Top Psychiatrist Reveals What Women Are Getting Wrong | Dr. Yalda Safai

Tamsen Fadal • April 23, 2025
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Tamsen Fadal

@tamsenfadaltv

About

Tamsen Fadal is host of The Tamsen Show podcast and a New York Times bestselling author. Tamsen's book How To Menopause was an instant NYT bestseller. She is the executive producer of the award winning documentary The M Factor and The M Factor 2: Before the Pause. Tamsen is having conversations to help get you the answers you deserve about this time in life from perimenopause, menopause, reinvention, wellness, and everything that comes with major life change. If you're navigating symptoms, career shifts, or just want to feel like yourself again, you're in the right place. Expect expert advice, honest stories, and tools to help you thrive. Let’s redefine this chapter, together. Medical Disclaimer: This content is for educational and entertainment purposes only and is not medical advice. If you need medical advice, please consult a medical provider.

Video Description

🧡 My New York Times bestselling book How To Menopause → https://bit.ly/4loCIlp Routine might feel safe, but for your brain, it can become a trap. In this episode, I sit down with psychiatrist Dr. Yalda Safai to talk about why trying something new is one of the most powerful ways to boost dopamine, shift your mindset, and break out of midlife stagnation. We share some of our own dating stories and talk about the surprising benefits of finding love later in life. We also explore why more women are staying single by choice — and why that’s not a problem to fix. But this conversation goes much deeper than dating. Dr. Safai helps unpack what high-functioning depression really looks like in successful women, from the emotional numbness of anhedonia to how thyroid dysfunction and perimenopause are often misdiagnosed as mood swings. What you’ll learn: - Why novelty is nature’s antidepressant - The mental health risks of staying stuck in routine - How high-functioning women silently suffer from chronic unhappiness - What anhedonia is and why joy feels out of reach - How hormone and thyroid shifts are often misread as “just stress” - Why your second act should be about experience, not proving yourself - How the pressure to partner can lead to settling - Why dating to fill a void always backfires - What ghosting really reveals about emotional maturity - How to rebuild self-worth before reentering the dating world This episode is your invitation to rethink your patterns, rewire your brain, and reconnect with what makes you feel fully alive. CONNECT WITH TAMSEN 🧡 The Tamsen Show on Instagram: https://www.instagram.com/thetamsenshow 🧡 Instagram: https://www.instagram.com/tamsenfadal 🧡 TikTok: https://www.tiktok.com/@tamsenfadal CONNECT WITH Dr Safai here: 🧡 Website: yaldasafaimd.com 🧡 Instagram: https://www.instagram.com/yaldasafaimd 🧡 LEAVE A REVIEW If you enjoyed listening to the podcast, we'd love for you to leave a 5-star review on Apple Podcasts to help others discover the show: https://podcasts.apple.com/au/podcast/the-tamsen-show/id1799976761 Timestamps: 03:09 – How to break out of routines 06:12 – The need for mental health care for women 10:14 – The ideas we have of the relationships in our lives vs. what is good for us 16:01 - Deprioritze subpar relationships 17:56 - What can you control about dating? 18:00 – PTSD, trauma, and how we misuse the language 21:25 – Understanding why past relationships didn’t work out 22:02- Getting out of toxic relationships 25:36 – Perimenopause, menopause, and mood change 30:56 - What is anhedonia? 32:13 - Thyroid, hormones, and mood disorders 34:00 – Being stuck in the funk of perimenopause and getting out of it 35:01 - Finding novel pieces of happiness About Tamsen Fadal: Tamsen is a journalist, best-selling author, and menopause advocate with over 4M followers. As host of The Tamsen Show Podcast, she’s become a powerful voice in the menopause conversation. She produced and executive produced PBS’s The M Factor: Shredding the Silence on Menopause, a groundbreaking documentary calling for change in how we approach women’s health. She’s also the author of How To Menopause, the ultimate guide to navigating midlife with confidence. From SXSW to Capitol Hill, Tamsen champions policies that break the stigma around menopause and empower women at work and beyond. After 30 years as a TV anchor, she now leads the charge in midlife health advocacy. Featured in Oprah Daily, The Today Show, NYT, and more. Medical Disclaimer: This content is for educational or entertainment purposes only and is not medical advice. If you need medical advice, please consult your doctor or medical provider. #womenshealth #dating #womenover50

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