The Cry No One Hears: Understanding Perinatal Depression, Postpartum Anxiety, and Finding Mental Health Care Before and After Baby Arrives

The Silence of the New Mother You are supposed to be happy. That is what everyone keeps telling you. You have a beautiful, healthy baby. You waited for this. You planned for this. You should be glowing. But you are not glowing. You are crying in the bathroom while your partner has family over to … Read more

FSA and HSA for Mental Health: What Is Eligible, How to Document Therapy and Psychiatry

Free stock photo via Pexels

The first time Adaeze Okafor swiped her HSA debit card at her therapist’s office in Brooklyn for what was, technically, an HSA therapy reimbursement through direct point-of-sale payment, the receptionist looked at the card, looked at Adaeze, and said with the certainty of someone who had explained this fifty times before, “You can use this … Read more

Cognitive Behavioral Therapy for Insomnia (CBT-I): The Evidence-Based Sleep Treatment Most Doctors Do Not Mention

Free stock photo via Pexels

Marisol had been taking zolpidem for nine years when her new primary care doctor in Tucson finally said the thing nobody else had: “The pills are not fixing your sleep. They are masking it.” She was 52, waking at 3 a.m. every night, exhausted by 10 a.m., and convinced she was broken. Her doctor handed … Read more

Pregnancy-Specific Substance Use Programs: Specialised Rehab That Accepts Pregnant Patients

Free stock photo via Pexels

Tashawn Pellington was 22 weeks pregnant in August 2024 when she walked into a Knoxville detox facility carrying her overnight bag. The intake nurse looked at her belly, then at her chart, then told her the program could not accept pregnant patients and she should go to an emergency department. Tashawn had been using fentanyl … Read more

Returning to Work After Mental Health Leave: ADA Accommodations, Phased Return, and Disclosure Decisions

Free stock photo via Pexels

Devon’s last day before mental health leave was the kind of disaster nobody talks about. He cried in a bathroom stall, drove home at 11 a.m. without telling anyone, and sent his manager a one-line email that said, “I need to step away.” Twelve weeks later, sitting in his cardiologist’s office for unrelated chest pain, … Read more