, there's parallel"},{"speaker":"Laurie Poole","startTime":1941.02,"endTime":1944.68,"body":"experiences going on at the same"},{"speaker":"Laurie Poole","startTime":1941.02,"endTime":1944.68,"body":"time. And it's really important"},{"speaker":"Laurie Poole","startTime":1944.68,"endTime":1948.58,"body":"to talk about how men experience"},{"speaker":"Laurie Poole","startTime":1944.68,"endTime":1948.58,"body":"all of this as well."},{"speaker":"Dr. Iyer","startTime":1949.24,"endTime":1951.01,"body":"Well, Laurie, you"},{"speaker":"Dr. Iyer","startTime":1949.24,"endTime":1951.01,"body":"know, the other thing is that"},{"speaker":"Dr. Iyer","startTime":1951.01,"endTime":1955.75,"body":"there's a growing pool of data"},{"speaker":"Dr. Iyer","startTime":1951.01,"endTime":1955.75,"body":"with regards to postpartum"},{"speaker":"Dr. Iyer","startTime":1955.78,"endTime":1960.79,"body":"depression in men it's not"},{"speaker":"Dr. Iyer","startTime":1955.78,"endTime":1960.79,"body":"something we ever talk about and"},{"speaker":"Dr. Iyer","startTime":1960.79,"endTime":1967.81,"body":"we have to Yes, we have to talk"},{"speaker":"Dr. Iyer","startTime":1960.79,"endTime":1967.81,"body":"about that maybe next time"},{"speaker":"Dr. Iyer","startTime":1967.81,"endTime":1976.3,"body":"around how much time do you Oh"},{"speaker":"Dr. Iyer","startTime":1967.81,"endTime":1976.3,"body":"apparently"},{"speaker":"Laurie Poole","startTime":1976.3,"endTime":1979.87,"body":"this is this I did"},{"speaker":"Laurie Poole","startTime":1976.3,"endTime":1979.87,"body":"not realize that there that this"},{"speaker":"Laurie Poole","startTime":1979.87,"endTime":1985.69,"body":"is becoming something that is"},{"speaker":"Laurie Poole","startTime":1979.87,"endTime":1985.69,"body":"recognized amongst medical"},{"speaker":"Laurie Poole","startTime":1985.69,"endTime":1990.82,"body":"professionals postpartum and"},{"speaker":"Laurie Poole","startTime":1985.69,"endTime":1990.82,"body":"men. That's really interesting."},{"speaker":"Laurie Poole","startTime":1990.85,"endTime":1995.53,"body":"Okay, the conversation will"},{"speaker":"Laurie Poole","startTime":1990.85,"endTime":1995.53,"body":"continue. Thank you so much for"},{"speaker":"Laurie Poole","startTime":1995.53,"endTime":1999.19,"body":"your time today Aparna, I really"},{"speaker":"Laurie Poole","startTime":1995.53,"endTime":1999.19,"body":"really appreciate it and so do"},{"speaker":"Laurie Poole","startTime":1999.19,"endTime":2003.18,"body":"our three listeners. This is"},{"speaker":"Laurie Poole","startTime":1999.19,"endTime":2003.18,"body":"This is essential information"},{"speaker":"Laurie Poole","startTime":2003.18,"endTime":2009.81,"body":"and I hope for folks out there"},{"speaker":"Laurie Poole","startTime":2003.18,"endTime":2009.81,"body":"it will provide support, Insight"},{"speaker":"Laurie Poole","startTime":2009.87,"endTime":2014.52,"body":"normalize, you are not alone and"},{"speaker":"Laurie Poole","startTime":2009.87,"endTime":2014.52,"body":"we at the mount for group"},{"speaker":"Laurie Poole","startTime":2015.33,"endTime":2019.41,"body":"welcome you anytime couples who"},{"speaker":"Laurie Poole","startTime":2015.33,"endTime":2019.41,"body":"are struggling or new moms,"},{"speaker":"Laurie Poole","startTime":2019.71,"endTime":2023.1,"body":"pregnant women who are"},{"speaker":"Laurie Poole","startTime":2019.71,"endTime":2023.1,"body":"struggling for therapy services,"},{"speaker":"Laurie Poole","startTime":2023.1,"endTime":2025.83,"body":"and you can follow us to at"},{"speaker":"Laurie Poole","startTime":2023.1,"endTime":2025.83,"body":"therapist unplugged on"},{"speaker":"Laurie Poole","startTime":2025.83,"endTime":2028.44,"body":"Instagram. Thank you so much,"},{"speaker":"Laurie Poole","startTime":2025.83,"endTime":2028.44,"body":"Aparna for today."},{"speaker":"Dr. Iyer","startTime":2028.8,"endTime":2032.01,"body":"Thank you, a wonderful"},{"speaker":"Dr. Iyer","startTime":2028.8,"endTime":2032.01,"body":"day. Thank you. You too."}]}