A Mind of Her Own

Jennifer Reid, MD

A Mind of Her Own is a science-backed podcast dedicated to women's mental health, hosted by Dr. Jennifer Reid, MD, a Columbia and UCLA-trained psychiatrist, award-winning educator at the University of Pennsylvania, and author of Guilt Free: Reclaiming Your Life from Unreasonable Expectations. Dr. Reid sits down with clinicians, researchers, and writers to explore topics that matter: invisible labor, reproductive mental health, physician burnout, guilt, identity, and the forces that shape how women seek care and how they thrive. Now available for CME credit! amindofherown.substack.com

  1. Beyond Distraction: A New Understanding of Adult ADHD

    1d ago

    Beyond Distraction: A New Understanding of Adult ADHD

    Does this sound familiar? “I’m busy all day, but I don’t get anything done. I want something to show for my efforts.” “Everyone in my life is tired of my lateness and unreliability.” “I can’t get motivated unless I’m facing a deadline, and what I produce isn’t as good as it could be.” In this episode of A Mind of Her Own with Jennifer Reid, MD, we hear from adult ADHD expert, J. Russell Ramsay, PhD about a new way of viewing ADHD: as fundamentally a self-regulation problem, not an attention problem. The name is misleading. What’s really impaired is the ability to organize behavior across time in order to consistently follow through on what you intend to do. CBT adapted for ADHD works differently than standard CBT. The focus isn’t on changing negative thoughts. It’s on reverse-engineering the how of not doing things, then building explicit step-by-step plans. The goal is slowing down the executive function deliberately, making implicit steps external and visible. The Core Executive Functions Affected in ADHD: * Inhibition (pausing before responding automatically) * Nonverbal working memory (mental simulation and planning) * Verbal working memory (internal self-talk and staying on track) * Emotional regulation and motivation (generating drive in the absence of immediate consequences) * Reconstitution (flexible, creative problem-solving) Emotional dysregulation is a core feature, but it’s invisible in the DSM. Emotions don’t appear in the diagnostic criteria at all, yet they drive much of what people actually struggle with: impulsive reactions, difficulty tolerating discomfort, and using guilt as a misguided motivator. Women are significantly under-diagnosed and diagnosed later. CDC data from 2024 found that 50% of people with ADHD were diagnosed at age 18 or older, and 61% of those were women. Girls’ symptoms often appear on the playground rather than in the classroom, with social disruption rather than academic chaos, making them easier to overlook. Women are also more likely to be diagnosed first with anxiety or depression. Self-mistrust is a hallmark and often mistaken for low confidence. After years of inconsistent follow-through, many adults with ADHD stop trusting themselves to do what they set out to do. This isn’t simply low self-esteem; it’s a learned pattern of doubting one’s own reliability, often amplified by the unspoken message: it must be something I’m doing wrong. High functioning doesn’t mean unaffected. Many people mask symptoms for years through compensatory strategies: all-nighters, parental scaffolding, sheer willpower, until the scaffolding is removed or life demands multiply (new job, parenthood, caregiving, perimenopause). Front-end perfectionism drives procrastination. The biggest cognitive distortion in ADHD isn’t negativity, it’s the belief that conditions must be perfect before starting. Waiting to feel focused, energized, or “in the mood” guarantees perpetual delay. The reframe: Do I have enough to begin? ADHD also brings real strengths. Creativity, the ability to hyper-focus in stimulating environments, hands-on intuitive knowledge, persistence when engaged, and the capacity for innovative thinking are all genuine advantages, not consolation prizes. Resources Mentioned * Book: Once I Get Started: The Adult ADHD Program for Turning Your Intentions into Actions — Dr. Russell Ramsay (Avery/Penguin Random House, May 2025) * Book: You Mean I’m Not Lazy, Stupid or Crazy?! — Kate Kelly & Peggy Ramundo (mid-90s classic, still widely cited) * Book: The Power of Habit — Charles Duhigg (source of the “keystone habit” concept) * Book: The Extended Mind: The Power of Thinking Outside the Brain — Annie Murphy Paul (on environment, cognition, and the need for solitude) * Book: Living Well with Adult ADHD: Practical Strategies for Improving Your Daily Life — Dr. Laura Knouse & Dr. Russell Barkley (Guilford Press, 2025) * Researcher: Dr. Margaret Sibley — Professor of Psychiatry & Behavioral Sciences, University of Washington; leading work on adult ADHD diagnosis guidelines through the American Professional Society of ADHD and Related Disorders (APSARD) * Researcher: Dr. Russ Barkley — foundational work on ADHD as executive dysfunction * Assessment tool: QB Test (Qbtech) — computerized continuous performance task used to objectively measure attention, impulsivity, and activity * Website: cbt4adhd.com — Dr. Ramsay’s practice, contact form, and resources About Dr. Russell Ramsay Dr. J. Russell Ramsay is a licensed psychologist and board-certified cognitive-behavioral therapist specializing in the assessment and psychosocial treatment of adult ADHD. He was the co-founder and co-director of Penn’s Adult ADHD Treatment and Research Program, one of the earliest and most influential programs of its kind, established in 1999. Dr. Ramsay is the author of six books on adult ADHD, including his most recent, Once I Get Started (2025). He has lectured internationally, published extensively in peer-reviewed journals, and serves on the editorial board of the Journal of Attention Disorders. He is an inductee in the CHADD Hall of Fame and recipient of the University of Pennsylvania’s Szuba Award for Excellence in Clinical Teaching and Research. He now runs a fully virtual solo psychology practice, licensed in Pennsylvania and credentialed through PsyPact to practice telepsychology across 35+ participating states. 🌐 cbt4adhd.com 🎙️ Some Exciting News! A Mind of Her Own has recently joined the Learn At Pinnacle app, so if you work in health care, you can receive FREE CE credit just for listening! (This includes Category 1 AMA CME credit and many others.) Download the free app at the link above or at: https://learnatpinnacle.com/education Connect with your host, Jennifer Reid, MD Dr. Jennifer Reid is a physician, the host of A Mind of Her Own, and the author of Guilt Free: Reclaiming Your Life from Unreasonable Expectations — available at major retailers. 🌐 Website: jenniferreidmd.com Instagram: @JenReidMD Threads: Jennifer Reid, MD Feeling inspired by this conversation? Start your own Guilt-Free Group at jenniferreidmd.com/guilt-free-groups or download a book club guide at jenniferreidmd.com/book-clubs. Thanks for reading A Mind of Her Own! Subscribe for free to receive new posts and support my work. If you live in NJ and PA and would like to learn more about Dr. Reid’s unique mental health treatment, contact assistant@jenniferreidmd.com If you enjoyed this episode, please follow A Mind of Her Own and leave a rating or review on Apple Podcasts — it makes a huge difference in helping other people find the show! 🎙️ Seeking a mental health provider? Try Psychology TodayNational Suicide Prevention Lifeline: 1-800-273-8255Dial 988 for mental health crisis supportSAMHSA’s National Helpline - 1-800-662-HELP (4357)-a free, confidential, 24/7, 365-day-a-year treatment referral and information service (in English and Spanish) for individuals and families facing mental and/or substance use disorders. Disclaimer:The views expressed on this podcast reflect those of the host and guests, and are not associated with any organization or academic site. Also, AI may have been used to create the transcript and notes, based only on the specific discussion of the host and guest and reviewed for accuracy.The information and other content provided on this podcast or in any linked materials, are not intended and should not be construed as medical advice, nor is the information a substitute for professional medical expertise or treatment. All content, including text, graphics, images and information, contained on or available through this website is for general information purposes only.If you or any other person has a medical concern, you should consult with your health care provider or seek other professional medical treatment. Never disregard professional medical advice or delay in seeking it because of something that have read on this website, blog or in any linked materials. If you think you may have a medical emergency, call your doctor or emergency services (911) immediately. You can also access the National Suicide Help Line at 1-800-273-8255 or call 988 for mental health emergencies. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit amindofherown.substack.com

