In recognition of Maternal Mental Health Month I am re-sharing this 2023 conversation with the founders of The Motherhood Center in NYC. With Perinatal Mood and Anxiety Disorders (PMADS) being the #1 complication associated with birth in the US and the #2 cause of maternal mortality, this remains a critical conversation.

It’s not just you. You're not crazy. You're not a bad mom. You're not alone. These are words and deep beliefs that resonate through and form the backbone of today’s guests, Catherine Birndorf, MD, and Paige Bellenbaum, LMSW. Catherine and Paige are dedicated to changing the perinatal mental health terrain, and they do it through The Motherhood Center, a place of radical acceptance, nurturance, and individual and group support. On today’s episode, we pull back the curtain on motherhood and redefine what is considered "normal" and "typical". With PMADs (perinatal mood and anxiety disorders) being the #1 complication associated with birth and the #2 cause of maternal mortality, this is a critical conversation. On today’s episode, we unpack why it’s so important that we talk more about these conditions, how to do your best to prevent PMADs, and what to do if you or someone you love has symptoms. 

Aviva, Paige, and Catherine discuss: 

• The definition of perinatal mood and anxiety disorders (PMADS) and the different diagnoses that fall under the PMAD umbrella 
• What PMAD taboos still exist today, why this needs to change, and how Roe v. Wade affects these taboos 
• Paige and Catherine’s personal stories with perinatal mood disorders and what brought them to the point of specializing in PMADS and opening the motherhood center 
• The kinds of physical and psychological feelings and symptoms associated with PMADs and signs birthing people and their providers should watch out for 
• Why we need to move in the direction of making it mandatory for OB-GYNs, midwives, pediatricians, and any providers who come in contact with newer expecting mothers to begin educating their patients about PMADS and screening for symptoms  
• The effects of the pandemic, social isolation, and potential cultural contributors on PMADS  
• The role of medication and psychotherapy in treating conditions 

For more information or to reach out visit themotherhoodcenter.com or call (212) 335-0034. 

Thank you so much for taking the time to tune in to your body, yourself, and this podcast! Please share the love by sending this to someone in your life who could benefit from the kinds of things we talk about in this space. Make sure to follow your host on Instagram @dr.avivaromm and go to avivaromm.com to join the conversation.

There are the stories we tell out loud, and then there are the ones we keep tucked away—the ones that ache the most, because we’ve carried them in silence.

On this episode of On Health, we’re breaking the silence—and the stigma—around some of the most vulnerable, hidden experiences women carry: miscarriage, illness, identity loss, perfectionism, aging, and the loneliness so many of us feel but rarely name.

I’m joined by the phenomenal Dr. Jessica Zucker, clinical psychologist and author of the groundbreaking memoir I Had a Miscarriage, and her latest book, Normalize It, which is just what we need: an invitation to stop apologizing for what we’re going through—and start talking about it.

Together, we explore:

• How grief grows in silence—and thrives in stigma
• What it means when you don’t feel like yourself
• Why midlife isn’t a decline—it’s a reckoning
• What being a “good girl” has cost us
• Why loneliness is a serious health issue
• Why we are more than what we do
• How perfectionism is stealing our joy

This one’s for all the women tired of pretending they’re fine.

Who are aching to be seen.

Who are ready to stop carrying the weight alone.

Looking for supplements for yourself and your family, including some of those I talk about in episodes? You can find those - and your 15% discount on every order here: avivaromm.com/supplements

Mentioned in this episode:

Looking for supplements for yourself and your family, including some of those I talk about in episodes? You can find those - and your 15% discount on every order here: avivaromm.com/supplements

What if you already have what it takes to breastfeed your baby—and just need the right support to unlock it?

This question is at the heart of my conversation with Lisa Paladino, Certified Nurse Midwife, IBCLC, and a fierce advocate for women and babies. Lisa has decades of experience helping families navigate the powerful, joyous, and sometimes  confusing, emotional, and occasionally challenging terrain of breastfeeding.  Not just a brilliant clinician, but a graduate of both my Women’s Integrative and Functional Medicine and Herbal Medicine for Women training programs… and now, a lifelong friend.

