trauma work in pregnancy

With advanced training in perinatal mental health and prior experience as a therapist within a maternal mental health clinic, I have provided individual therapy to many pregnant clients interested in processing past trauma. Past trauma may unexpectedly resurface during the prenatal period, leading to increased distress and a reduced sense of confidence during pregnancy.

Common themes for trauma work during pregnancy include:

Navigating a subsequent pregnancy following a perinatal loss

Experiencing fear of childbirth following a traumatic event

Experiencing fear of motherhood following developmental trauma

Trauma can manifest in many ways; some indicators include intense physiological reactions when reminded of the past, catastrophic and/or negative thoughts inspired by the past, or avoidance of anything that may serve as a reminder of the past. Some clients may have difficulty celebrating pregnancy and/or preparing for childbirth due to the extent of distress they are experiencing.

Some clients may be resistant to engaging in trauma work, as revisiting traumatic events can be inherently activating. If the burden of trauma is impacting a client’s day-to-day functioning and their ability to regulate during pregnancy, trauma work may be appropriate. Through the initial assessment phase of treatment, I help clients determine appropriate steps given their unique circumstances.