    1h 2m
  2. "It's Your Body." Optimal Health in Perimenopause.

    Jun 4

    "It's Your Body." Optimal Health in Perimenopause.

    “Every woman deserves the chance to have a real discussion about hormone therapy — and make whatever decision is right for her. I’m here to give information and answer questions. It’s your body.” — Dr. Jacqueline Riedel The doctor who finally has time for you Dr. Jacqueline Riedel, DO spent 15 years in family medicine where she learned this: women’s hormonal health in midlife was profoundly under-treated and misunderstood. In a busy hospital-based clinic, she’d start a long-overdue conversation with a patient about perimenopause symptoms… and have to cut it off because the schedule demanded it. So she left. She opened Magnolia Midlife Women’s Health, a direct-care practice built on something simple but radical: unhurried, conversational visits where women can actually ask their questions, get real answers, and leave feeling seen. In this conversation, she covers what’s really happening hormonally in your 30s, 40s, and 50s and why everything you were told to fear about hormone therapy probably isn’t the full story. Perimenopause starts earlier than you think Dr. Riedel sees women with perimenopause symptoms long before any changes in the menstrual cycle. If you’ve been dismissed, or told your symptoms are just stress or mom-brain, you’re not alone. Symptoms she commonly sees: • New insomnia: can’t fall asleep or waking for no apparent reason • Anxiety, often misread as “just life stress” • Persistent, unexplained fatigue • Hot flashes and night sweats • Mood changes including irritability, low mood, brain fog • Cycle irregularities such as heavier periods, irregular timing Dr. Riedel’s approach: map symptoms to your cycle. When do they happen? Are there patterns? She also rules out other common causes, including thyroid issues and iron deficiency before exploring hormone therapy as an option. MYTH BUSTING The fears holding women back from relief Two decades after the Women’s Health Initiative (WHI) study was misread and sensationalized, fear still dominates the conversation around hormone therapy. Dr. Riedel sets the record straight. Myth 1: Hormone therapy causes breast cancer. Fact: Long-term WHI follow-up showed women in the hormone treatment group had lower rates of breast cancer. Even a first-degree family history is not a contraindication. And if breast cancer does occur in someone using MHT, their risk of dying is actually lower than in those not using it. Myth 2: The doses in MHT are dangerously high. Fact: Menopausal hormone therapy doses are far lower than those in oral contraceptive pills. If you’d prescribe the pill, you can’t logically call MHT dangerous. Myth 3: Vaginal estrogen has systemic effects and should be avoided in cancer history. Fact: Topical vaginal estrogen has negligible systemic absorption. It reduces UTIs, yeast infections, urinary frequency, and pelvic floor dysfunction, even in women under active breast cancer treatment, per emerging oncology research. The FDA recently removed the black-box warning. TREATMENT OVERVIEW How Dr. Riedel approaches care There’s no single protocol. Dr. Riedel listens first, identifying the top two or three symptoms most affecting quality of life, and builds from there. Progesterone for sleep & anxiety • Stimulates GABA production, a calming neurotransmitter • Helps with sleep onset and staying asleep • Reduces the racing mind at 2am • Often the first place she starts Estrogen for vasomotor symptoms • Addresses night sweats, hot flashes, palpitations • Keeps estrogen levels from dropping to “empty” • Preferred as transdermal (patch, gel, spray) to avoid blood clot risk • Added when progesterone alone isn’t enough Vaginal estrogen for urogenital health • Reduces painful intercourse and dryness • Decreases UTIs and yeast infections • Supports pelvic floor health long-term • About 50% of women need this even on systemic estrogen Non-hormonal options when hormones aren’t right • Newer medications targeting particular neurons in the hypothalamus (hot flash regulation) Things you can do and questions to ask Dr. Riedel’s conversation offers practical starting points for women navigating this transition on their own or with a provider. 01. Track your symptoms in relation to your cycle Sleep disruption, anxiety, and mood changes that follow a cyclic pattern are often hormonal in origin. Note when in your cycle you feel worst because this information is gold for any provider visit. 02. Ask your doctor to rule out thyroid and iron first Fatigue, brain fog, and sleep issues can also come from iron deficiency or thyroid dysfunction. Simple labs can clarify what you’re actually dealing with before hormones enter the picture. 