Lisa is the passionate founder of Tongue Tie Experts. She’s spent decades supporting parents through the intense, sacred, and often confusing path of breastfeeding—especially when things don’t go as planned.

Lisa’s journey from hospital-based nurse and midwife to fierce advocate for women’s rights and breastfeeding education is one you won’t forget. And what we unpack in this conversation might change how you see everything from nipple pain to infant sleep—and even adult airway health.

In this episode, we dive into:

• What exactly is an IBCLC—and why it matters
• The silent struggle of mastitis, milk supply issues, and pain
• How breastfeeding shapes your baby’s airway—and possibly lifelong health
• The heartbreak of not making enough milk—and how to support yourself
• Setting yourself up for breastfeeding success before the baby comes
• Why so many moms stop breastfeeding before they want to—and how we can change that
• And yes… we go there with nipple toughening myths, lactation cookies, pumping in broom closets, and airplane glares.

Because we’ve all been there—or know someone who has.

“Breastfeeding is a vital sign of the infant-maternal dyad. If it’s not working, we need to ask why.” — Lisa Paladino

“We’re grown-ass women. Nobody should be telling us what we’re ‘allowed’ to do in birth or postpartum.” — Aviva Romm

In this episode, we dive into:

• You deserve real, informed support—not just platitudes or formula handouts.
• Breastfeeding might be “natural,” but that doesn’t mean it’s easy or intuitive.
• Trusting your instincts is medicine.
• Whether you breastfed for two years, two days, or not at all, you’re still a phenomenal mama.

Looking for supplements for yourself and your family, including some of those I talk about in episodes? You can find those - and your 15% discount on every order here: avivaromm.com/supplements

The Mama Pathway is not your average childbirth education program. It's a powerful virtual membership community and online education experience where traditional midwifery wisdom and modern medicine meet to support you on your most empowered path through pregnancy, birth, and beyond. Go to avivaromm.com/mama-pathway to learn more

Mentioned in this episode:

The Mama Pathway is not your average childbirth education program. It's a powerful virtual membership community and online education experience where traditional midwifery wisdom and modern medicine meet to support you on your most empowered path through pregnancy, birth, and beyond. Go to https://avivaromm.com/mama-pathway to learn more

Looking for supplements for yourself and your family, including some of those I talk about in episodes? You can find those - and your 15% discount on every order here: avivaromm.com/supplements

Have you ever left a doctor’s appointment feeling more defeated than when you arrived? Perhaps a diagnosis felt like a life sentence, or a well-meaning comment planted a seed of fear that lingered for months. This isn’t just bad bedside manner; it’s a phenomenon I call “medical hexing.” It’s the subtle, and sometimes not-so-subtle, way that language in medical settings can disempower us, shaping our beliefs and even our health outcomes. 

Today, we’re diving deep into the power of words in medicine – how they can both heal and profoundly harm. In this episode I give you the down-low on:

• The Concept of Medical Hexing: How negative language and disempowering beliefs, often unintentionally, can act as a "medical hex," influencing our health beyond just our physical symptoms.
• The Nocebo Effect's Reality: This isn't just "woo-woo." The "evil twin" of the placebo effect, has a neurobiological basis, demonstrating how negative expectations can directly impact our physiology.
• Words as Physiological Triggers: The language used by healthcare providers directly impacts our brain and body, triggering stress responses, altering hormone levels, and even influencing our immune systems.
• The Power Imbalance: The traditional doctor-patient power dynamic can amplify the nocebo effect, making us more susceptible to negative suggestions and limiting our ability to advocate for ourselves.
• Reclaiming Your Agency: It's crucial to recognize your own expertise in your body and health, to question negative prognoses, and to seek out providers who foster trust and empowerment.
• The Body's Innate Healing Capacity: We must shift away from a disease-focused model and recognize the body's remarkable ability to heal, a capacity that can be enhanced or diminished by our beliefs.

