Motherhood is a transformative journey filled with excitement and love. However, it can also be a time of emotional upheaval. Many new mothers experience feelings of sadness, anxiety, and overwhelm. When these feelings persist or intensify, it could be a sign of Perinatal or Postpartum Depression—serious mental health conditions that deserve timely attention and care.
As a Consultant Psychiatrist based in Kharadi, Pune, Dr. Sachin Dhanwade specializes in helping women navigate the emotional challenges of pregnancy and new motherhood with compassion and expertise.

Understanding Perinatal and Postpartum Depression
Perinatal depression includes depression that occurs during pregnancy (antenatal depression) as well as after delivery (postpartum depression).
Postpartum depression (PPD) typically begins within the first few weeks after childbirth, but it can also start months later.
Unlike the “baby blues”—a short period of mood swings, irritability, and tearfulness that most mothers experience in the first week after delivery—PPD is more intense and longer-lasting.
Common Symptoms of Perinatal and Postpartum Depression
If a new mother is experiencing any of the following symptoms for more than two weeks, she may need professional support:
Persistent sadness, hopelessness, or emptiness
Severe mood swings or irritability
Loss of interest in previously enjoyable activities
Fatigue or lack of energy
Sleep disturbances (too much or too little)
Changes in appetite
Feelings of worthlessness or guilt
Difficulty bonding with the baby
Thoughts of self-harm or harming the baby (in severe cases)
Causes
Several factors can contribute to perinatal or postpartum depression:
Hormonal fluctuations after childbirth
History of depression or anxiety
Stressful life events
Lack of emotional or social support
Complicated or traumatic delivery
Sleep deprivation
Challenges in breastfeeding or caring for the newborn
It is important to understand that postpartum depression is not a weakness or character flaw—it’s a medical condition that can be effectively treated.
How a Psychiatrist Can Help
Dr. Sachin Dhanwade offers personalized care to help new mothers manage their mental health during this critical time. Here’s how psychiatric support can make a difference:
1. Accurate Diagnosis
Often, symptoms of depression or anxiety are overlooked or mistaken for normal postpartum stress. A psychiatrist can help differentiate between baby blues, postpartum depression, and other mood disorders through a detailed evaluation.
2. Psychotherapy (Counseling)
Psychotherapeutic approaches such as Cognitive Behavioral Therapy (CBT) or Interpersonal Therapy (IPT) can help mothers:
Understand and challenge negative thought patterns
Build coping skills
Improve communication and relationships
Regain confidence and emotional stability
Counseling can also involve the partner or family, creating a strong support system at home.
3. Medication Management (if needed)
In moderate to severe cases, antidepressant medications may be recommended. Dr. Dhanwade carefully evaluates the need for medications based on the severity of symptoms and whether the mother is breastfeeding. Safe and effective treatment options are available, and many women experience significant improvement with a combination of therapy and medication.
4. Holistic Support
Psychiatric care also includes lifestyle and self-care recommendations such as:
Establishing a routine
Ensuring proper nutrition and hydration
Encouraging sleep and rest
Promoting physical activity
Teaching relaxation techniques like mindfulness or breathing exercises
When Should a New Mother Seek Help?
It’s important to seek professional help if:
Emotional symptoms last more than two weeks
Feelings of anxiety, panic, or sadness interfere with daily life
There’s difficulty bonding with the baby
Suicidal thoughts or thoughts of harming the baby occur (this is a medical emergency—please seek immediate help)
Breaking the Stigma
In India, mental health issues—especially among new mothers—are often brushed aside due to stigma or lack of awareness. However, early intervention can prevent complications and help mothers enjoy this phase of life more fully. It is crucial to normalize discussions around maternal mental health and encourage women to ask for help when needed.
Perinatal and postpartum depression are more common than most people realize, and they are treatable. With compassionate care and evidence-based treatments, new mothers can regain their emotional well-being and nurture a healthy bond with their baby.
If you or someone you know is struggling with emotional challenges during or after pregnancy, consult Dr. Sachin Dhanwade, Consultant Psychiatrist in Kharadi, Pune, for expert evaluation and support. Your mental health matters—for you and your family.
Read More:
Treatment Options for Depression | Dr. Sachin Dhanwade