03. Reconsider what’s in your sleep toolkit Alcohol before bed worsens sleep, hot flashes, and anxiety, even though it feels like it helps. Benadryl/ZQuil, Ambien, and benzodiazepines disrupt true sleep architecture. CBT for insomnia has strong evidence and virtually zero side effects. 06. Consider this a second puberty — not a decline Midlife is a genuine developmental threshold. Dr. Riedel and Margaret Mead’s concept of “postmenopausal zest” both point in the same direction: this can be a time of clarity, reclaimed energy, and real possibility if you get the support your body actually needs. REFERENCES & RESOURCES [Podcast] Kelly Casperson, MD — You Are Not Broken Urologist and leading voice in the menopause space. Dr. Riedel’s “gateway” into this field. Highly recommended for patients and providers alike. [Course] Rachel Rubin, MD — Physician Webinar Series Sex medicine specialist and urologist based in Washington, D.C. Physician-only course covering the science of hormones, common fears, and evidence-based prescribing. Her tagline: “What are you afraid of?” [Course] Heather Hirsch, MD — Menopause Education A well-regarded course for providers wanting to build competence in this space. [Organization] The Menopause Society (formerly NAMS) Membership, certification exam, slide decks, and a comprehensive textbook. menopause.org [Supplement Review] Labdoor.com Independent third-party testing of supplement brands for purity and label accuracy. FIND DR. RIEDEL Magnolia Midlife Women’s Health A direct-care practice built for women who are tired of feeling rushed, dismissed, and underserved. Long visits. Real conversations. Evidence-based care from a physician who actually gets it. Free 15-min consult Not sure if you need this kind of care? Book a quick call to talk through your symptoms and see if Magnolia is the right fit. Website: magnoliamidlife.com Instagram: @magnolia_midlife Upcoming Event — June 30 Free public lecture at the Haddonfield Public Library: “Is It a Fad?” An evening on perimenopause, evidence, and what women deserve to know. Register through the library website. Thanks for reading A Mind of Her Own! This post is public so feel free to share it. 🎙️Some Exciting News! A Mind of Her Own has recently joined the Learn At Pinnacle app, so if you work in health care, you can receive FREE CE credit just for listening! (This includes Category 1 AMA CME credit and many others.) Download the free app at the link above or at: https://learnatpinnacle.com/education Thanks for reading A Mind of Her Own! Subscribe for free to receive new posts and support my work. Connect with Your Host, Dr. Jennifer Reid Dr. Jennifer Reid is a physician, the host of A Mind of Her Own, and the author of Guilt Free: Reclaiming Your Life from Unreasonable Expectations — available at major retailers. 🌐 Website: jenniferreidmd.com Instagram: @JenReidMD Threads: @JenReidMD Feeling inspired by this conversation? Start your own Guilt-Free Group at jenniferreidmd.com/guilt-free-groups or download a book club guide at jenniferreidmd.com/book-clubs. If you live in NJ and PA and would like to learn more about Dr. Reid’s unique mental health treatment, contact assistant@jenniferreidmd.com If you enjoyed this episode, please follow A Mind of Her Own and leave a rating or review on Apple Podcasts — it makes a huge difference in helping other people find the show! 🎙️ Seeking a mental health provider? Try Psychology TodayNational Suicide Prevention Lifeline: 1-800-273-8255 Dial 988 for mental health crisis supportSAMHSA’s National Helpline - 1-800-662-HELP (4357)-a free, confidential, 24/7, 365-day-a-year treatment referral and information service (in English and Spanish) for individuals and families facing mental and/or substance use disorders. Disclaimer:The views expressed on this podcast reflect those of the host and guests, and are not associated with any organization or academic site. Also, AI may have been used to create the transcript and notes, based only on the specific discussion of the host and guest and reviewed for accuracy.The information and other content provided on this podcast or in any linked materials, are not intended and should not be construed as medical advice, nor is the information a substitute for professional medical expertise or treatment. All content, including text, graphics, images and information, contained on or available through this website is for general information purposes only.If you or any other person has a medical concern, you should consult with your health care provider or seek other professional medical treatment. Never disregard professional medical advice or delay in seeking it because of something that have read on this website, blog or in any linked materials. If you think you may have a medical emergency, call your doctor or emergency services (911) immediately. You can also access the National Suicide Help Line at 1-800-273-8255 or call 988 for mental health emergencies. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit amindofherown.substack.com

