# 217. The Harms of SSRI's During Pregnancy Debate w/ Dr. Adam Urato and Dr. Robert Chen

Page: https://stenobird.com/podcast/radically-genuine-podcast-with-dr-roger-mcfillin-3930946/217-the-harms-of-ssri-s-during-pregnancy-debate-w-dr-adam-urato-and-dr-robert-chen
Text version: https://stenobird.com/podcast/radically-genuine-podcast-with-dr-roger-mcfillin-3930946/217-the-harms-of-ssri-s-during-pregnancy-debate-w-dr-adam-urato-and-dr-robert-chen.md
Podcast: [Radically Genuine Podcast with Dr. Roger McFillin](https://stenobird.com/podcast/radically-genuine-podcast-with-dr-roger-mcfillin-3930946)
Published: 2026-01-29T08:00:00+00:00
Episode link: https://radicallygenuinepodcast.transistor.fm/217
Audio file: https://dts.podtrac.com/redirect.mp3/media.transistor.fm/d30b6c10/8ec73640.mp3
Processing state: not_requested
JSON: https://stenobird.com/v1/public/podcasts/radically-genuine-podcast-with-dr-roger-mcfillin-3930946/episodes/217-the-harms-of-ssri-s-during-pregnancy-debate-w-dr-adam-urato-and-dr-robert-chen
Duration seconds: 6248

## Resource

Three facts are scientifically undisputed: Serotonin is essential for fetal brain development. SSRIs disrupt the serotonin system. SSRIs freely cross the placenta. So why are pregnant women being told these drugs carry "little or no risk"? In this rare head-to-head debate, Dr. Adam Urato—maternal-fetal medicine specialist and FDA expert panelist—faces off against Dr. Robert Chen, a psychiatry resident willing to do what most of his colleagues won't: step into the arena and defend the establishment position. What unfolds is a striking conversation where both physicians actually agree on more than you'd expect—including that informed consent is failing pregnant women, that the chemical imbalance theory is dead, and that "untreated depression" is a misleading frame designed to sell drugs. The uncomfortable question neither side can fully answer: If SSRIs are correcting depression, why does the research show worse outcomes for women who stay on them? This isn't anti-medication propaganda. It's the conversation your doctor isn't trained to have with you. Listen before you fill that prescription.

## Actions

- request_transcript: `POST https://stenobird.com/v1/public/podcasts/radically-genuine-podcast-with-dr-roger-mcfillin-3930946/episodes/217-the-harms-of-ssri-s-during-pregnancy-debate-w-dr-adam-urato-and-dr-robert-chen/transcription-requests` — Idempotently request low-priority transcript generation for this episode.
- read_markdown: `GET https://stenobird.com/podcast/radically-genuine-podcast-with-dr-roger-mcfillin-3930946/217-the-harms-of-ssri-s-during-pregnancy-debate-w-dr-adam-urato-and-dr-robert-chen.md` — Read the agent-friendly Markdown representation of this episode resource.

A page view does not enqueue transcription. Agents should invoke `request_transcript` explicitly when they need this episode processed.

## Transcript

Full transcripts are not published on public pages unless there is a clear rights basis.