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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 - Dad Brain: The New Science of Fatherhood and How it Shapes Men's Lives here's a link to purchase: https://www.amazon.com/dp/1250387523?lv=shuf&tag=macmillan-20&channelId=1&plpRedirect=mhFallback - Get access to every episode 10 hours before YouTube by subscribing for free on Spotify - https://spotify.modernwisdom.com or Apple Podcasts - https://apple.modernwisdom.com 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 ↗

CHAPTERS

  1. 0:00 – 2:00

    What “Dad Brain” Looks Like in the Data (and How It Differs From Mom Brain)

    Darby Saxbe explains her longitudinal brain-scan research showing that men’s brains change across the transition to fatherhood, including small gray-matter volume reductions. She contrasts the magnitude and brain regions involved for mothers versus fathers, emphasizing that these changes aren’t necessarily deficits but potential efficiency/pruning.

    • Fathers show ~1% gray matter volume reduction across first-time parenthood; mothers ~2.5%
    • Moms show broader whole-brain changes including subcortical/hormone-linked regions; dads’ changes are mostly cortical
    • Dad-brain changes are more variable across men
    • In Saxbe’s sample, bigger changes track with greater bonding and caregiving investment
  2. 2:00 – 2:56

    How Fatherhood Has Shifted Historically (and After the Pandemic)

    The conversation moves from biology to social change: dads today spend far more time parenting than mid-20th-century norms. Saxbe highlights an inflection point during COVID-19 that increased hands-on parenting and appears to have persisted into millennial and Gen Z fatherhood patterns.

    • Dads’ daily parenting time has tripled/quadrupled compared to the ‘50s–‘60s
    • Pandemic remote work increased hands-on fathering for many families
    • The post-pandemic increase in involved fathering has largely persisted
    • Millennial dads are the most involved US cohort so far; Gen Z may exceed them
  3. 2:56 – 6:53

    Two Anthropological Models: The Aka vs. the Kepsigis (Culture Shapes Dad Roles)

    Saxbe compares fatherhood norms across societies to show that ‘natural’ parenting roles vary dramatically with ecology, risk, and social structure. She contrasts the egalitarian Aka—where dads stay close to infants—with the Kepsigis, where men are discouraged from handling babies early on.

    • Aka fathers often stay within arm’s reach of infants; cooperative resource gathering supports shared caregiving
    • Kepsigis norms restrict men from picking up babies early; masculinity is seen as disruptive to infant rearing
    • Economic risk and labor demands drive specialization of parenting roles
    • Modern societies may be in flux between egalitarian and specialized-role models
  4. 6:53 – 8:52

    What Happens to Men During Pregnancy: Hormones, Worries, Sleep, Relationship Stress

    Chris asks what changes occur for fathers-to-be before the baby arrives. Saxbe outlines hormonal shifts, rising anxiety and concerns, sleep disruption, and relationship changes—while noting the timing of brain remodeling is still uncertain without preconception baselines.

    • Expectant dads can show hormone changes, emotional worry, and early sleep disruption
    • Couple relationship dynamics often shift during pregnancy
    • Current scans began mid-pregnancy; earlier changes could be missed
    • Hypothesis: dads’ largest brain changes may occur after birth via caregiving experience
  5. 8:52 – 13:28

    Should Fathers Be in the Delivery Room? Social Birth, Support, and Conflict Effects

    They discuss childbirth as a uniquely social human event and how father presence is historically recent. Saxbe explains that continuous support can improve birth experiences, but unprepared or highly anxious dads—and couple conflict—may worsen stress and even correlate with more complex births.

    • Human childbirth often requires assistance; historically helpers were usually women (midwives/kin)
    • Dad presence in delivery rooms became common only in the late 20th century
    • Social support during labor is linked to better experiences, but dads may be untrained for the role
    • Negative conflict during pregnancy predicted riskier/more stressful birth appraisals in Saxbe’s lab study
  6. 13:28 – 14:58

    Couvade Syndrome and ‘Sympathetic Pregnancy’: Real, Stress-Linked, and Controversial

    Chris asks about male ‘sympathetic pregnancy’ symptoms. Saxbe describes couvade syndrome as a culturally widespread but scientifically contested phenomenon, with many symptoms plausibly explained by stress rather than pregnancy-specific biology—something that can irritate expectant mothers.

