Maternal Mental Health

Balancing Motherhood: Prenatal, Perinatal, & Postpartum Counseling for Moms

Are you struggling with anxiety, depression, or overwhelm during pregnancy or postpartum?

This is a picture of Patty in a floral dress sitting in a field. She is a maternal mental health counselor and perinatal therapist.

Patty Silva, Lead Maternal Mental Health Specialist

The pressures of motherhood can feel overwhelming. You’re constantly questioning if you’re doing enough for your child, and if you’re doing it “right.” You’ve been told that "it’s just part of being a mom," but you can’t shake the feelings of exhaustion, irritability, and emotional numbness. Your days are filled with a mix of guilt, self-doubt, and worry, making it hard to enjoy the moments you have with your child. You feel disconnected from everyone, unsure of how to share the burden you're carrying. Even the simplest tasks seem extremely overwhelming, and your sense of identity feels lost in the chaos. The constant mental and emotional strain leaves you feeling isolated, questioning whether you’re the only one going through this.

Maternal mental health counseling offers a space to process your emotions, regain a sense of balance, and reconnect with yourself.

Whether you’re struggling with postpartum depression, perinatal anxiety, or simply feeling overwhelmed, we’re here to help. Get the support and understanding you deserve with in-person sessions in San Antonio and Schertz or online counseling throughout Texas.

 

Because all mom’s needs are different, we offer a number of maternal mental health specialties to address your unique needs.

Pregnancy & Perinatal Care: Navigating Emotional Changes

This is a picture of a mother holding her swaddled baby who is in the perinatal mental health stage. She is trying to find joy in motherhood by cuddling with her baby.

Pregnancy is a time of excitement, but it can also bring anxiety, mood swings, and overwhelming thoughts. Many women experience pregnancy-related depression or anxiety, worrying about their baby’s health, their ability to be a good mother, or the changes happening in their body. When high-risk pregnancies or past trauma are part of the equation, these emotions can feel even more overwhelming and difficult to manage. Counseling provides a safe space to process your feelings, manage stress, and develop coping strategies that support both you and your baby.

Postpartum Counseling: Healing & Adjustment

Postpartum, the period after childbirth when moms are physically and emotionally adjusting, is often filled with exhaustion, hormonal changes, and intense emotional shifts. While many moms experience the “baby blues,” some struggle with postpartum depression (PPD), postpartum anxiety (PPA), or birth trauma that makes daily life feel extremely overwhelming. You may feel disconnected from yourself, struggle to bond with your baby, or worry excessively about their well-being. Postpartum counseling can help you navigate these challenges, develop strategies to manage your emotions, and find balance as you adjust to life with a new baby.

Early Motherhood Therapy: Managing Stress & Identity Shifts

This is a picture of a baby with a birthday hat on crying at his birthday party. This is a stressor that many new moms feel. Postpartum counseling can help.

As your baby grows, so do the demands of motherhood. Many moms wrestle with mom guilt, perfectionism, and the pressure to do it all and be it all. You may feel like you've lost part of your identity or struggle with the changing relationships—whether with your partner, family, or friends. Balancing self-care, career choices, and parenting responsibilities can be overwhelming, but counseling helps you set boundaries, find your voice, and create a healthy rhythm that works for you and your family.

Counseling for Parenting & Beyond: Emotional Well-being as a Mom

Motherhood doesn’t stop as your child gets older—it evolves. Different seasons of motherhood bring about new emotional challenges, such as stress, burnout, or parenting triggers that bring up your own past trauma. Learning to regulate your emotions, manage parenting stress, and show up for your child while also prioritizing yourself is key to long-term well-being. Counseling helps you develop healthy emotional responses, build confidence in your parenting, and maintain a strong sense of self as you navigate the journey ahead.

 

Your mental health deserves care and support. We’re here to help.

FAQs about Maternal Mental Health Counseling in San Antonio & Schertz, TX

  • If you’re feeling overwhelmed, anxious, depressed, or struggling to adjust to motherhood, maternal mental health counseling can provide the tools and support you need. Signs to look for include excessive worry, mood swings, feelings of guilt, or difficulty bonding with your baby.

  • The “baby blues” are common in the first two weeks postpartum and include mood swings, crying spells, and fatigue. Postpartum depression (PPD) is more intense, longer lasting, and may include hopelessness, severe anxiety, or trouble caring for yourself and your baby.

  • Yes. Women who have experienced traumatic births have found maternal mental health counseling to be very helpful. In your sessions, you will process the emotions related to your birthing experience, reduce anxiety, and move toward healing. All of our maternal mental health counselors are trained in trauma therapy as well.

  • Absolutely. Many moms struggle with feelings of guilt and self-doubt. Counseling helps you navigate these emotions, set realistic expectations, and develop self-compassion.

  • The duration of sessions can vary widely depending on the complexity of the problems that are being addressed. Your counselor will develop a treatment plan with you at the start of your counseling journey, which will give an initial timeframe on what to expect.

  • Yes. Pregnancy can bring unexpected emotional challenges. Perinatal mental health therapy helps you manage stress, anxiety, and depression before your baby arrives.

  • Yes! Many moms feel lost in the transition to motherhood. Counseling can help you reconnect with yourself, set healthy and realistic boundaries that aid in your wellness, and allow you to regain confidence in who you are.

  • We understand how demanding motherhood is, that’s why we offer flexible scheduling options, including virtual sessions, to fit into your routine. Taking care of your mental health benefits both you and your family.

Take the first step toward feeling more like yourself again. Schedule a free consultation today for in-person support in San Antonio and Schertz or online counseling throughout Texas.