Science
Can a baby struggle with their mental health? How this hospital is helping L.A.’s youngest
A major initiative at Children’s Hospital Los Angeles aims to address a critical but much overlooked need: mental health care for families experiencing the complex flood of joy, fear and upheaval during the first few years of a child’s life.
Myriad issues can emerge or become exacerbated in a family after a baby is born, including maternal postpartum depression, sleep problems, attachment issues between caregivers and children, early signs of behavioral challenges, domestic conflict between parents, and housing insecurity that often worsens as a family grows. If a child also experiences a medical issue, including an extended hospital stay, a serious birth defect or a developmental delay, these problems can be compounded.
A $25-million gift from the Tikun Olam Foundation of the Jewish Community Foundation of Los Angeles will allow the hospital to expand mental health screening and services to as many as 30,000 children ages 3 and under who seek care at Children’s Hospital each year, making it one of the first hospitals in the country to provide universal infant-family mental health services. Currently, the hospital provides these services to about 1,800 children each year.
The idea behind the program is to provide attention and care that can strengthen the bond between parents and children during the baby’s crucial early years — and help prevent problems from spiraling in the longer term.
Engage with our community-funded journalism as we delve into child care, transitional kindergarten, health and other issues affecting children from birth through age 5.
These bonds are essential to a baby’s healthy brain development in a period of rapid neuron formation and great sensitivity, said Melissa Carson, a pediatric psychologist at the hospital and co-director of the Early Connections Program.
Medical issues and family stressors — also called adverse childhood experiences — can disturb this process, but often aren’t identified until preschool or later, when behavioral or other problems have spiraled.
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1. Several of Vicente Giron Sarria’s medications fill up a cabinet at his home. 2. Evy Soto replaces the cap on Vicente Giron Sarria’s feeding tube. 3. Stephanie Blanco shuffles through a cabinet of her son’s medical records. 4. Evy Soto gives Vicente Giron Sarria, 6, formula through a feeding tube before he wakes up for the day. (Juliana Yamada / Los Angeles Times) 5. Stephanie Blanco gets her son Vicente Giron Sarria dressed for the day.
“Just a little support at a critical moment can really prevent the need for much more intensive service later,” said pediatric psychologist Marian Williams, the program’s co-director.
Children’s Hospital Los Angeles has been offering mental health screening and services to the sickest young children who pass through its neonatal intensive care unit for about 10 year. That program was also funded by Mindy and Gene Stein, whose Tikun Olam Foundation focuses on early childhood.
The demand became evident when the hospital found that many families that were offered mental health support in the neonatal intensive care unit stuck with the services after leaving the hospital. Soon, other departments, such as the cardiac unit, were requesting similar services for their patients as well.
“I hope this becomes something that everybody understands and looks at as a crucial part of a child’s development,” Mindy Stein said.
A ‘window’ of opportunity in early childhood
The hospital will also use the funds to train providers in infant and family mental health care and research the effectiveness of the program in the hopes that the model will spread to other hospitals.
Psychologist Marian Williams at Children’s Hospital Los Angeles.
“We have this kind of window when you have a new baby. And there’s also a window when you have a medical need,” Williams said. “There’s probably a lot of parents who will say, ‘I don’t really need you. I’m here because of a cut finger, and we’re fine.’ But I imagine there’s going to be a lot more who say, ‘Oh, wow. Since you asked … .’”
Many families probably could benefit from a handout or video about a common early childhood problem such as sleep issues, picky eating or excessive crying. Some might want to join a parent group with others facing similar challenges, or benefit from a few home visits from a nurse who can help them adjust to life with a new baby.
But other families may need more intensive assistance, such as longer-term therapy. The hospital will also screen them for needed social supports such as housing, food, transportation and internet access, — the lack of which can contribute to a family’s stress and a child’s long-term mental health challenges.
What is infant-family mental health?
The term “infant mental health” can be confusing. After all, it’s difficult to believe that a baby could already be experiencing emotional difficulties. But mental health care in the early years is laser-focused on supporting the developing relationship between the caregiver and child, which can set the trajectory of a child’s life.
For an infant, a therapist might work with the parent to help them notice their baby’s cues, find activities to help the baby explore their environment, and work on their own emotional regulation. As a baby gets older, the therapist also uses play to help develop the bond and begin to treat the child more directly.
Vicente plays with a train set in his bedroom at his home.
For families in the midst of a medical crisis, these early days and months can be particularly fraught, said Patricia Lakatos, a psychologist at the hospital who works with families of children who have been treated in the intensive care unit.
