Reproductive transitions, including the menstrual cycle, pregnancy, postpartum, and menopause, are important periods of vulnerability to psychiatric illness, and suicide is now a leading cause of pregnancy-related death in the United States. This presentation will explore advances in reproductive psychiatry, including our evolving understanding of the biological mechanisms underlying psychiatric vulnerability, emerging treatments, and innovative models of care. It will also examine persistent challenges facing the field. Widespread misinformation about premenstrual, perinatal, and menopausal mental health shapes patients’ understanding and expectations of care, while clinicians may lack the knowledge and confidence to respond effectively. At the same time, advances in reproductive psychiatry have outpaced formal education and training, highlighting the need for standardized competencies and recognition of specialized expertise. Attendees will gain practical approaches to assessment and counseling across reproductive life stages, strategies for addressing misinformation with evidence, and an understanding of national efforts to strengthen reproductive psychiatry training and establish professional certification.