Women’s mental health needs shift across the reproductive lifespan — the premenstrual (luteal) phase, the postpartum year, and the perimenopausal transition each carry a higher risk of depression and anxiety tied to hormonal change. Luminous Vitality Behavioral Health provides psychiatric evaluation and medication management for these mood and anxiety conditions by secure telehealth across Massachusetts, coordinating with your OB/GYN when hormonal treatment is also part of your care.
Book a free 15-minute consult · $400 initial evaluation / $250 follow-up · adults 18+ · statewide MA telehealth · private pay / out-of-network.
What is reproductive psychiatry?
Reproductive psychiatry focuses on how mood and anxiety intersect with the hormonal events of a woman’s life — the menstrual cycle, pregnancy and the postpartum period, and the menopausal transition. These are windows when depression and anxiety are more likely to appear or worsen, and when treatment decisions genuinely differ from mental-health care at other times.
At LVBH, this means one thing specifically: psychiatric medication management for depression, anxiety, and related mood symptoms across these stages — provided by the same board-certified psychiatrist, by telehealth, anywhere in Massachusetts.
Which conditions does this cover? (the cluster)
LVBH provides focused medication-management pages for the reproductive-life stages where mood and anxiety most commonly need attention:
- PMDD — premenstrual dysphoric disorder: Severe, cyclical mood symptoms tied to the luteal phase (the roughly two weeks before your period), treated with SSRIs dosed continuously or only in the luteal phase.
- Postpartum depression and anxiety: Mood and anxiety symptoms that begin in pregnancy or the first year after birth, with medication decisions — including while breastfeeding — made through careful shared decision-making.
- Perimenopause and menopause mood, anxiety, and depression: New or worsening depression and anxiety during the hormonal transition, treated with SSRIs/SNRIs and coordinated with your GYN or hormone-therapy prescriber.
Depression and anxiety outside these specific windows are covered on our anxiety psychiatry and depression treatment pages. Not sure how severe your symptoms are? Our PHQ-9 / GAD-7 score interpreter is a quick, educational self-check — it is not a diagnosis.
How is medication management handled across these stages?
Treatment is individualized and decided together at every stage. SSRIs and SNRIs are common first-line medications for depression and anxiety across the reproductive lifespan, but the specifics differ by stage — luteal-phase versus continuous dosing in PMDD, lactation evidence in the postpartum period, and coordination with hormone therapy in perimenopause. Each cluster page explains the specifics for that stage.
What stays constant is the approach: an honest evaluation, medication chosen through shared decision-making, and no promises of a guaranteed outcome. We provide the psychiatric-medication arm of care and refer out for therapy.
This is general education, not medical advice — decisions about any medication belong with you and your prescribing clinician. It applies to adults 18 and older.
Where LVBH’s scope ends — coordinating with your OB/GYN
This is important, and it is the same across the cluster: LVBH does not prescribe or manage hormones, hormone therapy (HRT), hormonal contraception, or any gynecologic or obstetric treatment. Those belong with your OB/GYN, primary-care physician, or a menopause specialist.
Hormonal approaches are often first-line or a valuable part of care at these stages — for example, hormone therapy for perimenopausal symptoms, or certain oral contraceptives for PMDD. When that is the right path, we coordinate with the prescriber who manages it, so your psychiatric care and your hormonal care work together rather than at cross purposes. We also do not provide therapy in-house; we refer out and coordinate care.
Why telehealth fits women’s mental health care
Cyclical, postpartum, and perimenopausal symptoms all shift over time and often need a few adjustments to get right — a pattern that suits regular, low-friction telehealth follow-up, whether you’re juggling a newborn, a demanding schedule, or a body in transition. You see the same board-certified psychiatrist at each visit from anywhere in Massachusetts. You must be physically located in Massachusetts at the time of each visit.
About Dr. Ronald Lee, MD
Board-certified adult psychiatrist, Harvard-trained in residency (PGY-2 through PGY-4). Dr. Lee personally conducts every evaluation and manages ongoing care, and coordinates with your OB/GYN or other prescribers when hormonal treatment is part of the picture. NPI 1841443470.
Getting started
- Book a free 15-minute consult to confirm fit.
- Pick the page that fits your stage — PMDD, postpartum, or perimenopause — or start here if you’re not sure.
- Complete a comprehensive initial evaluation by secure video.
- Discuss options collaboratively — which may or may not include medication, and may include coordinating with your OB/GYN.
See Fees & Insurance (private pay; superbills provided for possible out-of-network reimbursement).
Medically reviewed by Dr. Ronald Lee, MD — board-certified psychiatrist, Harvard-trained in residency. Last reviewed: July 5, 2026.
If you are in crisis or thinking about harming yourself, call or text 988, or call 911. See our Massachusetts mental health crisis resources.
Frequently asked questions
What is reproductive psychiatry?
Reproductive psychiatry addresses how depression, anxiety, and mood symptoms intersect with hormonal events across a woman’s life — the menstrual cycle, pregnancy and postpartum, and the menopausal transition. At LVBH it means psychiatric medication management for these conditions by telehealth across Massachusetts.
What women’s mental health conditions does LVBH treat?
LVBH provides medication management for PMDD (premenstrual dysphoric disorder), postpartum depression and anxiety, and perimenopausal or menopausal depression and anxiety, as well as depression and anxiety generally. Each has a dedicated page with the specifics for that stage.
Does LVBH prescribe hormones, birth control, or HRT?
No. LVBH provides psychiatric medication management — such as SSRIs and SNRIs — for mood and anxiety. Hormone therapy, hormonal contraception, and gynecologic treatment are prescribed and managed by your OB/GYN or a menopause specialist, and LVBH coordinates with them.
Can I be treated by telehealth in Massachusetts?
Yes. Adults located in Massachusetts can complete a psychiatric evaluation and receive medication management for these conditions by secure video, seeing the same board-certified psychiatrist at each visit.
Do you provide therapy as well as medication?
No. LVBH provides the psychiatric-medication arm of care and refers out for therapy. Many patients benefit from both, and we coordinate with therapists and your other providers.
How much does it cost?
$400 for the initial evaluation and $250 per follow-up. LVBH is private pay / out-of-network and provides superbills for possible out-of-network reimbursement.