For a deeper dive into advocating for yourself within the medical system, be sure to read my book, "Hormone Intelligence." It includes a full chapter dedicated to empowering you to get the supportive, respectful healthcare you deserve. 

Looking for supplements for yourself and your family, including some of those I talk about in episodes? You can find those - and your 15% discount on every order here: avivaromm.com/supplements

Mentioned in this episode:

Looking for supplements for yourself and your family, including some of those I talk about in episodes? You can find those - and your 15% discount on every order here: avivaromm.com/supplements

What if friendships were just as vital to our health as sleep, nutrition, and exercise? Research suggests they might be. But in our fast-paced, modern world, nurturing deep and lasting friendships can feel overwhelming.

In this episode, I sit down with journalist and author Anna Goldfarb to explore the evolving landscape of friendship—why it can be so challenging to maintain meaningful connections as we move through different life phases, and what we can do to strengthen the relationships that nourish us the most.

Anna’s book, Modern Friendship: How to Nurture Our Most Valued Connections, gave me so many “aha” moments about why friendships shift, how we can show up for each other in a more intentional way, and how to release the guilt we sometimes feel when friendships change.

Join us as we unpack:

• How relationships have changed over time—why past generations had built-in social structures that kept friendships steady, and how today’s hyper-fluid, fast-paced world has reshaped the way we connect.
• How understanding the difference between “bathtub friends,” “swimming pool friends,” and “memorial friends” can ease the strain in relationships and help us let go of unrealistic expectations.
• Why some friendships fade over time (and why it’s not your fault!) and how to cope with changing relationships.
• The impact of social media on our lives and how having ‘friends’ online can leave us feeling more lonely than not. 
• How we can keep connections alive through life changes—from motherhood to career shifts, big moves, and more.
• What to do when a connection feels out of sync—how to know whether to repair it or let it go.

If you’ve ever felt lonely, longed for deeper relationships, or struggled to navigate the shifting nature of connection as life evolves—this conversation is for you.

The way we connect in our modern lives is changing, but meaningful relationships are still the key to a healthy, fulfilling life. Have a listen to learn how to nourish the connections that truly matter.

Looking for supplements for yourself and your family, including some of those I talk about in episodes? You can find those - and your 15% discount on every order here: avivaromm.com/supplements

Mentioned in this episode:

Looking for supplements for yourself and your family, including some of those I talk about in episodes? You can find those - and your 15% discount on every order here: avivaromm.com/supplements

Have you ever felt torn between dreaming big and staying realistic? Between trusting your instincts and wondering if fear is holding you back? In today’s conversation, we’re diving deep into what it truly means to reclaim your personal sovereignty—the ability to stand fully in your own power, free from self-doubt, external expectations, and the weight of comparison.

My guest today, Dr. Emma Seppälä, is a psychologist, researcher, and bestselling author dedicated to helping people cultivate happiness, resilience, and self-leadership. As a Yale lecturer and the Science Director at Stanford’s Center for Compassion and Altruism Research, she’s spent years studying what actually helps us thrive—not just succeed.

Together, we explore:

• The social science behind self-doubt and imposter syndrome—and how to break free from it.
• The inner critic: where it comes from, why it keeps us small, and how to find inner quiet.
• The role of meditation and breathwork in rewiring our nervous systems for resilience.
• How comparison culture and social media impact our self-worth—and how to navigate them with sovereignty.
• Why we need to redefine success and self-worth in a world that constantly tells us who we should be.
• Daily practices to help you stay rooted in self-trust, confidence, and joy.

This conversation is full of powerful takeaways, practical tools, and a deeply personal look into how we all wrestle with self-doubt—even those of us who have spent decades doing this work. If you’ve ever wondered whether you’re enough, struggled with self-judgment, or wanted to free yourself from limiting beliefs, this episode is for you.

