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Postpartum Therapy Illinois | Perinatal Mental Health Support

Postpartum therapy in Illinois with Sukhi Sandhu, LCPC. Support for postpartum depression, anxiety, and perinatal mental health via telehealth.

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You were supposed to be happy.

That is the sentence that lives underneath everything, is not it? You were supposed to feel grateful. You were supposed to feel whole. Everyone kept telling you this was the best time of your life, that you would look at your baby and feel something that made the sleeplessness and the stitches and the complete unraveling of your former self all worth it.

Maybe you do love your baby. Fiercely and completely. And maybe, at the same time, you feel like you are drowning. Like the person you used to be has dissolved and you do not know who is left. Like you are watching your life from behind glass, going through the motions of caring for a tiny human while inside, something has gone very, very quiet or very, very loud.

These two things – loving your baby and suffering deeply – can exist at the same time. And the fact that you are suffering does not make you a bad mother. It makes you a mother who needs support.

This is what I want you to hear above everything else on this page: what you are going through is real, it is recognized, and it is treatable. You do not have to earn your way out of it by trying harder. You do not have to perform okay-ness until you feel it. And you do not have to do this alone.

What Postpartum Mental Health Actually Includes

The phrase “postpartum depression” is the one most people have heard, but the umbrella of postpartum mental health is much wider than that. I want you to recognize yourself somewhere in what follows, because the path to help starts with knowing what you are actually dealing with.

Postpartum Depression is more than sadness. It is a profound loss of pleasure, a flatness that makes everything feel effortful, a disconnection from yourself, your baby, your partner, and your life. You might cry without knowing why, or feel nothing when you expected to feel everything. You might have difficulty sleeping even when the baby sleeps, or find yourself unable to eat, concentrate, or imagine a future that feels okay.

Postpartum Anxiety often shows up as racing thoughts that will not stop – especially fears about your baby’s safety. You check. You Google. You cannot rest because your mind keeps generating the next worst-case scenario. You might feel physically restless, on edge, or unable to breathe deeply. You love your baby so much it turns into terror.

Postpartum OCD is a form of postpartum anxiety that tends to involve intrusive, unwanted thoughts – often horrifying thoughts about harm coming to your baby. These thoughts are ego-dystonic, meaning they are deeply at odds with who you are and what you want. Having them does not mean you are dangerous. It means your anxious mind has latched onto the thing you love most and is producing worst-case scenarios around it. This is far more common than people know, and it is very treatable. But it is also very often misunderstood, which is why so many mothers suffer in silence rather than risk being misread.

Postpartum Rage is something almost no one talks about. You might feel a fury that scares you – at your partner, at your family, at the relentless demands of a body that does not feel like yours anymore, at the gap between what motherhood was supposed to feel like and what it actually feels like. Rage is often a signal that something important needs attention: a need that is not being met, a boundary that has been violated, a grief that has not been allowed.

All of these are real. All of them have names. And all of them respond to treatment.

Before the Baby: Prenatal and Perinatal Anxiety

Perinatal mental health includes the full stretch of time from conception through the first year after birth. And the truth is, for many women, the struggle begins long before delivery.

Pregnancy is often portrayed as a golden time. But it can also be a time of profound anxiety – about the health of the baby, about whether you are doing everything right, about the enormity of what is coming. If you have a history of loss, whether a miscarriage, infertility, or pregnancy complications, this anxiety can be especially acute. You might feel unable to attach to this pregnancy, holding yourself at a distance in case something goes wrong. You might be consumed by fear at every appointment, every kick count, every symptom you cannot explain.

If you are navigating pregnancy after loss, or if anxiety has taken over what was supposed to be a joyful time, that deserves support. You do not have to white-knuckle your way through nine months.

Prenatal depression is also real and often goes unrecognized. The cultural narrative around pregnancy does not leave much room for it, which means many women spend their pregnancy feeling ashamed of what they feel, or wondering what is wrong with them.

The South Asian Dimension: When Culture Makes It Harder

I want to speak directly to something here, because if you are a South Asian woman navigating postpartum mental health, you may be dealing with layers that other women are not.

In many South Asian families and communities, motherhood carries a specific set of expectations. You are supposed to handle it. You are supposed to be grateful. Your mother did it, your grandmother did it, they did not complain – they just got on with it. And perhaps you have family around you, in-laws, your own mother, aunties coming to help – which should mean you have support, but somehow you still feel terribly alone.

Maybe the “help” comes with commentary about how you are feeding your baby, how much the baby is sleeping, whether you are following the right traditions. Maybe you are in a home that is full of people and yet there is no one you can say to: I am not okay. Because saying that feels like failure. Because the question of whether you are a good mother, a good daughter-in-law, a good wife feels like it is always just underneath the surface.

