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.

03/17/2026

I developed postpartum anxiety after the birth of my son. I’ve always had anxiety and OCD, so the symptoms were not new to me, but the severity was. I had a very difficult pregnancy with multiple complications. I felt very unheard by my providers. I felt the more I tried to advocate for myself, the more my providers pushed back. When my son was born, the hospital had put the wrong birth weight on my son’s ppw resulting in the pediatrician telling me to stop feeding on demand overnight and me returning the following week with an underweight baby who was 24 hours away from hospitalization. I think this is when the anxiety really kicked in full throttle. Breastfeeding did not come easily for me, but there was the formula shortage and I felt like I had no choice. Our pediatrician suggested my son may have a food allergy, and I really became preoccupied with that. My son had reflux and I became convinced that every time he spit up it was due to me eating something bad for him. So gradually, I cut out dairy, gluten, nuts, soy, tree nuts, you name it. I really tortured myself with these food restrictions. Any time he had reflux, I would run to review the labels for a contamination. The guilt and shame I felt was immense. I think that much of my anxiety was me looking to have control and self efficacy that I lacked throughout my pregnancy and immediately postpartum. I felt very alone and misunderstood with my anxiety. My family and friends were there to support me, but I was not in a place to see it or accept it. I wish I could have that time back with my son, there were many precious moments that I was not in a place to fully appreciate. This is one of the many reasons why I’m so passionate about reproductive psychiatry. I want to give women the opportunity to have that precious time with their infant, appreciate those moments, accept help from family and friends, not feel isolated, and to feel confident in their identity as a mother.

03/17/2026

Paroxetine is a SSRI. It can reduce your fertility through sexual side effects or increasing prolactin (which can impact menstruation). If you are already on Paroxetine and find out you are pregnant, do not stop it without speaking to your doctor first (and withdrawal symptoms can be unpleasant). Remember untreated depression in pregnancy carries a lot of well known risks to mother and baby. Paroxetine use in pregnancy is associated with a slightly higher risk of heart defects and the baby will need closer monitoring during pregnancy and after birth for heart defects. Paroxetine may increase the risk of persistent pulmonary HTN in the infant after birth. Paroxetine in the third trimester may cause withdrawal symptoms in the infant at birth. These symptoms are: jitteriness, increased muscle tone, irritability, altered sleep patterns, tremors (shivers), difficulty eating and some problems with breathing. Most babies exposed to Paroxetine in pregnancy do not have these symptoms. Withdrawal from Paroxetine in adults can be very uncomfortable. Paroxetine may increase the risk of poor motor skills as the infant develops, but there appears to be no increased risk of Autism Spectrum Disorder. A very small amount of Paroxetine ends up in breast milk and it does not often cause problems for breastfeeding infants. In summary, it is not the favorite SSRI of reproductive psychiatrists to use in pregnancy, but if Paroxetine is the only SSRI the mother has done well with it may be worth the risks as the risks with Paroxetine are small compared to the risks of untreated depression.
Source: https://www.ncbi.nlm.nih.gov/books/NBK582896/
This post is for educational purposes only and does not establish a doctor patient relationship. Please consult with a trusted health provider for medical advice.

03/17/2026

If you cannot get in with a psychiatrist, see your p*p. This and all posts are for educational purposes and do not establish a doctor patient relationship.

03/17/2026

This and all posts are for educational purposes only.

03/17/2026

This and all posts are for educational purposes only and do not establish a doctor patient relationship. Please consult with trusted health provider for medical advice.

03/17/2026

This one always catches me off guard. It’s great that the patient showed up, but I’m definitely worried I’ve relaxed too much and started doing something embarrassing like inhaling pretzels, tooting or blowing my nose! Like, Share, Follow and Subscribe for more original content by Tally Reproductive Psychiatrist, Jamie Lee Sorenson, MD on Women’s Mental Health and the Bendy Boy Mom life. Taking new patients in FL, GA, CO, and TN. All patients 12 years and older are welcome. Disclaimer: Posts are for education and entertainment only. No medical advice given. This information is for general knowledge and not meant to diagnose or treat any conditions. www.tallyrepropsych.com || ll

03/17/2026

This and all posts are for educational purposes only and do not establish a doctor patient relationship. Please consult with a trusted health provider for medical advice.

03/17/2026

This and all posts are for educational purposes only and do not establish a doctor patient relationship. Please consult a trusted health provider for medical advice.

03/17/2026

This and all posts are for educational purposes only and do not establish a doctor patient relationship. Please consult with a trusted health provider for medical advice.

03/16/2026

All posts are for educational purposes only and do not establish a doctor patient relationship.

03/16/2026

Address

3689 Coolidge Court Unit 5
Tallahassee, FL
32311

Telephone

+18507500166

Website

https://linktr.ee/Tallyrepropsych

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