What Therapy Can (and Can’t) Do for Moms

August 12, 20255 min readPostpartum Wellness
Bloom Psychology - What Therapy Can and Can't Do for Moms

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What Therapy Can (and Can't) Do for Moms

Therapy isn't magic—but it can be transformative. Here's what you really need to know before your first session.

If you've ever wondered whether therapy might help—or if you've tried therapy before and walked away unsure—it's worth taking a fresh look.

Maybe you're sitting in your car after drop-off, feeling the weight of everything you're carrying. Or lying awake at 2am, wondering why you can't just enjoy this phase of life everyone says goes by so fast.

Let's talk about what therapy can do, what it can't, and what it might look like when it's a good fit for you.

Sarah's Story: "I Don't Even Know What's Wrong"

Sarah, a mom of two under three, walked into her first therapy session and immediately started crying. "I'm sorry," she said. "I don't even know what's wrong. I just don't feel like myself anymore."

Her therapist nodded. "That's actually the perfect place to start."

Over the next few months, Sarah learned to name what she was feeling: grief for her pre-baby identity, resentment about the invisible labor, anxiety about getting everything right. Once named, these feelings became less overwhelming—and more workable.

What Therapy CAN Do for You

Therapy helps you name what you're feeling

Many moms walk into therapy saying, "I don't even know what's wrong—I just don't feel like myself." This vague discomfort is incredibly common, especially in the postpartum period and early years of parenting.

A trained therapist can help you identify what's under the surface: Is it anxiety about being a "good enough" mom? Grief for your former independence? Rage at the unequal division of labor? Burnout from being "on" 24/7? Loneliness even when you're never alone?

"Once you can name what you're feeling, it becomes more manageable. It's like turning on the lights in a dark room—suddenly you can see what you're dealing with."

What this looks like in real life:

  • ✓ Learning the difference between "baby blues," postpartum anxiety, and postpartum depression

  • ✓ Recognizing that irritability might actually be unexpressed anger or unmet needs

  • ✓ Understanding that the "disconnect" you feel might be dissociation—a trauma response

  • ✓ Identifying that constant worry isn't "just being a mom"—it's anxiety that can be treated

Therapy helps you understand your patterns

Do you find yourself saying yes when you desperately want to say no? Always taking on the emotional labor of keeping everyone happy? Feeling responsible for everyone else's feelings but your own?

These patterns don't appear out of nowhere. Therapy helps you recognize them—and more importantly, understand where they came from.

The People-Pleaser Pattern

What it looks like: You can't say no, even when you're drowning. You apologize constantly. You worry more about everyone else's comfort than your own.

Where it might come from: Growing up in a household where your needs came last, or where love felt conditional on being "good."

The Perfectionist Pattern

What it looks like: Nothing you do feels good enough. You're constantly moving the goalposts. Rest feels impossible.

Where it might come from: Internalized messages that your worth depends on achievement, or early experiences where mistakes weren't safe.

The Self-Sacrifice Pattern

What it looks like: Your needs always come last. Asking for help feels selfish. You're running on empty but can't stop.

Where it might come from: Cultural or family messages about what "good mothers" do, or modeling from your own mom's experience.

Dialogue from Session: Breaking the Pattern

Client: "I know I should ask my partner for help, but I just... can't. It feels wrong."

Therapist: "What does 'wrong' feel like in your body?"

Client: "Like I'm being selfish. Like I'm failing."

Therapist: "And when did you first learn that asking for help meant you were failing?"

[This is where the real work begins—connecting present patterns to past experiences.]

Therapy gives you new tools and coping strategies

Therapy isn't just talking—it's learning. You'll walk away with concrete, research-backed tools you can use in real-time when life gets overwhelming.

Tools you might learn in therapy:

Emotional Regulation

How to self-soothe when you're overwhelmed without numbing, avoiding, or exploding.

Example: The 5-4-3-2-1 grounding technique for anxiety spirals, or box breathing for rage moments.

Communication Skills

How to express your needs clearly without aggression, passivity, or guilt.

Example: "I need 30 minutes to myself after work to decompress" instead of silently resenting your partner.

Cognitive Restructuring

How to challenge and shift your inner critic so it doesn't run your life.

Example: Replacing "I'm a terrible mom" with "I'm doing my best with the resources I have right now."

