Although often overlooked, subclinical symptoms of postpartum depression, anxiety, or other mental health symptoms among new mothers increase the risk of more severe problems and can adversely affect maternal and infant health. We conducted focus groups with 92 new mothers and interviews with 20 healthcare providers to elucidate perceptions of mental health needs among first-time mothers and how healthcare providers address these needs. Our findings suggest that a tradition of focusing exclusively on severe presentations of mental health issues may limit maternal and provider ability to address the full spectrum of mental health needs.