Psychotherapy during Maternity Leave
The postpartum period represents a uniquely vulnerable phase in a mother’s journey, marked by significant responsibilities and adjustments. First time or fourth time moms alike may experience symptoms that make it difficult for them to feel like themselves emotionally.
Research emphasizes that maternal mental health plays a key role in the child’s development. For the mother and baby, it is crucial that mothers receive quality and substantial support from partners, family, friends, and psychotherapy during these initial months of a child’s life.
Key Postpartum Statistics:
Depression: Up to 20% of new mothers experience postpartum depression following childbirth.
Anxiety: Seventeen percent (17%) of new mothers report experiencing postpartum anxiety.
Obsessive-Compulsive Disorder: 16.9% of postpartum women report symptoms of OCD.
These statistics underscore the imperative need for therapy during the postpartum period. Below you can find an outline for a typical course of treatment for new mothers considering therapy during their maternity leave.
Benefits of Therapy During Maternity Leave Include:
Usually, working moms might not have the ability to schedule sessions throughout their busy workweeks. During maternity leave, mothers might have the unique flexibility to schedule sessions. Other benefits of therapy during maternity leave are,
Symptom Management
Validation and Emotional Support
Enhanced Bonding with Baby
Trauma Processing
Developing Coping Strategies
Self-Care
Long-Term Benefits
Treatment Outline:
During our initial consultation, we will assess your unique needs for treatment during maternity leave. Below is a broad outline of what a typical course of treatment may look like.
Phase 1a - Symptom Reduction: Initially, the focus will be on alleviating immediate symptoms. Whether dealing with postpartum depression, anxiety, or OCD, collaborative efforts will center around developing coping strategies for daily living. Techniques such as deep breathing exercises, progressive muscle relaxation (PMR), and medication management may be integrated to provide symptom relief.
Phase 1b- Assessing Proper Supports: In the initial phase, we will also have to assess whether a mother has proper support in place. It really does take a village, and we will assess whether you feel supported by the village around you.
Phase 2a- Exploring Attachment Patterns: Building upon attachment research outcomes, sessions will delve into questions and reflections that enhance understanding of one's attachment framework. This exploration is fundamental to fostering emotionally healthy attachment bonds with children.
Phase 2b- Trauma Processing: Addressing intergenerational trauma forms a critical part of the therapeutic process. Postpartum anxiety, depression, or OCD may stem from past traumatic experiences. Therapy facilitates gradual processing and comprehension of these events, thereby diminishing their emotional impact. By integrating and understanding trauma, individuals can pursue healing, regain a sense of security, and cultivate resilience, which is crucial for nurturing emotionally secure and resilient children.
Phase 3- Returning to Work: As maternity leave concludes, it is common for mothers to experience a range of emotions including grief, excitement, fear, and more. These feelings will be explored thoroughly during the final phase of maternity leave treatment.
Phase 4- Maintenance Phase: As maternity leave ends, a realistic plan for ongoing treatment will be discussed. Many mothers find bi-weekly or monthly sessions feasible while balancing work commitments.
Conclusions
The postpartum period is a pivotal time in a mother’s life, influencing not only her own well-being but also the foundation of her child’s emotional development through secure attachment. As highlighted by research and statistics, addressing mental health challenges during this phase is essential for promoting positive outcomes for both mother and child. Together, we will collaborate on tailoring a unique therapeutic approach for your maternity leave. Women have found that psychotherapy during maternity leave has provided them with invaluable support in navigating the complexities of this period. From symptom management and understanding attachment patterns to processing trauma and preparing for the return to work, each phase of treatment plays a crucial role in promoting resilience and well-being.
Recommended Research Articles:
For those interested in the science of Attachment Theory research, seminal papers on the topic include:
Fonagy, P., Steele, H., & Steele, M. (1991). Maternal representations of attachment during pregnancy predict the organization of infant‐mother attachment at one year of age. Child development, 62(5), 891-905.
Steele, H., Steele, M., & Croft, C. (2008). Early attachment predicts emotion recognition at 6 and 11 years old. Attachment & Human Development, 10(4), 379-393.
Steele, H., Steele, M., Croft, C., & Fonagy, P. (1999). Infant‐mother attachment at one year predicts children’s understanding of mixed emotions at six years. Social development, 8(2), 161-178.