    47 min
  3. Interpersonal Therapy (IPT) Goes Global

    May 26

    Interpersonal Therapy (IPT) Goes Global

    What does it take for a single idea to travel from a research lab in New Haven to war zones in Uganda, refugee camps in Malaysia, and clinics across 30 countries and six continents? In this episode, we sit down with Dr. Myrna Weissman, one of the most consequential figures in modern psychiatry, to find out. Dr. Weissman co-developed Interpersonal Psychotherapy (IPT) alongside her late husband, Dr. Gerald Klerman, on a simple premise: that human suffering is deeply tied to human connection. Grief. Conflict. Loneliness. Life upended. These are not niche clinical categories, but rather a universal language of distress. And IPT was built to respond to it. In this conversation, Dr. Weissman reflects on five decades of research, the pandemic-era project that became a sweeping global volume (now available free via open access), and what it means to build something that outlives its origins. *This episode briefly mentions suicide. (Re-post: This is one of our most beloved episodes, brought back by popular demand. If you’ve heard it before, we hope it moves you just as much the second time.) What Is Interpersonal Therapy (IPT) and Why Does It Work? IPT links the emergence of psychiatric symptoms to what is happening in a person’s current life. It focuses on four core problem areas: 1. Grief — the loss of a loved one 2. Disputes — conflict with someone important to you 3. Transitions — life changes, even positive ones, that disrupt relationships 4. Loneliness/Isolation — chronic or newly developed lack of attachment These four areas have proven to resonate across vastly different cultures because they reflect fundamental aspects of the human condition. Dr. Weissman emphasizes that IPT is not the only evidence-based psychotherapy — it is “one tool in the toolbox, not a religion.” IPT for Adolescents Adolescence is a prime time for IPT’s problem areas, especially disputes, transitions, and loneliness. Key takeaways for parents: • Try to understand the specific stressors behind an adolescent’s symptoms rather than reacting to global, dramatic statements. • Always be alert to the possibility of suicidal ideation. • Communication barriers between teens and parents are common; a trusted third party (grandparent, therapist, family friend) can sometimes serve as a valuable bridge. The New Book: IPT Around the World This book is now available open access for readers everywhere! The COVID-19 pandemic gave Dr. Weissman the unexpected opportunity to connect with IPT practitioners worldwide. What began as a routine update to the standard IPT manual grew into a sweeping collaborative volume covering more than 30 countries across Africa, Asia, Europe, and the Americas. Contributors were asked: What are you doing? What works? What doesn’t? What adaptations did you need to make? Notable chapters include: • Uganda — IPT was introduced around 2003 amid civil war and a mental health crisis. A landmark clinical trial published in JAMA confirmed its effectiveness. Sean Mabry, a former WHO worker, went on to treat hundreds of thousands of people using IPT, even by telephone during the pandemic, and has now established a low-cost program in New Jersey. • China — After government engagement and training by Columbia experts, IPT became what practitioners called a “rapidly growing practice,” with books, training programs, and internet-based delivery. • Malaysia — IPT has been applied with refugees, using the “transitions” framework to help people process displacement and profound loss. • Africa (Ethiopia, Kenya, Mozambique, Senegal, Zambia, Uganda) — Adaptations have been made for cultural context, including how disputes are communicated and resolved within different family and community structures. • Japan and Hong Kong — Initial resistance to psychotherapy has given way to growing acceptance and translated materials. • United States special populations — Chapters cover Alaska Natives, people who are incarcerated, sexual and gender minorities, pre-adolescents, adolescents, and older adults. Cultural Adaptations Dr. Weissman shares a vivid example from Uganda: women in marital disputes are often encouraged not to confront their husbands directly, but to work through an elder who mediates. The underlying IPT principle, that the dispute is driving the symptoms, remains intact; only the implementation changes. Resources Mentioned • International Society of Interpersonal Psychotherapy (ISIPT) — volunteer-run, affordable membership, biannual international conference (10th meeting held in the UK, March 2024) • Dr. Weissman’s new book on IPT across international sites — published Open Access, freely available to practitioners and researchers worldwide • Oxford University Press — publisher of the standard IPT manual About the Guest Dr. Myrna Weissman is the Diana Goldman Kemper Family Professor of Epidemiology and Psychiatry at Columbia University’s Vagelos College of Physicians and Surgeons and Mailman School of Public Health, and Chief of the Division of Translational Epidemiology at the New York State Psychiatric Institute. Alongside her late husband, Dr. Gerald Klerman, she co-developed Interpersonal Psychotherapy (IPT), now backed by over 140 clinical trials, translated into numerous languages, and recommended by the World Health Organization. 🎙️Some Exciting News! A Mind of Her Own has recently joined the Learn At Pinnacle app, so if you work in health care, you can receive FREE CE credit just for listening! (This includes Category 1 AMA CME credit and many others.) Download the free app at the link above or at: https://learnatpinnacle.com/education Connect with Your Host, Dr. Jennifer Reid Dr. Jennifer Reid is a physician, the host of A Mind of Her Own, and the author of Guilt Free: Reclaiming Your Life from Unreasonable Expectations — available at major retailers. 🌐 Website: jenniferreidmd.com Instagram: @JenReidMD Threads: @JenReidMD Feeling inspired by this conversation? Start your own Guilt-Free Group at jenniferreidmd.com/guilt-free-groups or download a book club guide at jenniferreidmd.com/book-clubs. If you live in NJ and PA and would like to learn more about Dr. Reid’s unique mental health treatment, contact assistant@jenniferreidmd.com If you enjoyed this episode, please follow A Mind of Her Own and leave a rating or review on Apple Podcasts — it makes a huge difference in helping other people find the show! 🎙️ Thanks for checking out A Mind of Her Own! Subscribe for free to receive new posts and support my work. Seeking a mental health provider? Try Psychology TodayNational Suicide Prevention Lifeline: 1-800-273-8255Dial 988 for mental health crisis supportSAMHSA’s National Helpline - 1-800-662-HELP (4357)-a free, confidential, 24/7, 365-day-a-year treatment referral and information service (in English and Spanish) for individuals and families facing mental and/or substance use disorders. Disclaimer:The views expressed on this podcast reflect those of the host and guests, and are not associated with any organization or academic site. Also, AI may have been used to create the transcript and notes, based only on the specific discussion of the host and guest and reviewed for accuracy.The information and other content provided on this podcast or in any linked materials, are not intended and should not be construed as medical advice, nor is the information a substitute for professional medical expertise or treatment. All content, including text, graphics, images and information, contained on or available through this website is for general information purposes only.If you or any other person has a medical concern, you should consult with your health care provider or seek other professional medical treatment. Never disregard professional medical advice or delay in seeking it because of something that have read on this website, blog or in any linked materials. If you think you may have a medical emergency, call your doctor or emergency services (911) immediately. You can also access the National Suicide Help Line at 1-800-273-8255 or call 988 for mental health emergencies. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit amindofherown.substack.com

