Pregnancy is often physically draining, but filled with excitement, joy, and fear. Carrying a child for ten months creates an opportunity to fantasize about the joys of parenthood and the instant love you will poor on your child upon his or her arrival. You have decorated the nursery perfectly, the childbirth classes help you feel competent in labor, and you have chosen the child’s name. For some mothers, this flow of excitement continues far beyond their child’s birth. For other mothers, their dreams of motherhood come to a screeching halt as they begin to experience dread, persistent weepiness, guilt, low energy, hopelessness, and overwhelming fears. This nightmare is unfortunately experienced by up to 85% of new mothers and typically peaks between the third and fifth postpartum day. If these symptoms last less than two weeks, then a diagnosis of “baby blues” is appropriate. However, if these symptoms continue past the two week mark, you may have postpartum depression. Many women may not seek help because of the sensationalism of headline-grabbing accounts of mothers with postpartum depression and with psychosis. Contrary to those who fear the stigma of treatment, some women suffer because they know something is wrong but they can’t quite put their finger on what is wrong. These women usually first seek their obstetrician’s opinion and many rationalize that they are experiencing normal adjustment pains to having a new baby. If you feel you are experiencing postpartum depression, the best course of treatment is psychotherapy, medication, or both.