03/08/2026
At 22 weeks of gestation when she was pregnant with her first child she was referred by her family after being at clinics too many times, complaining of chest tightness, palpitations, insomnia and a feeling of restlessness. Ananya (name changed) is a software engineer, aged 28 years. Clinically, she was anxious with specific and intrusive thoughts of the child's development on top of a heavy blanket of guilt about her willingness to rather be a mother. Under the surface there were the tensions that characterized contemporary urban India: multiple cultural currents from a joint family, an unconscious yet powerful culture of gendered expectations and reaffirmation of traditional practices, and a strain to be self-sacrificing mother. On a larger scale, this friction was built on top of her profound fear to derail her news cycle success in an extremely competitive industry; and the habit of compulsive Google searches that often spiraled into anxiety about childbirth complications.
Arriving at causative beliefs that her anxiety itself was harming her fetus and she failed as a mother via core maladaptive beliefs, leading to diagnosis of Generalized Anxiety Disorder with perinatal onset. To challenge these distorted thoughts, exposure therapy was employed, whereby anxiety was considered a normal physiological response and not a personal failing coupled with a set of data collection activities on health. Importantly, the therapeutic approach involved pregnancy safe sensory grounding and diaphragmatic breathing skills to de-activate the arousal of the autonomic nervous system during periods of increased physical anxiety, as well as a systemic approach of psychoeducation with her husband to establish boundaries of extended family and to promote emotional safety at home. Over 10 individual sessions, Ananya identified a significant reduction of her anxiety levels, improved sleep quality and implemented strategies for boundaries that enabled her in her approach to labour with confidence and self-efficacy.
Shyamolima Datta
Senior Consultant Psychologist has 12+ years of experience.
Ex-Corporate Psychologist at TCS | Aluma of Delhi University & Jamia Millia Islamia
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