    35 min
  4. When the Story Heals the Storyteller

    May 12

    When the Story Heals the Storyteller

    “Writing meets you where you are. Writing can wrap itself around any situation you bring to it.” - Carolyn Roy-Bornstein, MD In this rich conversation, host Dr. Jennifer Reid welcomes Dr. Carolyn Roy-Bornstein, pediatrician, former nurse, passionate advocate for narrative medicine, and author of A Prescription for Burnout: Restorative Writing for Healthcare Professionals. Together, they explore how reflective writing can serve as a genuine antidote to clinician burnout. Drawing on her own experience navigating her son’s traumatic brain injury, decades of medical practice, and hundreds of writing workshops, Dr. Roy-Bornstein makes a compelling case that putting pain into language is not a luxury. It’s a tool for life. 🎙️Some Exciting News! A Mind of Her Own has recently joined the Learn At Pinnacle app, so if you work in health care, you can receive FREE CE credit just for listening! (This includes Category 1 AMA CME credit and many others.) Download the free app at the link above or at: https://learnatpinnacle.com/education Key Topics * What narrative medicine actually means and how Rita Charon’s framework at Columbia centers the patient’s story as the foundation of clinical practice * The neuroscience behind reflective writing: why naming painful emotions deactivates distress regions in the brain, and why just 15 to 20 minutes a day for four days can produce lasting relief * How Dr. Roy-Bornstein’s son’s accident, a devastating drunk-driving crash that left him with a serious traumatic brain injury and took his girlfriend’s life, became the crucible for her own writing practice and public advocacy About Dr. Carolyn Roy-Bornstein Dr. Carolyn Roy-Bornstein is a board-certified pediatrician, former practicing nurse, and Writer in Residence at the Lawrence Family Medicine Residency Program, where she champions a narrative medicine curriculum. She is also the author of several books, including, most recently, A Prescription for Burnout: Restorative Writing for Healthcare Professionals. Her website for more information on her latest book, A Prescription for Burnout: Restorative Writing for Healthcare Professionals, with nearly 100 writing prompts, and a schedule of upcoming workshops: carolynroybornstein.com Connect with Your Host, Dr. Jennifer Reid Dr. Jennifer Reid is a physician, the host of A Mind of Her Own, and the author of Guilt Free: Reclaiming Your Life from Unreasonable Expectations — available at major retailers. 🌐 Website: jenniferreidmd.com Instagram: @JenReidMD Threads: @JenReidMD Feeling inspired by this conversation? Start your own Guilt-Free Group at jenniferreidmd.com/guilt-free-groups or download a book club guide at jenniferreidmd.com/book-clubs. If you enjoyed this episode, please follow A Mind of Her Own and leave a rating or review on Apple Podcasts — it makes a huge difference in helping other people find the show! 🎙️ Thanks for checking out A Mind of Her Own! Subscribe for free to receive new posts and support my work. Seeking a mental health provider? Try Psychology TodayNational Suicide Prevention Lifeline: 1-800-273-8255Dial 988 for mental health crisis supportSAMHSA’s National Helpline - 1-800-662-HELP (4357)-a free, confidential, 24/7, 365-day-a-year treatment referral and information service (in English and Spanish) for individuals and families facing mental and/or substance use disorders. Disclaimer:The views expressed on this podcast reflect those of the host and guests, and are not associated with any organization or academic site. Also, AI may have been used to create the transcript and notes, based only on the specific discussion of the host and guest and reviewed for accuracy.The information and other content provided on this podcast or in any linked materials, are not intended and should not be construed as medical advice, nor is the information a substitute for professional medical expertise or treatment. All content, including text, graphics, images and information, contained on or available through this website is for general information purposes only.If you or any other person has a medical concern, you should consult with your health care provider or seek other professional medical treatment. Never disregard professional medical advice or delay in seeking it because of something that have read on this website, blog or in any linked materials. If you think you may have a medical emergency, call your doctor or emergency services (911) immediately. You can also access the National Suicide Help Line at 1-800-273-8255 or call 988 for mental health emergencies. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit amindofherown.substack.com

    38 min
  5. Held Together: Weaving Women's Stories of Motherhood, Loss, and Finding Each Other

    Apr 23

    Held Together: Weaving Women's Stories of Motherhood, Loss, and Finding Each Other

    “I don’t think we move past challenging experiences. I think we integrate them into our identities and into the wisdom we carry forward.” -Dr. Rebecca Thompson In Held Together: A Shared Memoir of Motherhood, Medicine, and Imperfect Love, Dr. Rebecca Thompson, family medicine and public health physician, weaves her personal story of life-threatening pregnancy complications into the stories of twenty-one patients, friends, and medical colleagues. Through profoundly honest and emotionally raw accounts, the book creates a space for connection, offering comfort to anyone touched by challenges in building or sustaining families. At its heart, Held Together aims to expand the understanding of motherhood’s true diversity, while advocating for empathy, inclusion, and improved support for all women and families. Storytelling as healing Several of Dr. Thompson’s collaborators shared that working on the book was the first time they had ever told their story in a coherent, cohesive way, and that the process allowed them to integrate the experience rather than feel stuck in it. Dr. Thompson draws a distinction between “moving past” challenges and carrying them forward with purpose. Building community, one relationship at a time Near the close of the episode, Dr. Thompson reflects on what it takes to build real community: patience, persistence, and the willingness to start small. Most of Held Together was written in 20-minute windows, in parking lots, between appointments, in the in-between moments of a full life. The book itself is proof that small, consistent actions can accumulate into something meaningful. References & Resources Book: Held Together: A Shared Memoir of Motherhood, Medicine, and Imperfect Love by Rebecca N. Thompson, MD Available through affiliate links on Dr. Thompson’s website (a portion of proceeds benefits Postpartum Support International), through your local independent bookstore, or your library. Postpartum Support International — an organization supporting maternal and family mental health: postpartum.net Kintsugi — the Japanese art of repairing broken ceramics with gold lacquer, referenced in the book as a metaphor for post-traumatic growth and finding beauty in imperfection. Connect with Dr. Thompson Rebecca N. Thompson, MD, is a family medicine and public health physician from Portland, Oregon, who specializes in women’s and children’s health. She is the author of Held Together: A Shared Memoir of Motherhood, Medicine, and Imperfect Love, a collaborative project more than a decade in the making. 🌐 Website: www.rebeccanthompson.com (Note: The N is important, there are other authors named Rebecca Thompson! Look for the middle initial.) 📘 Facebook: facebook.com/rebecca.thompson.354831 📸 Instagram: @rebecca.n.thompson 🧵 Threads: @rebecca.n.thompson 💼 LinkedIn: Rebecca N. Thompson, MD Connect with Your Host, Dr. Jennifer Reid Dr. Jennifer Reid is a physician, the host of A Mind of Her Own, and the author of Guilt Free: Reclaiming Your Life from Unreasonable Expectations — available at major retailers. 🌐 Website: jenniferreidmd.com 📸 Instagram: @JenReidMD 🧵 Threads: @JenReidMD Feeling inspired by this conversation? Start your own Guilt-Free Group at jenniferreidmd.com/guilt-free-groups or download a book club guide at jenniferreidmd.com/book-clubs. If you enjoyed this episode, please follow A Mind of Her Own and leave a rating or review on Apple Podcasts — it makes a huge difference in helping other people find the show! 🎙️ A Note for Educators & Helping Professionals Dr. Thompson is actively expanding her work into medical and health professions training. She welcomes outreach from educators working with medical students, residents, nurses, doulas, midwives, social workers, and psychologists, or anyone who wants to help the next generation of caregivers better understand their patients’ full context. Virtual presentations are available. Reach out through the Connect page on her website. Please remember: your hosts are physicians, but we are not your physicians. For any personal healthcare concerns, please reach out to your own provider. You can also contact the mental health helpline by dialing 988. All opinions are the host’s and guest’s alone. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit amindofherown.substack.com

