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Previa Alliance Podcast

Perimenopause - "The Pause" You Need to Know About Now

Previa Alliance Podcast

Previa Alliance Team

Health & Fitness, Self-improvement, Education, Parenting, Mental Health, Kids & Family

5.085 Ratings

🗓️ 27 October 2025

⏱️ 30 minutes

🧾️ Download transcript

Summary

When we think of perimenopause, we hear about hot flashes—but what about the mood swings, anxiety, and depression no one talks about? In this episode, Sarah sits down with Reproductive Psychiatrist Dr. Lindsay Standeven to break down the mental health side of perimenopause. They talk about why women are more likely to face depression during this stage, what it means if you’ve struggled in pregnancy or postpartum, and—most importantly—what you can do now to protect your mental health. About Dr...

Transcript

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0:00.0

Hey guys, welcome back to Preview Alliance podcast. This is Sarah. And today I'm so excited about this

0:15.1

episode, guys. We're in October. And if you guys don't know this, it's not just Halloween month.

0:20.1

It is about perimenipause menopause

0:22.3

awareness. So I have brought to us an amazing expert, Dr. Lindsay Sandhiven, who's going to be

0:28.0

telling us from a reproductive psychiatrist level, from a lady, from a woman, from a mom level,

0:33.4

hey, what are we going to be prepared for? Lindsay, welcome. Thank you so much for having me.

0:38.5

So tell us who you are because I got to know you recently and I think you're fabulous and

0:43.6

the best advocate for moms out there, but let our listeners know about you.

0:48.2

Yeah, yeah.

0:48.9

So I'm a psychiatrist and then I did additional training to become sort of expert in understanding how mood,

0:57.9

anxiety, sleep, thinking are all impacted by hormones and hormonal fluctuations.

1:04.0

And so that's called reproductive psychiatry.

1:05.8

So reproductive psychiatry specifically focuses on how periods of reproductive transition, pregnancy,

1:14.0

postpartum, prior to the menstrual cycle, perimenopause, how those times are periods of

1:19.6

increased vulnerability and understanding how actually then the mental health approach might

1:25.4

need to be different. So I am trained as a psychiatrist. I did

1:29.7

additional work to become, you know, expert in this area. And then I now am working as a visiting

1:35.5

associate clinical professor at Colorado University. And then I have and am the co-founder of a group

1:41.7

called the Reproductive Psychiatry Collaborative. And I also work on educational initiatives for a great group called the National Curriculum in Reproductive Psychiatry. So those are that. I love all that. Love all that. And mom and mother. So those are the hats. We love the fact that you're coming to us as an expert and a mom.

2:19.5

And what drew you to this? I guess that's always a good question of like, well, what? Because people are like, wait, I didn't even know this existed. But so why did she know this and why does she want to do this? Yeah, yeah. I think a number of things. I think many of us come to this due to our own lived experience. I had my own experience with infertility,

2:26.9

with polycystic ovary syndrome, with perinatal mood and anxiety. So it was interesting actually because all of that actually happened as I was training. And I think helped me to really,

2:31.6

I think, become really empathetic for my own lived experience about sort of

...

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