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Explore · Reproductive Anxiety Disorder

Reproductive Anxiety Disorder isn't in the textbooks yet. But it's in the lives of millions of women.

RAD is the umbrella framework that names the full spectrum of reproductive fear — from tokophobia to pregnancy anxiety to post-decision grief. It explains what's happening when biology and fear collide.

The definitive text

The first book to map the full RAD spectrum

Betrayed By Your Biology maps the full RAD spectrum — what it is, why it matters, what the data shows. It brings together lived experience, clinical insight, and the framework that gives reproductive fear a name.

Backed by the white papers that lay out the academic case, the prevalence data, and the cultural drivers that keep reproductive anxiety hidden in plain sight.

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Betrayed By Your Biology by Alexia Leachman

The Fearless Birthing viewpoint

RAD is not a diagnosis — it's a recognition framework

It names what medicine doesn't yet have language for: the full spectrum of anxiety, fear and distress that surrounds reproduction. From the woman who avoids pregnancy entirely to the mother who can't stop reliving her birth — these experiences belong on the same continuum. RAD draws that line.

One continuum, many forms

TokophobiaPregnancy AnxietyBirth FearReproductive GriefPostnatal DistressMedical Trauma
Name it. Understand it. Clear it.
Start here · The definitive guide

Long read · Definitive

What is Reproductive Anxiety Disorder? The definitive guide

Everything you need to understand RAD — the framework, the spectrum, the prevalence data, and the path from recognition to resolution. Written for women trying to make sense of their experience and professionals seeking a deeper lens.

Read the full guide

Go deeper

Resources for understanding and addressing RAD.

Whether you're making sense of your own experience or building it into your practice, start with the framework and the evidence behind it.

The book

Betrayed By Your Biology

The first book to map the full spectrum of reproductive anxiety — from lived experience to clinical framework. Essential reading for women and professionals alike.

From £12 Get the book

The framework

RAD Framework Overview

The Fear Funnel, the RAD Spiral, the Healing Spiral — understand the three models that explain how reproductive fear develops and resolves.

Free Explore

White papers

The Case for RAD

The academic case for Reproductive Anxiety Disorder as a distinct framework — definitions, prevalence, clinical implications, and the gap in current classification.

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Professional training

Tokophobia & RAD Awareness

CPD-accredited training for perinatal professionals. Understand the RAD spectrum, recognise it in practice, and learn the clearance approach.

From the blog

Latest in Reproductive Anxiety Disorder

The most recent articles on this topic. Click any post to read the full piece on the blog.

View all RAD posts

A framework whose time has come

RAD affects millions. Most don't have a name for it yet.

Giving reproductive fear a name is the first step to addressing it — personally and systemically. Start with the framework, or read the academic case behind it.