If this episode resonates with you, share it with a friend who might need a reminder of their own power. And if you love it, leave a review on Apple Podcasts or Spotify—it helps other women find this show!

Looking for supplements for yourself and your family, including some of those I talk about in episodes? You can find those - and your 15% discount on every order here: avivaromm.com/supplements

Mentioned in this episode:

Looking for supplements for yourself and your family, including some of those I talk about in episodes? You can find those - and your 15% discount on every order here: avivaromm.com/supplements

“You’re holding your baby too much.” “Just let them cry it out.” “You’ll spoil them if you respond every time they cry.”

If you’ve ever heard these words—or wondered yourself whether nurturing your baby too much could backfire—you’re not alone. But the science is clear: responding to and connecting with our babies doesn’t spoil them; it builds their brains for lifelong emotional resilience and mental health.

In this episode of On Health, I’m joined by neuroscientist, doula, and infant sleep specialist Dr. Greer Kirshenbaum, author of The Nurture Revolution: Grow Your Baby’s Brain and Transform Their Mental Health. We’re diving into:

• Why babies need co-regulation, not early independence
• The neuroscience behind sleep training—and why much of it conflicts with infant brain development
• How small, intentional nurturing acts can buffer against stress and even heal intergenerational trauma

And because so many parents today are raising children without the village we deserve, we’ll also talk about what it means to nurture our babies—and ourselves—sustainably.

If you’ve ever felt torn between instinct and conventional parenting advice, this episode will give you clarity, confidence, and science-backed reassurance. Tune in now.

• Greer’s book, The Nurture Revolution 
• Greer Kirshenbaum’s website
• Greer’s workshops, resources, and coaching for parents and professionals
• Safe cosleeping guidelines from the Mother-Baby Behavioral Sleep Lab at University of Notre Dame 
• Aviva’s podcast on colic in babies 
• Join The Mama Pathway, Aviva’s complete pregnancy, postpartum, and new mama journey 

Looking for supplements for yourself and your family, including some of those I talk about in episodes? You can find those - and your 15% discount on every order here: avivaromm.com/supplements

The Mama Pathway is not your average childbirth education program. It's a powerful virtual membership community and online education experience where traditional midwifery wisdom and modern medicine meet to support you on your most empowered path through pregnancy, birth, and beyond. Go to avivaromm.com/mama-pathway to learn more

Mentioned in this episode:

The Mama Pathway is not your average childbirth education program. It's a powerful virtual membership community and online education experience where traditional midwifery wisdom and modern medicine meet to support you on your most empowered path through pregnancy, birth, and beyond. Go to https://avivaromm.com/mama-pathway to learn more

Looking for supplements for yourself and your family, including some of those I talk about in episodes? You can find those - and your 15% discount on every order here: avivaromm.com/supplements

In this episode Felicia Cocotzin Ruiz, known as the Kitchen Curandera, and I explore the profound role of ancestral wisdom in women’s health. Felicia shares her journey of carrying forward her great-grandmother’s curanderismo practices and how food, plants, and rituals can transform the way we heal and care for ourselves across life’s stages.

From pregnancy to postpartum to the wisdom years of menopause, this episode is filled with insights on using food and herbs as medicine, as well as creating nourishing rituals that reconnect us to our roots.

Whether you're on a hormone healing journey, a new mama, or navigating perimenopausal or menopausal changes, or simply curious about ancestral healing, this episode offers practical wisdom to guide you.