In the neonatal intensive care unit, parents are not only dealing with the day-to-day medical reality, but they’re also “grieving the imagined baby — the baby you thought you were going to have,” Lakatos said. Her work is to visit the family regularly during their stay to help the parent work through their grief and understand how their baby communicates.
Stressful experiences can also affect the baby’s well-being. A baby with traumatic medical needs, for example, may panic every time an adult tries to touch them.
Psychologist Patricia Lakatos.
Lakatos said she can read the signs of a struggling newborn in their eyes. Healthy babies, she said, “have a bright, shiny look that tells you, ‘I’m ready. I’m here. I’m curious and want to engage with the world.’” But babies who experience distress often have a “dull, glazed look in their eye. You might try to engage them, and they’re really not engaging with you.”
Others have eyes that are “wide open, almost like hyperalert,” she said. They’re easily startled and may arch their back and splay their hands, as if to say, “The world is stressful for me.”
But having a nurturing, supportive relationship with a caregiver helps buffer that stress. Supporting this bond includes helping the parent notice the signs that the baby is ready to engage — even momentarily — or whether the baby’s cues are telling them they need to “soften my voice or just hold them and not try to look at them because that’s too much stimulation.” The ultimate goal is to help the caregiver find the joy and delight in the baby they have.
A lifeline of support for mother and baby
Stephanie Blanco of Mission Hills first learned she would be having a baby with major medical complications during an ultrasound early in her pregnancy. “I didn’t think I was going to be able to handle it, going through that,” she said.
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1. A photo of Stephanie Blanco and her son Vicente Giron Sarria as an infant hangs on the fridge at their home. 2. Stephanie Blanco’s ultrasounds of her son, Vicente Giron Sarria.
But right away, she was referred to Children’s Hospital’s Fetal-Maternal Center, which specializes in pregnancies with complex medical conditions, where she met Lakatos. Her son, Vicente Giron Sarria, had been diagnosed with facial deformities, and Lakatos began joining Blanco and her partner at every meeting with the craniofacial team.
“They would explain [the problems] to me, but you would go through so many emotions in that moment. So she would tell me, ‘It’s OK, I’m here,’” and ask her how she was feeling. It was a moment of great tension and stress with her son’s father as they navigated what their new life would look like. She wasn’t sure they would make it as a couple. But Lakatos helped them process their feelings together, she said, and learn to communicate about the their son’s health.
Vinny was born with numerous complications even beyond the predicted facial abnormalities, including the need to eat through a feeding tube, and spent about two months in the intensive care unit, where Lakatos visited the family every other day.
Stephanie Blanco and Vicente dance to one of Vicente’s favorite YouTube videos.
Lakatos taught her breathing exercises, helped her connect with her son and encouraged her to take some time for herself on walks around the hospital campus. Blanco was able to bond with her baby. “You’re thinking, I can deal with this,” she said. “He’s my baby, and we’re going to get through it. The love comes out.”
The challenges didn’t end when Blanco and Vinny finally went home, and neither did Lakatos’s support. Vinny needed several surgeries, and Blanco had to learn how to feed him six times a day — including the middle of the night — through a gastronomy tube.
But Blanco and her partner, Jesse Giron, continued their visits with Lakatos for several more years. Vinny was eventually diagnosed with nonverbal autism and a seizure disorder, and Blanco joined a support group for parents that Lakatos was leading.
Blanco said she is still processing life with a medically complex child who requires constant care at home. “Every day is something new. Every day I learn something. Some days are harder than others.”
But she credits Lakatos and Children’s Hospital Los Angeles with saving her life — and her relationship. “If it wasn’t for them and their kindness, their compassion and their guidance, I would be lost.”
This article is part of The Times’ early childhood education initiative, focusing on the learning and development of California children from birth to age 5. For more information about the initiative and its philanthropic funders, go to latimes.com/earlyed. The Stein Early Childhood Development Fund at the California Community Foundation is among the funders.
Blanco holds Vicente and their dog Benny at their home.
Science
Why new dads shouldn’t panic about low testosterone
Three months after his son was born, Kevin Maguire felt alone.
It was 2019. He had recently moved to Barcelona with his wife and daughter and was working on marketing projects for Fortune 500 companies. The birth of his son, Bodhi, should have been a joyous event. But Maguire, now 43, became sad and irritable, and didn’t want to be around his newborn. He withdrew from family and friends, often playing video games late into the night or finding excuses to get out of the house.
“I would take the dog out for a walk,” Maguire said. “I wanted to get far away enough that I wouldn’t bump into anyone I knew and I would just sit and cry.”