    • Couvade: men report nausea, weight gain, sleep issues, even ‘labor pains’
    • Evidence base is limited; Saxbe’s sample found no hormone–symptom association
    • Many symptoms overlap with stress and anxiety reactions
    • Research can provoke backlash because only one partner is physically pregnant
  7. 14:58 – 17:35

    What Couples Should Focus on During Pregnancy: Communication and Realistic Birth Education

    Saxbe advises couples to treat pregnancy as a time to build communication skills and prepare psychologically. She argues men often lack exposure to realistic birth narratives, so father-inclusive childbirth education can reduce fear and help dads provide calming support.

    • Effective communication and listening are key protective factors
    • Men often have less realistic exposure to birth experiences than women
    • Birth education that includes fathers can normalize labor and clarify support roles
    • Having a baby to ‘fix’ a relationship is a common and harmful myth
  8. 17:35 – 23:59

    The Real Driver of Dad Brain: Hands-On Caregiving as ‘Practice’ (Facultative Adaptation)

    After an ad break, Saxbe clarifies that merely becoming a father isn’t enough—dad brain is built through caregiving repetition. She frames fatherhood as a flexible ‘dial’ shaped by culture and family needs, and connects this to concepts like pair-bonding and paternity uncertainty.

    • Caregiving changes the brain like learning any skill: practice and repetition matter
    • Moms have a ‘high floor’ of biological investment due to pregnancy; dads are more adjustable
    • Father involvement is a facultative adaptation that can turn up/down with context
    • Concealed ovulation and pair bonding influence paternal investment strategies
  9. 23:59 – 25:47

    What Behaviors Build Dad Brain: Baby Care Tasks and the ‘Mentalizing’ (Empathy) Network

    Chris asks for the ‘menu’ of behaviors that maximize dad brain. Saxbe lists intensive infant-care tasks and explains that brain changes are prominent in networks used for reading emotions and intentions—skills needed when infants can’t verbally communicate.

    • Key behaviors: holding, diapering, feeding, bathing, close contact/sleep proximity
    • Caregiving exercises the mentalizing network (emotion/intent inference; empathy)
    • Infant care demands constant interpretation and problem-solving
    • Gray-matter reduction may reflect pruning for efficiency rather than decline
  10. 25:47 – 31:12

    Cognitive Tradeoffs and Long-Term Upsides: Salience Shifts, Memory Changes, and ‘Neuroprotection’

    They reframe ‘parent brain’ as a shift in what the brain optimizes: less bandwidth for irrelevant tasks, more for baby-related cues. Saxbe cites large-scale findings suggesting parenthood (up to ~3 children) correlates with “younger” brain patterns later in life, possibly due to social integration.

    • Working memory for non-baby tasks may dip; baby-relevant memory and cue sensitivity can improve
    • Parenthood often shifts priorities away from status/work achievement in the short term
    • UK Biobank work suggests more children correlates with younger-appearing brains up to ~3 kids
    • Proposed mechanism: social connection/integration more than pregnancy hormones alone
  11. 31:12 – 33:29

    Hands-On Dads: Biology vs. Choice, and Expanding ‘Care’ as a Masculine Social Role

    Chris probes whether “not hands-on” is biology or personality. Saxbe argues involvement depends on ecology and family context, but in modern societies disengagement is often a missed opportunity; she also broadens caregiving beyond stereotypically ‘feminine’ tasks to include protection and service roles.

    • Father involvement varies by culture, labor demands, and availability of other caregivers
    • In contemporary contexts, opting out often forfeits bonding and skill development
    • Caregiving can include traditionally masculine roles (protecting, rescuing, guiding)
    • Bob Odenkirk clip illustrates fatherhood as meaning, purpose, and daily coherence
  12. 33:29 – 36:31

    The ‘Deadbeat Dad’ Narrative and Pathways to Re-Engagement (Including Non-Residential Fathers)

    Saxbe challenges simplistic absent/present binaries by describing gradients of involvement, including joint custody and stepfathering. She shares examples of fathers rebuilding bonds after incarceration, emphasizing that fatherhood ‘dials’ can be turned back up over time.

    • US father-at-home rates declined then rebounded (U-shaped trend)
    • Non-residential dads can still be deeply involved caregivers
    • Divorce/joint custody can transform dads into primary caregivers
    • Reconnection stories show fatherhood can redirect life trajectories
  13. 36:31 – 53:00

    Bonding at Any Age + Hormonal Shifts: Testosterone Drops With Caregiving (and Why)

    Chris asks whether there’s a bonding window and how hormones change. Saxbe argues bonding isn’t limited to early infancy—adoptive parents and stepparents can form deep attachments—then details testosterone’s typical decline with engaged caregiving and the downstream effects on risk-taking and aggression.

