Is Katie Holmes suffering from post-natal depression?
Baby blues: Katie Holmes looks run down and tired
Bags under her eyes and looking dazed, even Hollywood superstars cannot avoid the harsh realities of first time motherhood.
So as Katie Holmes made her way to a Los Angeles hotel for a relaxing, full-body massage, she looked to have the weight of the world on her hunched shoulders.
Struggling out of a chauffeur-driven car, and into the exclusive Beverly Hills Hotel, the stress of the past five months was evident for all to see.
Despite doing her utmost to hide her bleary-eyed face behind an oversize designer handbag, the 27-year-old actress, who gave birth to her daughter Suri in April, could not avoid the harsh glare of the photographers' flashbulbs.
Wearing a pale pink shirt and her hair worn long, she plodded wearily into the hotel's luxury spa suite for a £120 massage and facial.
There are, of course, several possibilities accounting for Miss Holmes' pained expression - all largely relating to her fiancee, Tom Cruise.
Two weeks ago the 44-year-old Mission Impossible star was sensationally fired by his film company, Paramount Pictures. The unprecedented move threatens to leave the actor's career in tatters.
Both Cruise and Miss Holmes have also been widely criticised for refusing to bring their five-month old daughter into the public eye. Instead, the little girl has been kept firmly under wraps, only being aired to a few select family members and a handful of the couple's celebrity friends.
However, it has now been revealed that the pair have secured a deal with Vanity Fair magazine to print the first ever photos of Suri.
As well as several nights of interrupted sleep and breast feeding, Miss Holmes has had her fiancee's controversial religious cult to contend with.
Under pressure from Cruise, Miss Holmes, a former Catholic, has converted to Scientology, which is based on the understanding that humans are an exiled race from outer space called Thetans.
In a bid to adhere to the cult's doctrine, the Dawson's Creek actress was forced to give birth in silence.
Whether Miss Homes' slightly glum expression can be attributed to the faith's vehement outlawing of all anti-depressants to treat post-natal depression, is unknown.