    46 min
  6. The Brilliant Postpartum Brain

    Apr 13

    The Brilliant Postpartum Brain

    “The postpartum brain is brilliant, and we want to nurture that process versus hinder it.” -Dr. Nikki Pensak, PhD, PMH-C In this episode of A Mind of Her Own, Dr. Jennifer Reid, host and author of Guilt Free, sits down with Dr. Nikki Pensak, clinical psychologist, perinatal mental health specialist, and author of Rattled: How to Calm New Mom Anxiety with the Power of the Postpartum Brain (Paperback arrives April 14th!) Together they explore the science behind how a woman’s brain radically transforms during pregnancy and the postpartum period, why this developmental phase has a name (matrescence), and why virtually no one is talking about it. Dr. Pensak shares her own deeply personal story of experiencing postpartum depression twice, including a severe episode with symptoms of OCD during COVID while her son was in the NICU, and how hitting rock bottom as a mental health expert motivated her to write the book she wished had existed. This episode is a must-listen for anyone who is pregnant, postpartum, or supporting a new mother. Dr. Pensak’s Three Moves to Matrescence 1. Plan It From the moment you find out you’re pregnant, establish care with a mental health provider or prescriber who specializes in perinatal mental health. Get a baseline assessment, understand your unique risk factors, and have your support system in place before the baby arrives, not after. 2. Name It Understand that what you’re going through is matrescence, a recognized, science-backed developmental phase. Name the identity changes, the emotional upheaval, the relationship stress. Knowing it has a name, and that it is expected, is itself therapeutic. 3. Use It Once mental health is stabilized, harness the brain’s remarkable neuroplasticity. Rise to challenges, pursue positive emotional experiences, and lean into post-traumatic growth. Your brain is primed for new learning. It’s time to use that superpower. Resources Mentioned Rattled: How to Calm New Mom Anxiety with the Power of the Postpartum Brain by Nicole Pensak, PhD, PMH-C. Available in hardcover, paperback (new cover, releasing April 14), audiobook, and Kindle. Connect with Dr. Pensak: @drnikkipensak on all platforms Guilt Free: Reclaiming Your Life From Unreasonable Expectations by Jennifer Reid, MD. Available now, including audiobook (read by the author) and e-book. *Consider leaving a book review — it makes a huge difference for authors! • Postpartum Support International (PSI) — free support groups for new mothers, fathers, anxiety, depression, and more. Also maintains a searchable database of certified perinatal mental health providers by state. https://www.postpartum.net Thanks for reading A Mind of Her Own! Subscribe for free to receive new posts and support my work. Dr. Nicki Pensak is a clinical psychologist who specializes in treating postpartum mental health conditions, anxiety, OCD, depression, sexual dysfunction, and symptoms and side effects associated with medical issues (such as cancer and chronic medical conditions). Dr. Pensak received her Ph.D. in Clinical Psychology from University of Rhode Island and completed her APA accredited internship and specialty training in behavioral medicine at Yale School of Medicine. She completed a postdoctoral fellowship at Massachusetts General Hospital/ Harvard Medical School in psychiatric oncology and an NIH T32 fellowship at the University of Colorado, Anschutz Medical Center in Aging and Palliative Care. She currently serves on the Expert Review Board of Parents Magazine and is the author of RATTLED, How to Calm New Mom Anxiety with the Power of the Postpartum Brain. Dr. Pensak provides in-person therapy in Monmouth County, NJ and telehealth therapy in 40 states, nationwide. Reminder: Both the host and guest are healthcare professionals, but they are not your healthcare professionals. Please consult your own providers with any personal medical or mental health questions. Disclaimer: This podcast is for informational purposes only and does not constitute medical or psychological advice. If you are experiencing symptoms of postpartum mental health conditions, please reach out to a qualified healthcare provider or contact Postpartum Support International at postpartum.net. You can also contact the mental health helpline by dialing 988. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit amindofherown.substack.com

    37 min
  7. The Real Madness of March: Gambling Disorder, Recovery & Public Health