Desperate for answers, he entered his symptoms online. Maguire, author of the recently published book “The New Fatherhood: Why Everything They Told You About Being a Dad Is Wrong, and How Embracing It Will Transform Your Life,” knew to look for signs of the “baby blues” in his wife. But he was surprised by articles that said men could experience postpartum depression too. The diagnosis resonated and he began writing about his condition and the trials of fatherhood on Substack.
New dads face psychological pressures, from sleepless nights to sky-high bills, which can contribute to postpartum depression. So can shifting hormone levels.
“One thing I found in my lab’s research is that when new dads have really low levels of testosterone, they might report more symptoms of postpartum depression,” said Darby Saxbe, a professor of psychology at USC and author of the recently published “Dad Brain: The New Science of Fatherhood and How It Shapes Men’s Lives.”
While hormonal shifts can create challenges, they also help men adapt to fatherhood, Saxbe explained. Several hormones can spike in men when they become dads, including oxytocin, linked to better relationship quality; vasopressin, associated with emotional bonding; and prolactin, which promotes lactation in women and caregiving behavior in guys.
New dads can also experience a decline in testosterone. According to a 2011 paper from University of Notre Dame professor Lee Gettler, part of the largest study on fatherhood and testosterone ever conducted, men averaged around a 25% drop in testosterone after becoming fathers.
While dads have reasons to be concerned by plummeting levels of testosterone, a modest dip isn’t necessarily a disaster — in fact, it can make men better parents and partners.
“We often get invested in the idea that men should always have the highest possible levels of testosterone,” Saxbe said. “What the research tells us is a little more nuanced. You really want flexibility. You want a hormonal system that can adapt to the different demands of your life.”
The prospect of a decline might scare soon-to-be fathers, especially those on TikTok and Instagram, where accounts push the idea that having “high T” is the key to being a “real man,” according to a recent study in the journal Social Science & Medicine.
Influencers stand to profit persuading men there’s a widespread “masculinity crisis,” the researchers found, noting that 72% of the accounts they analyzed had a stake in testosterone supplements and treatments.
But studies show more testosterone isn’t always better. “We found that when dads have higher testosterone, even before birth, they’re less invested [than men with lower testosterone] in co-parenting a few months after birth,” Saxbe said. High T fathers were more stressed from parenting than their lower T counterparts, and had partners who were less satisfied in their romantic relationships.
This jibes with the challenge hypothesis, which says, in multiple species, testosterone levels rise when males battle for attention from potential mates and go down when it’s time to take care of the young.
While a small decline can be adaptive, dads face mental health risks when their testosterone drops too low.
There is no “normal” level of testosterone, said Dr. Jesse Mills, director of the Men’s Clinic at UCLA Health. Experts recommend that men should consider treatment if their levels dip below 300 nanograms per deciliter (ng/dL). But men metabolize testosterone in different ways, meaning a healthy level for one might be low for another.
“If a new dad comes to me and his testosterone is 298 [ng/dL], he’s below the threshold,” Mills said. “But if he has zero symptoms and everything else is going great — he’s over the moon with his new child, he’s so happy — that’s not somebody I’m going to treat with testosterone.”
He notes that the drop in testosterone fathers experience can partly be attributed to the stresses that come with a new kid: less sleep, a poor diet and fewer trips to the gym. That means there are precautions that expectant fathers can take that don’t involve testosterone replacement therapy (TRT).
Still, while some guys with low testosterone levels might not need TRT, others in the “normal” range could benefit from treatment. (Dads who want another kid soon, beware. Mills notes that testosterone replacement therapy can take a man’s sperm count to zero.)
Both Mills and Saxbe stress that men should be paying attention to symptoms of low testosterone — such as depression and low libido — rather than trying to reach or maintain an ideal number. They also agree that tending to mental health concerns is hugely important for new fathers.
Eventually, after Maguire researched his condition, he recovered after time spent meditating, exercising and bonding with his son.
“A lot of new dads don’t realize how much they’re struggling because they feel ashamed or because they don’t realize it’s common shortly after the birth of a baby,” Saxbe said.
When they struggle, fathers can fixate on testosterone because that’s what modern culture tells them will make them feel better. And sometimes testosterone replacement therapy works. But Saxbe stresses a lot of men could use psychotherapy or support groups that bring dads together, as well as more time bonding with loved ones in general.
“The thing that predicts a man’s well-being and longevity is the quality of his relationships with other people,” said Saxbe. “You can be the world’s best weightlifter. You can have a low body-fat percentage. You can be killing it at work. Those things don’t predict how happy you’re going to be at 80.”
Science
Video: NASA Announces Artemis III Crew
new video loaded: NASA Announces Artemis III Crew
transcript
transcript
NASA Announces Artemis III Crew
NASA announced the crew of Artemis III mission, which will fly to low-Earth orbit to test rendezvous and docking maneuvers with one or two lunar landers.