    • Bonding isn’t ‘missed’ if the first hours/days are imperfect; later attachment can be profound
    • Testosterone drops around new fatherhood, but primarily when dads do caregiving
    • Challenge hypothesis: T rises for mating/status competition and falls for nurturing/stability
    • Lower T is associated with reduced aggression/risk-taking and more partner investment
  14. 53:00 – 1:00:29

    Daughters, Socialization, and ‘Biology + Culture’: The Emerging ‘Daughter Effect’

    Saxbe shares new (still-developing) findings suggesting fathers of daughters show larger testosterone drops but may spend less caregiving time and report more stress and weaker bonding in early months. They explore how expectations and socialization shape behavior from very early childhood, amplifying small differences.

    • In Saxbe’s longitudinal sample: daughters linked to larger paternal T drop plus less caregiving and worse bonding/stress (early infancy window)
    • Mechanisms are unclear; may involve expectations and different interaction styles
    • Parents describe unborn girls vs. boys differently, shaping behavior before birth
    • BBC toddler experiment: adults’ play changes based on name/outfit, demonstrating early socialization effects
  15. 1:00:29 – 1:03:24

    Housework, Cortisol Recovery, and Stress Contagion Between Partners

    The discussion turns to physiological stress in couples. Saxbe explains her research tracking time-use and cortisol rhythms, finding housework can impair end-of-day cortisol recovery and that partners’ stress levels synchronize—especially in conflicted relationships—suggesting communication interventions can improve biological recovery.

    • More evening housework correlates with poorer cortisol ‘wind-down’ (less diurnal drop)
    • Moms’ cortisol improves when dads do more housework; dads benefit from more leisure (mixed/unequal effects)
    • Stress contagion: partners’ cortisol levels covary in cohabiting couples
    • Higher conflict can tighten cortisol linkage, increasing mutual stress rather than buffering
  16. 1:03:24 – 1:15:07

    Do Dads Get Postpartum Depression? Gatekeeping, Shared Risk Factors, and How to Support Both Parents

    Chris and Saxbe tackle perinatal depression in fathers, backlash to the term, and why family mental health shouldn’t be zero-sum. They review prevalence (roughly ~10% dads vs ~19–21% moms), shared drivers like sleep loss and conflict, and evidence that paternal leave and social support reduce maternal depression risk.

    • Perinatal depression in dads is real; terminology debates often fuel unhelpful gatekeeping
    • Shared risk factors: stress, sleep disruption, relationship strain, identity change, hormone/brain shifts
    • Depressive symptoms correlate within couples; one well partner can buffer the other
    • Policy evidence: expanded paternity leave links to lower maternal anxiety/depression medication use and fewer postpartum symptoms
  17. 1:15:07 – 1:18:37

    Why Postpartum Depression Happens: Evolutionary Mismatch, Isolation, and Economic Pressure

    Saxbe argues postpartum depression likely reflects cultural mismatch rather than an adaptation: humans evolved as cooperative breeders with extensive communal help. Modern nuclear-family isolation, weak parental leave policies, and productivity culture intensify stress—especially for low-income parents—while interventions that map and mobilize support networks can help.

    • Cooperative breeding model: parenting was historically distributed across kin/community
    • Modern motherhood can increase isolation, reducing social integration compared to many ancestral contexts
    • Socioeconomic status predicts risk (early return to work, fewer resources, less rest/support)
    • Interventions: build social support maps, coach help-seeking, normalize ‘lying-in’/recovery needs
  18. 1:18:37 – 1:34:01

    Supporting a Partner Through Postpartum + The Worst Advice New Dads Hear

    In the closing stretch, Saxbe gives practical guidance: expect disruption, extend self-compassion, and reject myths that dads are inherently useless with infants. She critiques advice that sidelines fathers, argues for flexible leave across the child’s development, and emphasizes that competence and bonding come from time, practice, and participation.

    • Best advice: give yourself grace; expect transformation and difficulty
    • Reject myths: dads can learn infant care and build caregiving neurobiology
    • Bad advice: have a baby to fix a relationship; dads are useless so keep distance
    • Dads matter beyond infancy—leave and involvement should extend across childhood/adolescence

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