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Claire Smith

Claire Smith

Reproductive psychiatrist and Associate Professor of Psychiatry at the Medical University of South Carolina (MUSC), practicing in the Women's Reproductive Behavioral Health clinic.

Sep 14, 2026

1:52
Yeah.
1:52
Um, so I was not planning to do psychiatry in medical school.
1:58
Really was not interested in psychiatry, didn't know much about it, didn't think that it was something I would want to do, and honestly, most of that is still accurate, but when I was the, at the very end of my third year of medical school, which is the year that you do all of your main core rotations in the hospital, I was almost finished and I was doing psychiatry.
2:21
I was planning to do pathology, which is, like, way different.
2:26
That's when you look under microscopes and do autopsies and things like that.
2:30
Um, and I did a, an elective, like a one-week experience with a outpatient, like a clinical, uh, I mean, a clinic psychiatrist, and um, she had a, an informal interest there, not, like, had gone to a fellowship or anything, in women's mental health.
2:52
Particularly for her it was menopause and perimenopause.

11 MINS LATER

13:31
Some people will be like, "Oh my God, do you restrain her? Do you sedate her?" Like, I think people have this whole vision of what a mob gets to Claire at.
3:13
Right,
3:14
right.
3:15
Okay, I will elaborate more on kind of perinatal context for mood disorders and particularly bipolar disorder.
3:24
So there is no like higher rate in pregnancy that that same 2% remains consistent like amongst men and women.
3:34
But pregnancy and especially postpartum, it's kind of this perfect storm.
3:40
So the average age of onset or initial presentation of bipolar disorder overlaps with your typical childbearing years.
3:49
So mid-20s to mid-30s.

11 MINS LATER

14:34
Yeah.

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