What You'll Learn

• How ancestral wisdom shapes the way we approach women’s health
• Food as medicine: how nourishing traditions support healing in postpartum and beyond
• Herbs every woman should know for pregnancy, postpartum, and menopause
• Creating rituals and honoring transitions in women’s life cycles
• Why connecting to your roots matters for holistic healing

Links and Resources

• Learn more and register for Herbal Academy's FREE 2025 Virtual Herbalism Conference
• Learn more about Felicia Cocotzin Ruiz and her book Earth Medicines at her website, Kitchen Curandera
• Study herbal medicine with Aviva as a student in her Herbal Medicine for Women course

Looking for supplements for yourself and your family, including some of those I talk about in episodes? You can find those - and your 15% discount on every order here: avivaromm.com/supplements

Mentioned in this episode:

Looking for supplements for yourself and your family, including some of those I talk about in episodes? You can find those - and your 15% discount on every order here: avivaromm.com/supplements

Imagine living with the constant fear of leaking when you sneeze, jump, or can’t find a bathroom in time. Now add in the struggles of constipation, painful sex, or uterine, bladder, or rectal prolapse. These aren’t just occasional annoyances—they’re signs of pelvic floor dysfunction, which affects millions of women every year.

This episode of On Health is for every woman—whether you’re preparing for pregnancy, recovering postpartum, navigating menopause, or striving to age safely and independently. Pelvic health isn’t just about avoiding discomfort; it’s about living with freedom, dignity, and resilience.

I’m joined by Sara Reardon, aka The Vagina Whisperer, a trailblazing pelvic floor physical therapist who’s breaking the silence around this essential but often ignored topic.

• Why Pelvic Health Matters for Every Woman: Pelvic health impacts so much more than you might realize—intimacy, bladder and bowel control, core strength, and even your ability to stay active and independent as you age.
• Practical Tools for Prevention and Healing: Sara shares expert tips on preparing your pelvic floor for birth, postpartum recovery, and building strength at every stage of life.
• Breaking the Silence and Shame: We dive into the stigma surrounding pelvic floor issues and why compassionate care is the first step to healing.
•  The Surprising Link Between Pelvic Health and Aging: Did you know that urinary and stool incontinence are among the leading reasons older adults end up in nursing homes? Learn how strengthening your pelvic floor now can safeguard your independence later.

As Sara says, "You could live 30 to 50 years postmenopausal, and what you do now can make all the difference in how you live those years—whether you’re traveling, hiking, and socializing, or staying home because of discomfort or embarrassment."

Small, proactive steps like pelvic floor exercises, proper bathroom habits, and therapy can transform your health—not just today, but for decades to come.

Looking for supplements for yourself and your family, including some of those I talk about in episodes? You can find those - and your 15% discount on every order here: avivaromm.com/supplements

The Mama Pathway is not your average childbirth education program. It's a powerful virtual membership community and online education experience where traditional midwifery wisdom and modern medicine meet to support you on your most empowered path through pregnancy, birth, and beyond. Go to avivaromm.com/mama-pathway to learn more

Mentioned in this episode:

Looking for supplements for yourself and your family, including some of those I talk about in episodes? You can find those - and your 15% discount on every order here: avivaromm.com/supplements

The Mama Pathway is not your average childbirth education program. It's a powerful virtual membership community and online education experience where traditional midwifery wisdom and modern medicine meet to support you on your most empowered path through pregnancy, birth, and beyond. Go to https://avivaromm.com/mama-pathway to learn more

I used to believe that for every good thing that happened to me, something bad had to happen as well to even it out, like a universal balancing system. Every time something good was going to happen, I always thought to myself, “What will the payback be?” In my years of experience working with and talking to women, I have learned that lots of women live with this fear, often for a long time.

Listen in as I talk about why we have this fear, acknowledge that you’re not crazy for having it, and how to shift out of this kind of thinking so you can live your life with freedom instead of fear.

• How fear keeps you from taking risks -  and how this protects and hinders us
• How negativity bias is a symptom of adrenal overload
• The role of the amygdala in fear
• How your brain remembers threats
• How negative emotions get attached to positive emotions
• What happens when we go into fight or flight mode
• What intuition really is
• How to get out of this fear
• The power of neuroplasticity
• The importance of being aware of your feelings
• How to use cognitive disruption to shift from fear to freedom
• Why I love taking deep breaths
• The value of journaling
• How to practice forgiveness

Looking for supplements for yourself and your family, including some of those I talk about in episodes? You can find those - and your 15% discount on every order here: avivaromm.com/supplements