The transition to motherhood can be accompanied by great joy, and also great challenge. It is not uncommon to experience a variety of mental health struggles during pregnancy and the early months and years of parenthood. Whether you have dealt with a mental health disorder throughout your life and you’re learning to manage this in the context of bearing and raising children, or you are having trouble coping for the first time, an experienced mental health professional can help. Postnatal anxiety and depression can be effectively treated with an individualized combination of social support, self-care, behavioral change, psychotherapy and medications, depending on what is accessible, appropriate and preferred by the mother. They are most easily treated early on, but it is never too late to seek help. Birth trauma affects up to one third of women, some of whom may develop postnatal post-traumatic stress. Generally, therapies (such as PET, ACT and EMDR) are the most effective tools for working through trauma, yet medications can also be helpful to treat some symptoms. Postnatal psychosis is less common and can be very frightening for the mother and her family. It requires inpatient treatment and responds very well to appropriate medications. If you are struggling to cope while trying to conceive, pregnant, or after having a child, you are not alone.