Tally Repro Psych

Tally Repro Psych Welcome to the Tally Reproductive Psychiatrist, the private practice of Jamie Lee Sorenson, MD, a Vanderbilt trained psychiatrist located in Tallahassee, FL.

Telemedicine appointments available in FL, GA, CO, and TN.

04/24/2026

For real though, be safe out there. Evacuate if you are in a mandatory zone. May your Publix water bottles and Costco gas be plentiful.

04/24/2026

I look tired in this video cause I am tired (but happy) lol.

04/24/2026

Often it takes higher doses of antidepressants to reduce severity/frequency of intrusive thoughts. I like sertraline and fluoxetine because you can safely increase the dose higher than other options, but Fluvoxamine, Clomipramine, Risperidone, and Aripiprazole are great for OCD too. It’s kind of amazing to go from being fixated on every intrusive thought in your head to being able to let them pass by without distress. I like to give my patients YBOCS (Yale-Brown Obsessive Compulsive Scale because I want them to know what kinds of categories intrusive thoughts can show up as. They can be really shameful and embarrassing making them hard to talk about. Remember thoughts don’t harm people, actions do.

All posts are for education only and do not serve as medical advice.

04/24/2026

Up to 50% of postpartum women, experience postpartum “blues”. It does not necessarily mean that you will develop postpartum depression, but those who experience postpartum “blues” are at 4-11x increased risk of developing postpartum depression. If symptoms have been there for two weeks or more, call your obgyn, P*P or psychiatrist. We SHOULD all be able to help you access the care you need.

Source:
https://www.ncbi.nlm.nih.gov/books/NBK554546/



Did you experience postpartum “blues” before postpartum depression?

04/24/2026

Most medications have risks in pregnancy, but in general the benefits of treating the mental health problem outweigh the risks of taking the medication. The one exception is Depakote or Valproic acid. Any female of childbearing age should be on birth control while taking this. Many reproductive psychiatrists recommend not using this medication in any female of child bearing age. If Depakote is the only medication that works for a woman of reproductive age, she should take 4g daily of Folic Acid to prevent neural tube defects in any unplanned pregnancies.

These posts are for education only and not medical advice. Please discuss your concerns with your doctor and work with them if you have any concerns about your medications.

Source:
https://womensmentalhealth.org/posts/why_valproic_acid_depakote_women_childbearing_age/

04/23/2026

This doctor was pretty gruff at first, but ended up being quite nice. Thankfully I have a lot of experience with Autism Spectrum Disorder (not that he has it, but I was able to empathize with some of his needs). He started off very directed and clearly had a routine or ritual of questions he needed to get through before he could engage in a meaningful way with me. I really feel this. I do start with open ended questions and try so hard not to interrupt patients. THEN go into my own little ritual with each patient every time. I try to make it sound conversational while having a very curated script in my head and templates that helps me get all the information. I even get a little frustrated at times when I get derailed from the routine, but have definitely learned to be more flexible.

My patients can actually recognize each other by the things I’ve said to them. lol. It is personalized every time for each patient, but if I have something good, I’ll def reuse it.

Social media has actually given me the opportunity to test some of my ideas for new interventions, so thank you so much for the feedback online and helping me become a better doctor for my patients. ❤️

PS You always deserve doctors that care about you and want to see you thrive.

04/23/2026

Thank you novelmindwellness for bringing me to the meeting and spreading awareness about the benefits of ketamine! And it was so nice to meet nutrition.abbey IRL. 😂 I feel like such a grown up (and not just a mom) being out after 8 pm! Now I can return to my nightly ritual of Gilmore Girls and ice cream.

04/23/2026

Infertility can just be traumatic. You are at a war with your body while simultaneously trying to care for it enough to be coaxed into getting pregnant. There are some medicines, procedures and supplements that may help, but it’s never an easy road. I wish you and your family the best on your journey. Please know that you are not alone.

Reproductive psychiatrists can be there to support you if it’s negatively impacting your mental health (because honestly when has infertility not impacted mental health?).

*all posts for educational context. No medical advice given.

04/23/2026

We have some exciting stuff going on between Tally Reproductive Psychiatrist and NovelMindCenter! Kelle and I both have enough research experience to end up heading down long rabbit holes, but definitely need some support carrying things through. We’ve reached out to some research professionals in our community to help make our dreams become a reality. This is very exciting because we are hoping to still examine s*x differences in treatment responses during a time when women’s health research has been cut down to 1/3 of what it was before 2025 which should be considered a crime against humanity. Everyone needs healthy women in their life in order for us all to thrive. Novel Mind & Wellness Center

04/23/2026

This is something that really gets my goat. The medical community knew about the antidepressant effects of ketamine in animal models starting in 1975. Why on earth did we not continue this research sooner to help treat depression more rapidly? 1) every molecule has a mirror image or enantiomer. Similar to have most people have a left hand and right hand. These enantiomers are called R- and S- ketamine. 2) The original ketamine is a mixture of both enantiomers and its patent ran out in 2002. This means the pharma company did not get any additional FDA approvals for treatment of depression because the drug went generic and became dirt cheap. Also, ketamine treatment is time limited whereas SSRIs and SNRIs are usually recommended to be lifelong medications. Pharma is definitely more incentivized to treat chronic disease instead of provide cures. 3) in 2019, Spravato received FDA approval for treatment of depression. All they did was isolate the S-enantiomer to get it FDA approved as a new medication that could make profit. Now they charge people out the w***o for a medication that may not be any more effective or safer than the original ketamine. In fact, it may be that the R-enantiomer is the more effective one for depression and that’s the one they removed! We don’t have all the answers about ketamine at this time, but it sure is exciting to see this field grow. I just wish we could have used it sooner for the people who needed it. It can treat suicidality within 48-72 hours of administration, how many lives were lost to su***de while waiting for this medication to be approved?

Source:
https://www.sciencedirect.com/science/article/pii/S0091305720300289

04/23/2026

As a psychiatrist most of your patients are female and all go through hormonal changes throughout their life cycle. I love reproductive psychiatry. It’s so rewarding, but I do struggle with ambivalence about this because honestly I think it should not NEED to exist. This knowledge SHOULD just be considered standard of care for ANY psychiatrist or mental healthcare provider. Females deserve more than to be an after thought of medicine and psychiatry. No wonder they have increased risk of having any mental illness…

As a teacher, I simply teach reproductive psychiatry as the standard of care because that’s how it SHOULD be.

That said, I realize that I live in a world that is not perfect and women are an afterthought. So until that changes, reproductive psychiatry is where it’s at!

Stats from:
https://www.nimh.nih.gov/health/statistics/mental-illness

It’s all connected in the end. You can’t ignore half of the population and expect to see optimal health in everyone. ...
04/22/2026

It’s all connected in the end. You can’t ignore half of the population and expect to see optimal health in everyone.

Address

3689 Coolidge Court Unit 5
Tallahassee, FL
32311

Telephone

+18507500166

Website

https://linktr.ee/Tallyrepropsych

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