Boundary Setting

How to say no, protect your energy, and stop over-functioning without the guilt spiral.

Example: "I can't host Thanksgiving this year" without a lengthy justification or apology tour.

"The tools you learn in therapy aren't just for crisis moments—they're for everyday life. For the Tuesday morning when everything goes wrong, or the Sunday evening when anxiety about the week ahead creeps in."

📌 Finding this helpful? Save it to your Mental Health board so other moms can find it too

Therapy supports major identity shifts

Becoming a mom is one of the most profound identity shifts you'll ever experience. You don't just add "mom" to your resume—your entire sense of self gets reorganized.

Your relationships change. Your body changes. Your priorities, values, and daily rhythms change. Even your sense of time changes (remember when you could finish a thought? Or a cup of coffee while it was still hot?).

Therapy is a space where you can make sense of who you were, who you are now, and who you want to become—without pressure to have it all figured out.

Common Identity Questions Therapy Can Help With:

❓ Who am I beyond "mom"?

You're not just a walking milk machine or chauffeur service. Therapy helps you reclaim parts of yourself that feel lost—or discover entirely new ones.

❓ How do I balance who I was with who I'm becoming?

You don't have to choose between "pre-baby you" and "mom you." Therapy helps you integrate both into a coherent, authentic self.

❓ What if I don't recognize myself anymore?

That disorientation is normal—and it doesn't have to be permanent. Therapy offers a compassionate space to rebuild your sense of self.

❓ How do I mourn what I've lost while loving what I have?

You can grieve your former freedom and still adore your kids. These feelings aren't contradictory—they're human. Therapy helps you hold both.

Real Session Moment: Identity Grief

Client: "I love my daughter more than anything. But I miss who I was before. Does that make me a bad mom?"

Therapist: "It makes you human. You can love your child and still grieve what you've lost. Those feelings can coexist."

Client: [crying] "I've been so afraid to say that out loud."

Therapy helps you heal old wounds

Becoming a parent has a way of bringing everything to the surface. Suddenly, experiences you thought you'd "dealt with" or "moved past" come roaring back.

If you're carrying wounds from your own childhood, past relationships, traumatic experiences, or systemic oppression, therapy can help you process and integrate those experiences so they don't keep bleeding into the present.

Childhood Wounds

Your own upbringing shapes how you parent—for better or worse. Therapy helps you break cycles you don't want to repeat and heal the parts of you that are still hurting.

Birth Trauma

A traumatic birth experience doesn't just disappear. Therapy (especially trauma-focused approaches) can help you process what happened and reclaim a sense of safety in your body.

Loss and Grief

Whether it's pregnancy loss, infertility, or the death of someone who should be here, unprocessed grief has a way of showing up in parenthood. Therapy offers a space to finally let it out.

"You don't have to keep carrying what your parents, your birth experience, or your past relationships handed you. Therapy can help you put some of it down."

What Therapy CAN'T Do (The Honest Truth)

Let's be real: therapy isn't magic. It won't fix everything, and it's important to know what it can't do so you don't walk in with unrealistic expectations.

Therapy can't change other people

Your therapist won't be able to make your partner more supportive, your toddler less tantrum-prone, or your mother-in-law less intrusive. Other people's behavior is outside your control—and outside therapy's scope.

But here's what therapy CAN do instead:

It can help you change how you respond to those people. It can help you set boundaries, communicate your needs more effectively, and stop taking responsibility for other people's emotions.

The Shift from "Fixing Them" to "Empowering You"

❌ What You Can't Control

"How do I make my partner help more around the house?"

✓ What You Can Control

"How do I clearly communicate my needs and set consequences when they're not met?"

Therapy isn't a quick fix

We live in an era of instant gratification. Order something online, it arrives tomorrow. Google a question, get an answer in seconds. But therapy doesn't work that way.

Sometimes people expect to feel better immediately, walk out of the first session "fixed," or see major changes after a few weeks. Real, lasting change often takes time—and that timeline is different for everyone.

What to Expect Timeline-Wise:

Sessions 1-3: Getting Oriented

Building rapport, telling your story, identifying what you want to work on. You might feel relief just from being heard, or you might feel worse as you start opening up.

Sessions 4-8: Building Awareness

Recognizing patterns, learning tools, starting to understand the "why" behind your struggles. Change is happening, but it might not feel dramatic yet.

