What is Reproductive Psychiatry?

Reproductive psychiatry and women’s+ mental health focus on the emotional and psychological well-being of individuals throughout their reproductive journey. This includes addressing mental health concerns related to menstruation, pregnancy, postpartum, fertility, and perimenopause, through specialized care and support tailored to each unique stage.

Meet the Team


  • Medical Director, Co-Founder

    I am a board-certified adult psychiatrist. After completing my psychiatry training at Johns Hopkins Hospital, I pursued a two-year fellowship to specialize in women’s mental health and reproductive psychiatry. Early in my career, I served on the faculty at Johns Hopkins as the clinical and education director for the Johns Hopkins Reproductive Mental Health Center (formerly the Women’s Mood Disorders Center), overseeing clinical staff and teaching psychiatry residents.

    In my clinical practice, I focus on helping individuals struggling with mood issues related to pregnancy, postpartum, infertility, reproductive loss, Polycystic Ovary Syndrome (PCOS), premenstrual syndrome, and perimenopause. Many seek my care after receiving incorrect or conflicting information about managing mood symptoms during these times.

    My clinical approach is collaborative and warm. Patients often tell me that my dedication and compassion set me apart as a clinician. I deeply respect the vulnerability and courage it takes to share experiences during challenging times, try new therapies or medications, and work toward healing. I see my role as your partner in recovery, ensuring you feel informed, heard, safe, and supported throughout your journey.

  • Psychiatrist


    Dr. Sasha Narayan is board-certified in Adult Psychiatry. She completed Adult Psychiatry residency training at Johns Hopkins Hospital in 2024 with a focus on women’s mental health and reproductive psychiatry. She is currently pursuing additional sub-specialization fellowship training in Child and Adolescent Psychiatry at Bloomberg Children’s Center at Johns Hopkins.

    Dr. Narayan is passionate about maternal-infant and young-child attachment, especially for parents who themselves struggle with mood, anxiety, or executive function disorders, like depression, OCD, anxiety, and ADHD. She enjoys helping families navigate the challenging reality that the “village” has disappeared from our current society, and childrearing is now the hardest that it has ever been. She particularly enjoys supporting people through significant hormonal fluctuations. For parents who experience matrescence, pregnancy, birth, and the post-partum period, issues such as sibling integration, feeding, and return-to-work can arise. Additionally, Dr. Narayan enjoys supporting people who are undergoing feminizing therapies, including hormones and/or surgery, while navigating mental health treatment.

    Dr. Narayan’s typical practice is to combine thoughtful medication management with lifestyle, education, and therapeutic techniques to arrive at a plan that feels manageable and realistic for each person’s unique situation. She is friendly and collaborative, and aims to leverage her patients’ own expertise and lived-experiences to help improve their quality of life.

  • Therapist and Co-Founder

    I am a Licensed Clinical Social Worker, and I have been working in maternal mental healthcare for nearly 15 years. During this time, I have gained valuable insights into the complexities of mental health and the unique challenges faced by women across their lifespan. For 10 years, I worked and trained at the Johns Hopkins Women’s Mood Disorders Center (now the Center for Reproductive Mental Health), where I was trained by leaders in reproductive psychiatry, which enriched both my clinical skills and my commitment to women’s mental health.

    I specialize in treating Obsessive-Compulsive Disorder (OCD) and provide Exposure and Response Prevention (ERP) Treatment, which is the gold-standard, evidence-based approach for OCD. When I provide ERP, it is a time-bound service, with the duration of treatment depending on the severity of symptoms.

    My passion lies in understanding and supporting women through various stages of their life, including challenges related to the menstrual cycle, fertility, pregnancy, pregnancy loss, postpartum, perimenopause, and beyond. I am dedicated to providing collaborative, evidence-based care that addresses the mental well-being of my clients, helping them navigate the emotional and psychological aspects of their journey.

    As a therapist, I bring respect, partnership, and empathy to my practice. I believe that every individual has the potential to overcome the obstacles they face and build a life that is meaningful and full of the experiences they value. I am committed to working with my clients to identify their strengths, address their concerns, and develop personalized strategies for overall wellness.

    Whether you are dealing with the stress of pregnancy, postpartum challenges, navigating a fertility journey, or coping with pregnancy loss, I am here to offer the support, guidance, and tools to help you through. Together, we can work towards enhancing your mental health and well-being.

    MD License: 19164
    IN License: 34009801A

Contact Us