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"Women Are Furious About This Research." - Darby Saxbe

Dr Darby Saxbe is a clinical psychologist, professor at USC, and author. Do dads get postpartum depression? Mothers face enormous physical and emotional changes after childbirth, but fathers can struggle too, often in silence. So what happens to men when they become dads, why does it affect some so deeply, and how can they adapt to a new life that nature has thrust upon them? Expect to learn what actually happens to dads after moms give birth, the physiological changes that happen to dads after birth, which behaviors create the effect known as “dad brain”, the biggest upsides and downsides of fatherhood for men, why postpartum depression in fathers goes unrecognized, the worst advice dads get, and much more… - Modern Wisdom Merch available this Friday at https://www.mwmerch.com/ Get 160+ lab tests for just $365 and save an extra $25 at https://functionhealth.com/modernwisdom Get a Free Sample Pack of LMNT’s most popular flavours with your first purchase at https://drinklmnt.com/modernwisdom Sign up for a one-dollar-per-month trial period from Shopify at https://shopify.com/modernwisdom Get 35% off your first subscription on the best supplements from Momentous at ⁠https://livemomentous.com/modernwisdom⁠ Get ChatGPT to explore ideas, solve problems, and learn faster at ⁠⁠https://chatgpt.com - 0:19 What is Dad Brain? 2:18 How Fatherhood Has Changed Over Time 8:18 What Happens to Men During Pregnancy? 12:57 Should Fathers Be in the Delivery Room? 13:47 Are Sympathetic Pregnancies Real? 15:17 What Couples Should Focus on During Pregnancy 17:56 The Real Cause of Dad Brain 24:18 The Top Behaviours That Trigger Dad Brain 31:31 Biology or Choice: What Makes a “Hands-On” Dad? 33:48 The Truth Behind the Deadbeat Dad Narrative 36:44 Can Fathers Bond at Any Age? 38:50 How Fatherhood Changes Male Hormones 46:44 Why Becoming a Father Is the Ultimate Masculine Role 50:25 Does Dad Brain Get Worse With More Kids? 53:19 How Daughters Change Fathers 1:00:48 Does Housework Ruin Cortisol Recovery? 1:03:43 Do Dads Experience Postpartum Depression? 1:15:29 Why Postpartum Depression Happens in Women 1:18:55 How to Support a Partner Through Postpartum Depression 1:31:09 The Worst Advice New Dads Hear - Get access to every episode 10 hours before YouTube by subscribing for free on Spotify - https://spoti.fi/2LSimPn or Apple Podcasts - https://apple.co/2MNqIgw Get my free Reading List of 100 life-changing books here - https://chriswillx.com/books/ Try my productivity energy drink Neutonic here - https://neutonic.com/modernwisdom - Get in touch in the comments below or head to... Instagram: https://www.instagram.com/chriswillx Twitter: https://www.twitter.com/chriswillx Email: https://chriswillx.com/contact/

Chris WilliamsonhostDr. Darby Saxbeguest
Jul 27, 20261h 34mWatch on YouTube ↗

At a glance

WHAT IT’S REALLY ABOUT

How fatherhood reshapes dads’ brains, hormones, relationships, and mental health

  1. New fathers show measurable brain remodeling (about ~1% gray matter reduction), and the magnitude is strongly tied to hands-on caregiving time and early bonding motivation rather than fatherhood status alone.
  2. Modern fathering has shifted dramatically, with millennial and Gen Z dads spending far more daily time parenting than previous generations, echoing how some egalitarian hunter-gatherer societies organize work and care.
  3. Pregnancy and birth are highly social processes, and couple conflict and communication during pregnancy can meaningfully shape birth stress and medical complexity, making father preparation and relationship skills consequential.
  4. Hormones in fathers—especially testosterone—tend to drop with involved caregiving, supporting reduced risk-taking and greater pair-bond investment, while testosterone supplementation may carry trade-offs for patience and caregiving.
  5. Perinatal/postpartum depression can affect dads (roughly ~10%) and is often dismissed or gatekept culturally, even though supporting paternal mental health can improve maternal outcomes and overall family functioning.

IDEAS WORTH REMEMBERING

5 ideas

Dad brain is largely experience-dependent, not automatic.

In Saxbe’s work, fathers’ brain changes were most pronounced among dads who bonded earlier, took more leave, and spent more day-to-day time caregiving—suggesting caregiving practice drives neuroadaptation.

Gray matter loss is better framed as ‘pruning’ than ‘damage.’

The observed volume reductions may reflect the brain becoming more efficient for parenting demands, even if some domains (like non-baby working memory) feel worse while baby-relevant salience and memory improve.

Fatherhood roles are highly culturally ‘tunable.’

Examples like the Aka (high infant proximity, egalitarian work) versus the Kepsigis (prohibitions on infant handling) illustrate that dad involvement is shaped by local economics, risk, and norms—not a single universal template.

Couple conflict during pregnancy can worsen birth experience and risk.

Saxbe’s lab found more negative conflict patterns predicted births rated as more stressful and medically complex, plausibly via stress/tension interfering with the physiological ‘release’ needed for labor progress.

Having dads in the delivery room helps some couples and harms others if unprepared.

Continuous support tends to improve birth experiences, but frightened or poorly coordinated partners can add stress; father-inclusive birth education and communication skills training are proposed as key modifiers.

WORDS WORTH SAVING

5 quotes

We've scanned men when they're midway through their partner's pregnancy and then again after they have their first child. And we find that the brain, and I should caveat this is not a bad thing, loses gray matter volume across that transition to fatherhood.

Dr. Darby Saxbe

My lab found that this was totally tied to Dad's parenting time and investment.

Dr. Darby Saxbe

I used to joke that my husband and I went from good time pals to we're suddenly operating a small business with a very disappointed customer, right?

Dr. Darby Saxbe

I think actually positive masculinity is more about adaptability, being flexible and showing up in the way that you need to for changing situations.

Dr. Darby Saxbe

We need to be thinking about how do moms work together with dads to make sure that the baby is getting well cared for and that everybody's mental health needs are getting met.

Dr. Darby Saxbe

Dad brain vs mom brain neurobiologyGray matter “pruning” and efficiencyCaregiving dose-response (time + bonding)Cultural variability in fatherhood (Aka vs Kepsigis)Fathers in delivery rooms and birth outcomesCouvade/sympathetic pregnancy controversyTestosterone shifts, risk-taking, and adaptabilityPerinatal depression in dads and momsPaternity leave effects on maternal mental healthHousework, cortisol recovery, and stress contagion“Daughter effect” findings and father stress/bondingEvolutionary mismatch and social support networks

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