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“I am excited to welcome you as the next crew in the Artemis journey to successfully return to the moon — this time to stay.” “I’m honored by the role that I’ve been given. I’m also very humbled by the task in front of us. But first and foremost, I’m grateful.” “So with that, the Artemis II crew, comrade, hands you the baton. You got the controls.” “As you know, we had a significant anomaly at our Launch Complex 36A on May 28. We’ve redoubled our efforts and are moving forward.”
By Alisa Shodiyev Kaff
June 9, 2026
Science
Santa Monica Mountains’ last steelhead trout survived the Palisades fire — and even had babies
Scientists feared the Santa Monica Mountains’ last remaining steelhead trout were dead, smothered by debris flows unleashed by the Palisades fire.
But the endangered fish surprised them: A team of biologists recently spotted 30 of the rare trout — and 21 babies — in Topanga Creek.
“There was a lot of happy dancing in the creek,” said Rosi Dagit, principal conservation biologist for the Resource Conservation District of the Santa Monica Mountains, which works with public and private landowners to conserve natural resources.
That’s because the steelhead here are endangered, at both the state and federal levels. Once, they swam in most streams of the Santa Monicas, but their numbers plummeted amid overfishing and coastal development. Increasingly frequent wildfire has further stressed their habitat. Topanga Creek, a biodiversity hot spot, is home to their last known population in the mountains that stretch from the Hollywood Hills to Point Mugu in Ventura County.
The trout that were spotted, including this one, are part of a distinct Southern California population that’s listed as endangered at the state and federal levels.
(RCDSMM Stream Team)
The California Department of Fish and Wildlife spearheaded a complex mission to rescue trout threatened by the Palisades fire that sparked in January 2025.
Time was of the essence. The fire hadn’t yet been fully contained. But rain was on the way, which would sweep massive amounts of sediment from the denuded hillsides into the water. Fish are often killed this way.
Crews stunned the fish with electricity, scooped them up in buckets, trucked them to a hatchery and ultimately moved them to Arroyo Hondo Creek in Santa Barbara County.
Within days, Topanga Creek was choked with mud. Some assumed the fish left behind were goners.
But in March, the conservation district’s team found four. The following month, when water conditions were clearer, they saw more.
“These fish continue to amaze me,” said Kyle Evans, environmental program manager for the state Department of Fish and Wildlife, who had seen the damage to the creek. “I had seen populations get wiped out in similar situations. So when I heard, I was thrilled.”
Evans surmises the fish that survived were in an area of the creek where less charred material and sediment were swept in.
“These fish likely hunkered down, were hiding under some rocks or places to try to get away from the main concentration of flow,” he said. “And luckily they weren’t buried.”
The ones that were spotted were fairly small, around 6 to 14 inches. Rainbow trout and steelhead trout are the same species, but with different lifestyles. If the fish remain in freshwater, they’ll be considered rainbows. However, they can migrate to the ocean and become steelhead, where they typically grow larger before returning to their natal waters to spawn.
Topanga Creek hasn’t fully recovered from the damage it sustained, but scientists say it’s looking better. Surveys last year were “so depressing,” Dagit said, with very few animals, and stretches that were essentially transformed into flat roads from all the sediment buildup. Some of the riparian canopy burned right down to the creek.
Then came 32 inches of rain over the last nine months, scouring out and moving sediment, creating deeper pools. Dagit said they recently found newt egg masses for the first time in years, as well as a few adult newts and many frogs. Plants that provide cover are starting to recover.
She provided photos comparing certain pools last year and this year, some dramatically transformed. In September 2025, the Shrine Pool could have been an overgrown hiking trail. This April, it was filled with shallow water.
The Shrine Pool in September 2025, left, and the same location in April 2026, right, with RCDSMM’s Isaac Yelchin donning a wetsuit.
(RCDSMM Stream Team)
Topanga Creek is home to another endangered fish, the small but hardy northern tidewater goby, often described as cute. Not long before the trout operation, Dagit led a rescue of hundreds of these fish too. Many were repatriated to the lagoon at the mouth of the creek in a moving ceremony last June.
There’s still the matter of what to do with the trout that were moved to Santa Barbara County last year. Evans would like to bring them home to the Santa Monicas at some point, but isn’t sure if it will happen. On one hand, they could bolster the small, genetically isolated surviving population. On the other, they might inadvertently bring in a disease or bacteria. There is some time to decide. Evans estimates the creek still needs to recover for two to three more years.
For now, the fish are functioning fine in their adopted creek. Experts worried the trauma wrought by the move would disrupt their spawning process, but they had babies that spring. This year, they spawned again.
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