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Melinda French Gates on Women's Health and Learning to Trust Yourself | Dr. Sheryl

At the top of her career, Melinda French Gates started doubting herself in meetings she'd run a hundred times before. The causes turned out to be chronic insomnia, undiagnosed perimenopause, and a habit she'd picked up years earlier of overriding her own signals. Dr. Becky sits down with Melinda, founder of Pivotal Ventures, to talk about how women learn to stop trusting themselves, and what it takes to rebuild that trust. They get into new Gallup research from Pivotal Ventures, where half of respondents who'd been pregnant said they struggled with their mental health during or after pregnancy. They also cover the "10,000 paper cuts" that teach girls and women to question their gut, and a simple phrase that helps kids trust what they notice. Plus: what Melinda's granddaughters are teaching her about "I'm not ready yet," and why perfect is creepy. Chapters 0:00 – Intro: how women learn to trust themselves (or don't) 2:21 – Meeting her daughter at the back door in yoga pants 7:41 – Half of women struggle with mental health during or after pregnancy 9:13 – Why we screen for gestational diabetes but not mental health 12:27 – Having to push to be taken seriously by doctors 14:07 – Perimenopause, insomnia, and doubting herself at work 15:23 – The "10,000 paper cuts" 17:58 – "You were right to notice that" 21:15 – Raising girls who trust themselves 23:10 – Paid family leave and what Nordic countries get right 26:32 – Empty nest and a new chapter of identity 29:15 – Learning to trust herself again 31:48 – A college relationship, Microsoft, and coming back to herself 34:00 – Her granddaughters and "I'm not ready yet" 39:35 – Good enough parenting and why perfect is creepy 41:19 – Three phrases that build self-trust in kids Thanks to Carter's, Good Inside's new Confidence Program is free for every family for the next six months. Click here to learn more. https://www.goodinside.com/program/raising-confident-capable-kids/?utm_source=podcast_gi&utm_medium=podcast&utm_campaign=confidence_program&utm_content=shownotes_20260929 Thank you to our partners for making this episode possible: Frida: Shop Frida at Amazon, Target, and Walmart today Perelel: Use code GOODINSIDE for 20% off your first order at perelelhealth.com/GOODINSIDE Yoto: Get 15% off your order with the code DRBECKY15 at YotoPlay.com. New customers only, ends October 31, offer valid on select products only. Terms apply. Care.com: For a limited time, you can use the code BECKY35 to save 35% on a Care.com Premium Membership.**Offer applies to initial term of http://Care.com membership subscriptions. Not applicable to add-on features or non-renewing access fees or services. Expires 10/31/26. Care.com does not employ or place any caregiver. Background checks are an important start, but they have limits. Visit www.care.com/safety. #goodinside #drbecky #melindafrenchgates #womenshealth #perimenopause #maternalmentalhealth #parenting

Melinda French GatesguestDr. Becky Kennedyhost
Oct 6, 202643mWatch on YouTube ↗

At a glance

WHAT IT’S REALLY ABOUT

Melinda French Gates on rebuilding women’s self-trust in health and life

  1. Dr. Becky and Melinda French Gates explore how girls and women lose self-trust through repeated invalidation and how that shows up later in healthcare, work, and parenting.
  2. Melinda shares new Gallup research for Pivotal Ventures finding that roughly half of women struggle with mental health during pregnancy or the year after, arguing mental health should be screened as routinely as physical pregnancy risks.
  3. They discuss the common experience of women needing to “push” to be taken seriously by clinicians, including Melinda’s perimenopause journey marked by insomnia, anxiety, and self-doubt.
  4. The conversation connects personal change to systems change—especially paid family leave—highlighting how policies can reshape norms, reduce burden on mothers, and improve family wellbeing.
  5. Melinda describes rebuilding self-trust through therapy, rejecting perfectionism, and adopting the “good enough” mindset in both identity transitions (empty nest) and parenting.

IDEAS WORTH REMEMBERING

5 ideas

Self-trust is often eroded through repeated, ‘small’ invalidations.

They connect everyday childhood invalidation (“You’re fine,” “Stop being dramatic”) to adult women second-guessing symptoms, needs, and perceptions—especially in medical settings. Rebuilding trust starts with naming what you notice and treating inner signals as real data.

Connection with children requires a deliberate shift out of efficiency mode.

Melinda describes switching from ‘work mode’ (efficient, goal-oriented, brisk) into a slowed, present mindset by changing into yoga pants and sitting on the floor to read—signaling to her daughter, and to herself, that connection is the priority. They frame efficiency as often incompatible with relationship-building, especially with kids.

Perinatal mental health is common enough to warrant universal screening, not optional support.

Melinda cites Gallup research with 5,000 U.S. adults: about half of women report mental health struggles during pregnancy or the first postpartum year. They contrast this with robust gestational diabetes screening (8–10% prevalence) and argue mental health should be routinely screened and supported as standard care.

Dismissal in healthcare is widespread—and ‘power’ doesn’t protect women from it.

Even as a highly privileged public figure, Melinda reports having to see multiple clinicians before perimenopause was taken seriously—despite insomnia, anxiety, and rising self-doubt at work. Their point: the burden shouldn’t be on women to ‘push harder’; the system must be trained and structured to listen and respond.

Trusting your gut is a skill—and it can be practiced with specific language.

They describe women receiving “10,000 paper cuts” of being told they’re too emotional or overreacting, which trains them to override gut instincts. A practical counter-skill is language that surfaces the dynamic in the room (e.g., “I’ve noticed you don’t seem to be trusting what I’m reporting”).

WORDS WORTH SAVING

5 quotes

I'm worthy as I am, and I'm never gonna accept somebody else's worth put on top of me. I'm worthy as I am.

— Melinda French Gates

We can't just say to women, "Trust your gut. Keep pushing." We have to also fix the system so the system listens to them.

— Melinda French Gates

You are the authority on what's going on inside your body. There is never anyone who will be better than you at knowing how you feel.

— Dr. Becky Kennedy

I was willing to leave my job if I couldn't be myself. I finally realized how important it was to be myself.

— Melinda French Gates

I wished I had learned the idea of being a good enough parent so much earlier.

— Melinda French Gates

Self-trust and invalidation in girlhoodWork mode vs connection mode in parentingPerinatal mental health prevalence and screening gapsHealthcare dismissal and women’s self-advocacyPerimenopause/menopause symptoms (insomnia, anxiety, self-doubt)Paid family leave and Nordic policy normsEmpty nest identity shift and ‘returning to yourself’ through therapy and good-enough parenting

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