    Mar 24

    The Real Madness of March: Gambling Disorder, Recovery & Public Health

    “There’s no such thing as responsible gambling. Remember when we were told to smoke responsibly, and that opiate pain pills aren’t addictive? -Kavita Fischer, MD Several years ago, when Dr. Kavita Fischer downloaded an online betting app, she was just looking for something fun to do with her free time. However, within months she found herself so consumed by online gambling that she was taking out loans, chasing losses, and unable to stop, even after a big win that could have cleared her debt. Now, she has become a leading advocate for the change in what she describes as a “predatory” industry, sharing her story of gambling disorder and relapse. As she points out, gambling disorder is among the most stigmatized of all addictions, and silence protects the industry, not the patients. In this essential episode, she and Dr. Reid discuss the conflicted interests of those who are supposed to provide regulations to the industry, the broken treatment landscape, and what real public health reform would look like. *Please note that this episode mentions suicide and non-suicidal self-injury. “Responsible Gambling” Is a Myth This phrase places all blame on the individual, mirroring the tobacco and opioid playbooks. Consumer protection messaging, not personal responsibility tropes, is what’s needed. After all, responsible gambling campaigns are estimated to be up to 90% funded by the gambling industry itself, creating an obvious conflict of interest. “It smells like, looks like something uncomfortably familiar: normalizing a product, denying the harm, blaming the user. That’s exactly what we saw with tobacco and opioids.” -Kavita Fischer, MD The Product Is Engineered for Addiction Online gambling moved the casino from a destination to your pocket. Research shows proximity to a casino increases gambling disorder risk, and now everyone is living with a casino in their pocket. These apps are designed to keep you clicking and loop you back in when you try to leave. Unlike alcohol, the industry actively sends promotions and re-engagement offers to people who are trying to quit. “No one’s leaving alcohol at your doorstep. No industry is sending coupons for alcohol to prevent you from getting treatment. That’s exactly what this industry does.” -Kavita Fischer, MD The Business Model Requires Addicted Gamblers 70–90% of industry profits come from problem gamblers. States that have partnered with gambling operators are essentially acting as the bookie, collecting tax revenue with little meaningful regulation protecting citizens. Additionally, this tax revenue may not be going toward the programs we expect it to. The Highest Suicide Rate of Any Addiction • 1 in 2 people with gambling disorder have thought about suicide • 1 in 5 have attempted it Per Dr. Fischer, a recent study found financial debt (not concurrent mental illness or substance use) is the single most powerful independent risk factor for suicide in this population. The LIE/BET Screener: Two Questions That Open Doors Only 8–10% of people with gambling disorder seek treatment on their own. Dr. Fischer advocates for universal screening using this validated two-question tool: 1. Have you ever had to lie to people important to you about how much you gambled? 2. Have you ever felt the need to bet more and more money? Treatment Options Are Limited but Exist There is no FDA-approved medication for gambling disorder. The gold standard is CBT + Motivational Interviewing, delivered by ICGC-certified counselors. Support groups (Gamblers Anonymous, Gam-Anon for families) and state gambling board referral lists are the most accessible entry points. Children Are Especially Vulnerable About 50% of adolescents have gambled in some form, mostly online. In-game mechanics like loot boxes, lucky wheels, and virtual currencies introduce gambling behavior through gaming. Dr. Fischer recommends parental controls, open conversations, and legislative pressure to enforce age restrictions. Resources & Links Crisis & Helplines • National Problem Gambling Helpline: 1-800-MY-RESET (new number — crisis screening and local referrals) • Gamblers Anonymous Hotline: 855-222-5542 Support Groups • Gamblers Anonymous — in-person, virtual, and telephone meetings • Gam-Anon — for family members and loved ones Advocacy • Stop Predatory Gambling — nonprofit exposing industry harms and pushing for policy reform Treatment & Screening • International Problem Gambling and Gaming Certification Organization (IPGGC) find certified CBT/MI counselors. • LIE/BET Screener — two-question tool, appropriate for any clinical intake Gambling-Blocking Apps • Gamban — blocks tens of thousands of gambling sites across all devices • BetBlocker — free, available on iOS, Android, Windows, Mac, and Linux Dr. Fischer’s Writing • “The Real Madness of March” — psychiatric journal article on why all clinicians should screen for gambling disorder • The House Always Wins: Learning to Overcome Problem Gambling • Dr. Fischer’s Substack: The Doctor and The House Listen to Dr. Fischer on the Wall Street Journal Podcast: How a Psychiatrist Lost $400,000 on Gambling Apps About Dr. Kavita Fischer, MD Dr. Kavita Fischer is a double board-certified psychiatrist in general and child & adolescent psychiatry, president of the Pennsylvania Psychiatric Society, and clinical assistant professor at the University of Pittsburgh’s Department of Psychiatry. She works as an emergency room psychiatrist and is a national speaker advocating against the harms of commercialized gambling, drawing on her own lived experience with gambling disorder and recovery. A Mind of Her Own Hosted by Dr. Jennifer Reid, MD Board-certified psychiatrist, author of Guilt Free: Reclaiming Your Life From Unreasonable Expectations, and award-winning medical educator jenniferreidmd.com | A Mind of Her Own on Substack @jenreidmd on Instagram and LinkedIn Also check out Dr. Reid’s regular contributions to Psychology Today: Think Like a Shrink Seeking a mental health provider? Try Psychology TodayNational Suicide Prevention Lifeline: 1-800-273-8255Dial 988 for mental health crisis supportSAMHSA’s National Helpline - 1-800-662-HELP (4357)-a free, confidential, 24/7, 365-day-a-year treatment referral and information service (in English and Spanish) for individuals and families facing mental and/or substance use disorders. Disclaimer:The views expressed on this podcast reflect those of the host and guests, and are not associated with any organization or academic site. Also, AI may have been used to create the transcript and notes, based only on the specific discussion of the host and guest and reviewed for accuracy.The information and other content provided on this podcast or in any linked materials, are not intended and should not be construed as medical advice, nor is the information a substitute for professional medical expertise or treatment. All content, including text, graphics, images and information, contained on or available through this website is for general information purposes only.If you or any other person has a medical concern, you should consult with your health care provider or seek other professional medical treatment. Never disregard professional medical advice or delay in seeking it because of something that have read on this website, blog or in any linked materials. If you think you may have a medical emergency, call your doctor or emergency services (911) immediately. You can also access the National Suicide Help Line at 1-800-273-8255 or call 988 for mental health emergencies. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit amindofherown.substack.com

