Why Moms’ Mental Health Is Declining—and What We Can Do About It

Photo by Jon Flobrant on Unsplash

Parenting is one of life’s greatest joys, but it comes with immense challenges. A new study in JAMA Internal Medicine reveals a troubling trend: American mothers are reporting worse mental health than they did just seven years ago. Let’s talk about what this means, why it matters, and how mothers—and those who support them—can take steps to nurture maternal mental well-being.

The Research: A Decline in Maternal Mental Health

The study, based on responses from nearly 198,000 mothers with children under 18, paints a stark picture. In 2016, 38% of moms rated their mental health as “excellent,” but by 2023, that number dropped to 26%. Meanwhile, those reporting “fair or poor” mental health rose from 5.5% to 8.5%. This decline spans all groups—regardless of age, race, or income—but hits hardest for single moms, those with less education, U.S.-born mothers, and those whose children rely on public insurance or lack coverage.
Why is this happening? Modern motherhood often involves juggling work, childcare, financial pressures, and societal expectations. The post-pandemic world has only amplified these stressors, from isolation to economic uncertainty. As Dr. Jamie Daw, a study author and assistant professor at Columbia, notes, “Maternal mood disorders can have long-term effects on children, directly by affecting development, and indirectly, by increasing risks like parental substance use.”

Why Maternal Mental Health Matters

When a mother’s mental health suffers, the effects ripple outward. The study highlights how poor mental health in moms is linked to:

• Adverse birth outcomes, like preterm delivery or low birth weight.
• Developmental delays in children, impacting learning and emotional growth.
• Increased family stress, including risks of substance use or financial strain.

These intergenerational consequences make maternal mental health a public health priority. Supporting moms isn’t just about helping them—it’s about fostering healthier families and communities.

Addressing the Challenges: Who’s Most Affected?

The study found that certain groups face steeper hurdles:

• Single mothers often lack the support of a partner, amplifying stress.
• Less-educated moms may face job instability or fewer resources.
• Mothers of uninsured or publicly insured children often navigate financial and healthcare barriers.
• U.S.-born mothers reported lower mental health scores, possibly due to cultural or systemic factors.

Recognizing these disparities allows us to advocate for targeted support, like community programs or accessible mental health services.

5 Practical Steps for Moms to Boost Mental Health

You don’t need hours or fancy tools to care for your mental health. Here are five evidence-based strategies to try:

• Practice Mindfulness (5 Minutes Daily): Sit quietly, focus on your breath, and let thoughts pass without judgment. Apps like Insight Timer, Medito, and SoulSpace offer free guided sessions.
• Join a Support Group: Connect with other moms through local community centers or online platforms like Postpartum Support International.
• Schedule Self-Care: Even 10 minutes for a walk, reading, or a warm bath can recharge you.
• Seek Professional Help: Look for a maternal mental health specialist through organizations like Postpartum Support International.
• Talk to Loved Ones: Share your feelings with a trusted friend or family member—it’s okay to ask for help.

Maternal mental health isn’t just a personal issue—it’s a family and community issue. By prioritizing your well-being, you’re not only helping yourself but also creating a stronger foundation for your children. If you’re struggling, know that you’re not alone, and small steps can lead to meaningful change.

Have you faced mental health challenges as a mom? Or do you know someone who could use support? Share your thoughts or reach out to Rebecca. She is a Perinatal and Postpartum specialist and is certified through Postpartum Support International.

Additional Resources

• Postpartum Support International: www.postpartum.net
• NAMI Helpline: 1-800-950-NAMI
• Free Mindfulness Apps: Insight Timer, Medito, SoulSpace