Meghan McCainhas made a career out of saying exactly how she feels — about everything — but now there’s something even she is “really nervous” to share:

“It’s the second hardest thing I’ve ever done, other than my dad [Sen.John McCain] dying,” Meghan, 36, tells PEOPLE in this week’s issue, in her first interview about her private pain.

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It took a pediatrician’s intuition and a treatment plan to bring the formerViewco-host back to “feeling steady,” as she calls it. Now with a new audio memoir,Bad Republican, being released (Thursday on Audible), Meghan has a different kind of truth to tell.

“I felt like people need to share stories about struggles with new motherhood — not just it being picture-perfect,” she says. “But I feel really raw and vulnerable sharing it. I just wanted to offer something that would hopefully make women, in particular, feel less alone.”

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From left: Ben Domenech and Meghan McCain.Charles Sykes/Bravo/NBCU Photo Bank/NBCUniversal via Getty

Ben Domenach, Meghan McCain

“Really paranoid, like barely showering and functioning” was how Meghan felt when she and husband Ben Domenech, a commentator and conservative publisher, took their daughter in for her second pediatrician’s visit in early October 2020.

Meghan had avoided birthing prep classes duringthe pandemic(“I hate Zooms, I hate YouTube videos, I was like I’ll figure it out”) and then she had endured a prolonged labor and hospitalization for postpartum preeclampsia, which raised her blood pressure so high she sometimes couldn’t breathe.

But having Libertywas so, so perfect. Still, that bliss competed with other emotions. “It’s hard to explain because [motherhood] is incredible, but it’s scary,” Meghan says now. “And I found it overwhelming at the same time.”

At Liberty’s pediatrician’s appointment last October, Meghan didn’t realize the warning signs she was giving off until the doctor, “very kindly and with a ton of empathy,” urged her to get help.

“She pulled me aside and was like, ‘You need to talk to someone,’ " Meghan says. She had been asked to fill out a simple postpartum questionnaire —from one to five, are you feeling this… are you feeling that…— and gave alarming answers.

Meghan McCain and daughter Liberty Sage in 2020.Meghan McCain/instagram

Meghan McCain

“Clearly I’m not the first woman to come in that had that happen,” Meghan says. In fact, postpartum anxiety and related symptoms affect one in five moms, according to some estimates.

Domenech, too, had noticed something awry. “Before Meghan gave birth, given all the isolation of the pandemic, I kept calling up a group of close friends, fathers in my age range, to ask for advice,” he says now. “I will never forget what one of them told me at the end of a lengthy conversation, almost as an aside: ‘Watch out for postpartum.’ "

He remembers being told, “You won’t want to bring it up, she won’t want to talk about it, and that’s absolutely why you have to, because it can get serious fast.”

She went back to her doctor, who gave her struggles a name. “I was shocked when they told me,” she says.

Says Domenech: “It was such a series of subtle breaks with her normal self. I’m just grateful that she got the help she needed and that our doctor made it clear she needed it.”

Meghan McCain.Theo Wargo/Getty

Meghan McCain

An immediate course of antidepressants got Meghan back to “fine, steady,” and she resumed therapy for the first time since her dad’s death. “Having a professional tell you you’re not crazy and be able to work through things, for me, has been amazing,” she says.

The isolation and worry of COVID had changed her, as had becoming a mom. “The question I have is: Can you be really successful in television and be happy at the same time? For me, I don’t know,” she says.

For now, she is happy at home with Liberty and grateful for the privilege that lets her take side projects as she desires.

Meghan McCain’s daughter Liberty Sage.Meghan McCain/instagram

Meghan McCain

Bad Republican, her audio memoir, traces not just her marriage and life as a mom but herViewcareer and beyond. And, after some revisions, Meghan decided it should also lay bare how she endured a postpartum period she never expected — and got through it.

That’s another focus:Advocating for the needsof all new moms.

“There’s no shame in any of it,” Meghan says. “Everyone has a story.”

source: people.com