    36 min
  8. Women Burdened by Invisible Work

    Mar 12

    Women Burdened by Invisible Work

    “Most of the couples that I spoke with wanted to distance themselves from old-school gender norms, and yet very few were able to achieve balance when it came to the division of this mental work.” — Dr. Allison Daminger If you’ve ever lain awake mentally running through tomorrow’s logistics while your partner sleeps soundly beside you, this episode is for you. Dr. Allison Daminger, sociologist and author of What’s on Her Mind?, has spent nearly a decade studying something most families feel but few can name: the invisible cognitive labor that keeps a household running. It’s not the cooking or the carpooling, it’s the anticipating, the researching, the deciding, and the endless following up. In this conversation, Dr. Daminger unpacks why this mental work falls so disproportionately on women—even in couples who are genuinely trying for something more equal, what makes it so stubbornly hard to redistribute, and what it would actually take, in our homes and in our culture, to change it. Website: allisondaminger.com · Substack: The Daminger Dispatch What Is Mental Workload? Dr. Daminger describes mental workload as “project management for the household” — a set of cognitive processes geared toward figuring out what a family needs and ensuring those needs get fulfilled. It breaks down into four key steps: * Anticipation — scanning ahead for upcoming needs, problems, or opportunities * Identifying options — brainstorming or researching possible solutions * Decision-making — choosing the best course of action for the family * Monitoring — following up to make sure the solution actually worked Unlike physical housework, this labor is largely invisible, often not recognized as “work” even by the person doing it. “This is a set of mental processes that are geared toward figuring out what your family needs, what you owe to other people, and then how to ensure that those needs and obligations get fulfilled.” — Dr. Allison Daminger Key Research Findings The Gender Gap Is Stark In Dr. Daminger’s study of different-gender couples, 4 out of 5 were “woman-led,” meaning she was effectively the “cognitive laborer in chief.” While couples were closer to 50-50 on physical housework (cooking, cleaning, driving), the mental work remained deeply unequal. Earning More Doesn’t Level the Playing Field, Not for Women When men earned more or worked more hours, they almost always did less cognitive labor. But the same did not hold true in reverse: women who were the primary earners still shouldered a disproportionate share of mental work. The breadwinner pass applied to men, not women. “In cases where she was doing more hours or earning more money, a lot of the time she was still doing more of the cognitive labor.” — Dr. Allison Daminger Why Does This Persist? Accountability Structures One of Dr. Daminger’s core explanations is “accountability structures,” which is the fact that men and women are held responsible for different outcomes. Men feel guilt around financial failure; women feel guilt when household or parenting management slips. This asymmetry shapes who pays attention and who steps in. “If the kid comes to school missing their clarinet on band day, or guests come over and there’s dog hair on the floor, these are outcomes that usually are going to be blamed on women.” — Dr. Allison Daminger The Stickiness Problem Cognitive labor is deeply embedded in knowledge, relationships, and practice, making it hard to hand off. A partner who has attended every pediatrician appointment holds context the other doesn’t have. Many women conclude it’s simply easier to keep doing it than to train someone else. This keeps the division of labor frozen even when both partners want change. “You can teach someone to change a diaper pretty quickly. But a lot of cognitive work is embedded in knowledge and relationships that are hard to just hand over.” — Dr. Allison Daminger What Balanced Couples Do Differently “If you can lead from the place of: I’m suffering, this is not working for me, that will activate a form of compassion that is harder to access when it’s framed as criticism.” — Dr. Allison Daminger Transfer Ownership, Not Just Tasks The “just tell me what to do” dynamic is a common trap. If she’s still the one generating the list, she still owns the domain. Dr. Daminger’s advice: transfer full vertical ownership of a category, not just execution of individual tasks. “All things laundry, that’s now you. Not just one piece, but making sure there’s detergent, making sure the kids have clean clothes on time, making sure the washer and dryer are functioning. If you can give someone up-and-down vertical ownership of the whole project, that’s often more effective than one-off task delegations.” — Dr. Allison Daminger Start Small and Give It Time • Pick lower-stakes domains first — tasks you won’t catastrophize if done differently • Set a grace period (e.g., two weeks) before evaluating — transitions are inherently bumpy • Avoid overhauling everything at once; there will be mistakes as skills are built • Resist the urge to take back a task the moment it’s done differently than you would Key Takeaway The skills that shape who does cognitive labor are learned, not innate. Calling it a “personality difference” lets the pattern off the hook. Dr. Daminger’s research suggests that recognizing the work, naming it, and deliberately redistributing ownership (not just tasks) is how couples begin to change. The structure matters too: fewer systemic barriers mean fewer forced tradeoffs, and a more level playing field at home. Listen to the full episode to hear what she suggests for more broad, societal level changes that could help this imbalance of cognitive load. A Mind of Her Own Hosted by Dr. Jennifer Reid, MD Board-certified psychiatrist, author of Guilt Free: Reclaiming Your Life From Unreasonable Expectations, and award-winning medical educator jenniferreidmd.com | A Mind of Her Own on Substack @jenreidmd on Instagram and LinkedIn Also check out Dr. Reid’s regular contributions to Psychology Today: Think Like a Shrink Seeking a mental health provider? Try Psychology TodayNational Suicide Prevention Lifeline: 1-800-273-8255Dial 988 for mental health crisis supportSAMHSA’s National Helpline - 1-800-662-HELP (4357)-a free, confidential, 24/7, 365-day-a-year treatment referral and information service (in English and Spanish) for individuals and families facing mental and/or substance use disorders. Disclaimer:The views expressed on this podcast reflect those of the host and guests, and are not associated with any organization or academic site. Also, AI may have been used to create the transcript and notes, based only on the specific discussion of the host and guest and reviewed for accuracy.The information and other content provided on this podcast or in any linked materials, are not intended and should not be construed as medical advice, nor is the information a substitute for professional medical expertise or treatment. All content, including text, graphics, images and information, contained on or available through this website is for general information purposes only.If you or any other person has a medical concern, you should consult with your health care provider or seek other professional medical treatment. Never disregard professional medical advice or delay in seeking it because of something that have read on this website, blog or in any linked materials. If you think you may have a medical emergency, call your doctor or emergency services (911) immediately. You can also access the National Suicide Help Line at 1-800-273-8255 or call 988 for mental health emergencies. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit amindofherown.substack.com

    45 min
4.8
out of 5
48 Ratings

About

A Mind of Her Own is a science-backed podcast dedicated to women's mental health, hosted by Dr. Jennifer Reid, MD, a Columbia and UCLA-trained psychiatrist, award-winning educator at the University of Pennsylvania, and author of Guilt Free: Reclaiming Your Life from Unreasonable Expectations. Dr. Reid sits down with clinicians, researchers, and writers to explore topics that matter: invisible labor, reproductive mental health, physician burnout, guilt, identity, and the forces that shape how women seek care and how they thrive. Now available for CME credit! amindofherown.substack.com

You Might Also Like