Sessions 9-16: Practicing & Integrating

Applying what you've learned in real life, working through setbacks, building new neural pathways. This is where transformation really happens.

Beyond Session 16: Deepening & Maintenance

Addressing deeper layers, maintaining progress, using therapy as a resource for life's ongoing challenges. Some people continue weekly, others space out sessions.

"Therapy is a process, not a prescription. You wouldn't expect to go to the gym once and have a six-pack—meaningful change takes time, practice, and patience."

Therapy can't erase hard feelings

Grief. Anger. Fear. Disappointment. These emotions are part of the human experience—especially the motherhood experience. Therapy won't make them disappear.

But it can help you hold them with more compassion, more understanding, and less overwhelm. It can teach you that you don't have to be afraid of your feelings—they're just information, not threats.

What Therapy Teaches About Difficult Emotions:

  • 💙 All feelings are valid — even the "ugly" ones like rage, resentment, or regret

  • 💙 Feelings aren't facts — just because you feel like a failure doesn't mean you are one

  • 💙 You can feel two things at once — love your kids and miss your old life; be grateful and still exhausted

  • 💙 Avoiding feelings makes them stronger — what we resist, persists; what we feel, we can heal

📌 This is the guide you'll want to come back to. Pin it now!

The Types of Therapy We Use at Bloom Psychology

At Bloom Psychology, we draw from evidence-based approaches that are tailored to what YOU need. No one-size-fits-all approach here—we meet you where you are.

Cognitive Behavioral Therapy (CBT)

The thoughts-feelings-behaviors connection: Understanding how they influence each other and learning to shift patterns that aren't serving you.

What CBT Looks Like in Practice:

🧠 Identifying Thought Patterns

Learning to catch cognitive distortions like catastrophizing ("If I mess this up, I'm a terrible mom") or all-or-nothing thinking ("I have to be perfect or I've failed").

🔄 Challenging Unhelpful Thoughts

Asking: "Is this thought true? Is it helpful? What would I tell a friend who thought this?" Then replacing it with something more balanced.

📊 Behavioral Experiments

Testing your assumptions in real life. Think you'll "fail" if you ask for help? Try it and see what actually happens.

✅ Building Healthier Habits

Creating small, sustainable changes in your daily routine—like a 5-minute morning grounding practice or a pre-bed worry dump.

Best for: Anxiety, depression, postpartum mood disorders, perfectionism, catastrophic thinking, sleep issues related to racing thoughts.

Interpersonal Therapy (IPT)

Improving relationships and social functioning—because how we connect (or disconnect) with others profoundly impacts our mental health.

What IPT Focuses On:

🔄 Role Transitions

Like becoming a parent, going back to work, or shifting from full-time employee to stay-at-home mom. These transitions are huge—and deserve attention.

⚡ Interpersonal Conflicts

Ongoing tension with your partner, mother, or friend. IPT helps you navigate these conflicts with better communication and clearer boundaries.

💔 Grief and Loss

Whether it's the loss of a person, a dream, or a version of yourself. IPT provides space to mourn what's gone and adjust to what's here.

🤝 Social Support

Building a support network, learning to ask for help, and reducing isolation—all critical for maternal mental health.

Best for: Postpartum depression, relationship struggles, major life transitions, grief, social isolation, communication difficulties.

Psychodynamic Therapy

Exploring how past experiences and unconscious patterns might be influencing your present—with space to reflect, gain insight, and heal old wounds.

What Psychodynamic Work Involves:

🔍 Exploring the Past

How did your early relationships shape how you see yourself, others, and the world? What patterns are you repeating—or desperately trying to avoid?

🧩 Connecting Dots

"Why do I always feel responsible for everyone's emotions?" "Why does asking for help feel dangerous?" These questions have roots—and psychodynamic therapy helps you find them.

🪞 Gaining Insight

This approach is less about quick fixes and more about deep understanding. When you understand the "why," the "how to change" often becomes clearer.

🌱 Healing Old Wounds

Offering compassion to younger versions of yourself, processing grief you've been carrying for years, and creating a new narrative about who you are.

Best for: Repeated relationship patterns, identity questions, childhood trauma, chronic feelings of emptiness or unworthiness, self-sabotage, complex grief.

💡 The Reality of Therapy Modalities

These modalities often overlap in practice. Your therapist might draw from all three, creating a personalized therapy experience that evolves with you. It's not about picking one approach—it's about using what works for YOUR unique situation.

