In this essential episode of And Now Love, Cynthia Marks speaks with Kelly O’Connor, Executive Director of Maternal Mental Health Now, about the reality—and treatability—of perinatal mood and anxiety disorders. Kelly shares her own early postpartum experience, from feeling disconnected and overwhelmed to the crushing pressure of breastfeeding expectations that left her feeling like she was “failing.” Together they unpack why this isn’t rare: perinatal depression and anxiety affect a significant portion of new parents, yet shame and silence keep many from getting help. Kelly explains common risk factors, and also why even “perfect on paper” support systems don’t guarantee protection. They discuss why the medical system often screens but can’t refer, and how cultural stigma and fear of child welfare involvement can prevent Black and Brown families from speaking up. Kelly outlines how Maternal Mental Health Now is changing the system through provider trainings, free online courses, and peer support programs like Sana Sana, including specialized groups for queer parents and Black NICU moms. The episode ends with a hopeful reframe: the goal isn’t perfection—it’s being a good enough parent, supported by community, education, and love.

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“What did the council decide on item 42?” — answered with the speaker and the moment.

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