Invisible Wounds
As a child you may have appeared to be well-fed, dressed in clean clothing, with no overt or physical signs of abuse. Teachers, coaches, friends’ parents and other family members may have made swift judgments that all was well at home. To the world things may have looked quite put together, but at home, the reality may have been very different.
A child growing up in a neglectful home has invisible wounds that continue to cause emotional pain and disruption to relationships into adulthood. Emotional, educational, and medical neglect often go unaddressed throughout a child’s life because the signs can be incredibly subtle. Though the signs are subtle, childhood neglect is insidious.
Understanding Childhood Neglect
Neglect occurs when a child's basic needs for emotional, physical, and psychological support are consistently unmet. Below are some examples:
Emotional Neglect: Lack of affection, warmth, validation, and emotional support. Parents may have been cruel, “cold” and emotionally unavailable.
Physical Neglect: Failure to provide adequate food, shelter, and clothing.
Educational Neglect: Insufficient support for education. Parents may have stalled or blocked academic success by not providing adequate time and space at home for homework and studying. Parents may not have provided transportation to children consistently resulting in truancy.
Medical Neglect: Ignoring health needs, including not seeking medical care when necessary.
The Impact of Childhood Neglect
It often takes adults many years to recognize and acknowledge some of the neglectful patterns that they have experienced.
In adulthood, the ripple effects of neglect may manifest as:
Low Self-Esteem: A persistent sense of inadequacy and self-doubt.
Difficulty in Relationships: Struggles with trust, intimacy, and healthy boundaries.
Emotional Dysregulation: Challenges in managing and expressing emotions.
Perfectionism or Procrastination: Coping mechanisms to deal with an underlying fear of rejection.
Chronic Anxiety or Depression: Persistent feelings of sadness or worry that feel unmanageable at times.
Healing is more than possible.
Healing from childhood neglect is not only possible, but also can be powerful.
Living Consciously: A skilled therapist can help you identify the subtle signs of childhood neglect and how they influence current behaviors and thought patterns. By making these connections, you can become more consciously aware of how these patterns arise in your current relationships. By living more consciously, you can activate your agency and make efforts to approach relationships differently.
Developing Self-Compassion: Therapy encourages the development of self-compassion, helping replace self-criticism with warmth and understanding. This shift can allow you to treat yourself with the care and respect that was missing in your childhood.
Building Healthy Relationships: In a neglectful home, it is difficult to learn to establish healthy boundaries. With therapy, you can learn to establish and maintain healthy relationships. This involves setting boundaries, improving communication skills, and fostering trust with others.
Emotional Regulation: Without the presence of an emotionally available parent, you may not have learned how to regulate your emotions effectively. Therapists can help you develop techniques for managing emotions, such as mindfulness and grounding exercises. These tools can help you navigate your feelings more effectively and reduce anxiety and depression.
Empowerment and Growth: Ultimately, therapy aims to empower you to take control of your life and make changes. By addressing the wounds of childhood neglect, they can build a more fulfilling and resilient future.
recommended Reading for further understanding
The Boy Who Was Raised as a Dog: And Other Stories from a Child Psychiatrist's Notebook -- What Traumatized Children Can Teach Us About Loss, Love, and Healing Paperback – December 25, 2007
by Bruce D Perry (Author), Maia Szalavitz (Author)
What Happened to You?: Conversations on Trauma, Resilience, and Healing Hardcover – April 27, 2021
by Oprah Winfrey (Author), Bruce D. Perry (Author)
Will I Ever Be Good Enough?: Healing the Daughters of Narcissistic Mothers Paperback – September 8, 2009
by Dr. Karyl McBride Ph.D. (Author)
Good Morning, Monster: A Therapist Shares Five Heroic Stories of Emotional Recovery Kindle Edition
by Catherine Gildiner (Author)
Healing & Moving forward
Healing from childhood neglect requires patience, courage, and commitment. The process involves reclaiming your sense of self-worth and learning to nurture the inner child who holds so much hurt and pain. While the treatment towards healing may be challenging, the rewards are profound. Healing can result in greater self-awareness, healthier relationships, and a deeper sense of peace and fulfillment.
Importantly, the path to healing is not one that needs to be endured alone. With the support of a compassionate clinician, you can begin to heal the invisible wounds of the past.