So What Does Therapy Actually Look Like?

If you've never been to therapy (or it's been a while), you might be wondering what actually happens in those 50-minute sessions. Here's the real deal:

Finally Saying It Out Loud

"I'm struggling. I'm not okay. I need help." Sometimes the most powerful part of therapy is simply being witnessed in your truth—without judgment or advice, just presence.

Talking Through Conflict

That parenting disagreement that's been simmering for weeks? That fight with your mom that you can't stop replaying? Therapy is a place to untangle it, understand your part, and figure out next steps.

Learning to Stop the Spiral

Those 2am anxiety spirals where you're convinced everything is falling apart? Therapy teaches you how to interrupt those thought patterns before they take over your whole night.

Exploring Your Past

How your own childhood experiences are impacting your parenting—for better or worse. Understanding the cycles you want to break and the legacies you want to keep.

Practicing Communication

How to ask for what you need—without guilt, without over-explaining, without apologizing for having needs in the first place. Role-playing the conversation before you have it in real life.

Sitting with Hard Emotions

Learning that you don't have to fix, avoid, or numb difficult feelings—you can just feel them, with support, until they pass. (And they always do.)

What Therapy Feels Like When It's Working

🌿 Relief

"I'm not crazy. I'm not alone. Someone gets it." The exhale of being understood without having to explain yourself into the ground.

💡 Clarity

"Oh. THAT'S what's happening." When the fog lifts and you can finally see what you're dealing with—and what to do about it.

✅ Validation

"Your feelings make sense. You're not overreacting. What you're experiencing is real and legitimate." Permission to feel what you feel without shame.

🏠 A Safe Place to Land

One hour a week where you don't have to perform, pretend, or keep it together. Where falling apart is not only allowed—it's part of the process.

"Therapy is different for everyone. But when it's working, it often feels like this: relief, clarity, validation, and a safe place to land."

Want to Know More About What to Expect?

For more information about what therapy actually looks like from the first session onward, check out our detailed guide:

📖 What to Expect in Individual Therapy: A Guide for First-Timers

📌 Pin this to your self-care board—you (or someone you know) might need it later

You Deserve Support

If you're carrying more than you can hold—and wondering whether you're just supposed to keep going—therapy can offer another way.

It won't fix everything. Your partner might not change overnight. Your toddler will still have meltdowns. Your mother-in-law will still have opinions.

But therapy can help you feel more like yourself again. And that's a powerful place to start.

Choosing therapy isn't a sign of weakness—it's a sign of wisdom.

It means you're willing to look at what's hard, feel what's uncomfortable, and do the work to heal. That takes courage—and you already have it.

Signs You Might Benefit from Therapy:

✓ You're functioning—but you don't feel like yourself

✓ You're more irritable, anxious, or sad than usual

✓ You're having trouble sleeping, eating, or concentrating

✓ You feel disconnected from your partner or baby

✓ You're overwhelmed by intrusive thoughts or worries

✓ You're repeating patterns you swore you'd never repeat

✓ You're struggling to bond with your baby

✓ You have thoughts of harming yourself or others

✓ Your relationships are suffering and you don't know why

If any of these resonate, therapy might be exactly what you need. You don't have to wait until you're in crisis to reach out.

Ready to Take the First Step?

Starting therapy can feel vulnerable—and that's okay. At Bloom Psychology, we specialize in maternal mental health and understand exactly what you're going through.

Our therapists create a warm, non-judgmental space where you can show up exactly as you are—messy, exhausted, overwhelmed, or all of the above.

Here's what makes Bloom different:

  • We specialize in moms—this is ALL we do

  • We offer evidence-based therapy tailored to YOU

  • We understand the unique challenges of motherhood

  • We provide a safe space to be human, not perfect

You don't have to do this alone.

Therapy is an investment in yourself, your family, and your future. You're worth it—and we're here when you're ready.

Get Started with Bloom Today

📌 Save this comprehensive guide to Pinterest so you can revisit it whenever you need a reminder that support is available

"Therapy isn't about fixing what's broken—it's about remembering what's possible. You have everything you need inside you. Sometimes you just need someone to help you find it."

— The Team at Bloom Psychology

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Jana Rundle

Licensed Clinical Psychologist

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