If you are a South Asian woman who immigrated to the United States, postpartum isolation can be especially sharp. Your mother may be thousands of miles away. You may not have the extended family network that would have surrounded you in another context. You are navigating a new country’s medical system, a new cultural script for motherhood, and a profound physical and emotional transformation – often with less support than you imagined and more pressure than you can name.

And then there is the expectation of the male child, or the pressure around the number of children, or the commentary on your body, or the assumption that your role is now primarily defined by your function as a mother rather than as a full person with her own interior life. If any of this is sitting in the room with your postpartum experience, it matters. It is part of what we would work through together.

The shame around mental health struggles in South Asian communities does not disappear when you become a mother. If anything, it intensifies, because now there is a child watching. Now your mental state is everyone’s business and also a secret that must be kept at the same time. That impossible bind is exhausting, and I see it.

You do not have to be the strong one right now. You are allowed to be the one who needs help.

What Therapy for Postpartum Mental Health Looks Like

When you first come in, I am not going to ask you to have it together. You do not have to come with a tidy summary of what is wrong. You can come exactly as you are – exhausted, tearful, uncertain, or simply unable to articulate what is happening beyond I do not feel like myself.

Our early sessions are about building trust, understanding your story, and assessing what is actually going on. Postpartum mental health exists on a spectrum, and how we approach it depends on where you are. I will also talk with you about whether a conversation with your OB or midwife about medication might be something to consider – not as a replacement for therapy, but as something that can help create enough stability to do the deeper work.

From there, we work on what you need most. That might look like developing coping skills for managing anxiety in the moment – when the intrusive thoughts spiral, when the overwhelm hits, when you feel like you cannot catch your breath. It might look like processing the gap between what you expected motherhood to feel like and what it actually feels like, and grieving that honestly. It might look like examining the external pressures – from family, from culture, from the impossible standards of modern motherhood – that are sitting on top of an already hard situation.

I draw on Cognitive Behavioral Therapy, which helps you identify and shift the thought patterns that are making things harder. I draw on Internal Family Systems, which is especially useful for the parts of you that are in conflict – the part that loves your baby fiercely and the part that feels like she has disappeared, the part that wants to ask for help and the part that is too ashamed to. And for clients with underlying trauma that the perinatal period has activated, EMDR can be a powerful tool for getting underneath things that talk therapy alone cannot reach.

Throughout all of it, I will be honest with you about what I see and direct about what I think might help. I will not tell you that what you feel is not real. I will not tell you to be grateful. I will meet you where you are.

You Are Still In There

Postpartum mental health struggles have a way of convincing you that this is who you are now. That you have lost something permanently. That the version of yourself you remember – competent, present, someone who could imagine the future – is gone.

She is not gone. She is exhausted, overwhelmed, and fighting a neurological and hormonal battle that she did not sign up for. The brain and body go through seismic changes in the perinatal period, and for some women, those changes trigger significant mental health crises. That is not a moral failing. It is a physiological reality.

With the right support, things change. Women who have been in the dark for months come back to themselves. The fog lifts. The thoughts quiet. The connection comes – with themselves, with their babies, with their lives. Not because they tried harder, but because they got help.

You deserve to feel that shift too.

How Telehealth Makes This Easier

I want to be practical here, because one of the biggest barriers to postpartum mental health care is the simple logistics of it. You have a baby. You are not sleeping. Getting out of the house feels like an expedition. Finding childcare for an hour so you can drive to an office so you can sit in a waiting room and then drive home is, frankly, often impossible.

Telehealth removes all of that. You connect with me from wherever you are – your bedroom, your car (parked), your kitchen during nap time. If the baby needs you during a session, we pause. If you need to nurse or feed while we talk, that is fine. Your baby can be in your arms if that is what the moment requires.

There is no commute. No one will see you at a therapist’s office. You can do this in your pajamas if that is where the day finds you. And unlike many services, you can access this support from anywhere in Illinois – so whether you are in Chicago, in the suburbs, or in a smaller city with fewer local options, you can get care.

Sessions are conducted through a secure, HIPAA-compliant video platform. Your privacy is protected.

If you are also navigating:

  • Anxiety Therapy — for postpartum anxiety, panic, and intrusive thoughts
  • South Asian Therapy — for desi moms navigating family pressure and cultural expectations
  • Grief Counseling — for pregnancy loss, birth trauma, or the grief of unmet expectations

Also worth reading: Desi Mom Burnout: When “Strong” Is the Only Story You’re Allowed

Take the First Step

I know that reaching out right now might feel like one more thing you do not have the energy for. But this is one of the most important things you can do – for yourself, and for your baby. Children thrive when their mothers are well. Getting support is one of the most loving things you can do for your family.

I offer a free 15-minute consultation where we can talk about what you are experiencing and whether working together might help. No commitment, no pressure.

Schedule your free consultation or call me at (224) 497-2893.

You were not built to do this alone. Let me help.

Ready to Take the First Step?

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