
There are often extensive discussions in Kerala about child development, the importance of family, and parenting. Discussions also take place about how a mother’s mental health affects her child’s health and the importance of a healthy mother-child bond. The Indian government’s ‘First 1000 Days’ initiative is an awareness program that emphasizes the importance of childcare and parenting, focusing on planned pregnancy, nutrition, and mothers’ physical and mental health. However, the reality is that there is limited discussion about the need to improve mothers’ mental health and the mental stress they experience.
Malayali Mothers in Early Motherhood

Various factors contribute to the challenges faced by new mothers:
- Lack of proper family and emotional support, hormonal changes, societal expectations, pressure to be a ‘good mother,’ new responsibilities, childcare issues, work-life balance confusion.
- Societal pressure can all push mothers into significant stress. In such situations, it’s essential to understand their circumstances, consider their mental and physical well-being, and establish a proper support system.
- Emotional support is crucial in these situations. The early days of motherhood are critical in establishing a bond between mother and child.
- Mothers may face various challenges, from mild anxiety and breastfeeding concerns to severe forms of child rejection.
- In some cases, this can even lead to suicidal thoughts. Seeking proper counseling and therapy is vital in addressing these issues.
Postpartum Therapy for New Moms in Kerala: Understanding the Disorders

- Postpartum blues (Baby blues): Mild and temporary feelings of sadness, anxiety, and mood swings, often due to hormonal changes.
- Postpartum depression (PPD): A more severe and persistent form of depression that affects a mother’s ability to function and care for her baby.
- Postpartum anxiety: Excessive worry, fear, or anxiety that interferes with daily life and caregiving.
- Post-traumatic stress disorder (PTSD): In some cases, women may develop PTSD after a traumatic birth experience.
- Postpartum psychosis: A rare but serious condition characterized by hallucinations, delusions, or severe mood disturbances.
Symptoms of postpartum disorders can include:
- Mood swings
- Sadness or hopelessness
- Anxiety or worry
- Difficulty bonding with the baby
- Changes in appetite or sleep
- Feelings of guilt or inadequacy
Common Mental Health Issues After Childbirth in Kerala
1. Postpartum depression
- According to a 2015 study published in the Journal of Psychiatry, the prevalence of postpartum depression in India ranges from 15% to 20%.
- Another study published in the Journal of Obstetrics and Gynecology of India in 2017 found the prevalence to be between 9.5% and 22%.
- Symptoms include self-blame, helplessness, feelings of failure, and loss of interest. Mothers may also experience delusions, such as believing the child is not theirs or has missing limbs. In severe cases, it can lead to suicidal thoughts or even infanticide, emphasizing the need for close monitoring.

2. Stress and Overwhelm
3. Identity Transformation
4. Stigma and Shame
Malayalam counselling sessions and cultural therapy can help alleviate these conflicts and reduce stress. Seeking support from Malayali couple therapists and cultural therapy sessions can be beneficial.
5. Cultural Expectations
Malayalam counselling sessions and cultural therapy can help alleviate these conflicts and reduce stress. Seeking support from Malayali couple therapists and cultural therapy sessions can be beneficial.
6. Lack of Support
7. Career vs. Motherhood
Isolation Abroad: isolation abroad and emotional loneliness in NRI women

Emotional Struggles
- Isolation and loneliness: Leaving behind family and friends in India can lead to feelings of isolation and disconnection.
- Cultural adjustment: Adapting to a new culture, language, and customs can be overwhelming and stressful.
- Motherhood in a foreign land: Managing childcare without the support of extended family members can be daunting.
Practical Challenges
- Language barriers: Communication difficulties can hinder daily tasks, social interactions, and access to services.
- Navigating unfamiliar systems: Understanding and navigating healthcare, education, and other systems in a foreign country can be complex.
- Balancing work and family: Managing work-life balance while raising children in a foreign country can be stressful.
To address your difficulties and conflicts and seek solutions, Oppam provides facilities such as Malayali Moms Abroad Therapy and NRI Mothers Online Counselling. As Oppam is the first online system that can be accessed from anywhere in Kerala at any time, NRI women experiencing isolation and emotional loneliness can utilize these online counselling and therapy services. Remember, you are not alone; Oppam is with you.
How to overcome motherhood challenges
Self-Care:
- Prioritize rest: Sleep when your baby sleeps, and take breaks when needed.
- Nutrition and exercise: Focus on healthy eating and regular physical activity.
- Mental health: Practice stress-reducing techniques, such as meditation or deep breathing.
Support Systems:
- Partner and family support: Communicate openly with your partner and family members about your needs.
- Friends and community: Connect with other mothers through support groups or social events.
- Online resources: Join online forums or social media groups for mothers.
Practical Strategies:
- Time management: Prioritize tasks, and ask for help when needed.
- Baby care: Learn about baby development, and seek guidance from healthcare professionals.
- Household management: Share responsibilities with your partner or family members.
Emotional Well-being:
- Self-compassion: Be kind to yourself, and acknowledge your efforts as a mother.
- Emotional expression: Share your feelings with your partner, family, or friends.
- Professional help: Seek counseling or therapy if you’re struggling with your mental health.
Building Resilience:
- Flexibility: Be adaptable and adjust to changing circumstances.
- Problem-solving: Develop problem-solving skills to navigate challenges.
- Self-care routines: Establish routines that promote self-care and relaxation.
Through proper counselling and therapy, you can experience a healthy motherhood. For this, you can utilize Oppam’s online Malayalam counselling sessions