Individual Counselling

Build a counsellor into your village of support

Becoming a mother can be one of the biggest challenges we face in life and we often need extra support. Joining me in counselling provides you with a safe place to make sense of what you have experienced so you can move towards healing. Your emotional experience matters. You deserve to be held in a safe, confidential space where you can openly discuss your most vulnerable thoughts and feelings. You deserve to heal from the experiences you have had as well as for you to receive guidance about parenting.

Counselling Services

  • Perinatal counselling provides vital support for the emotional upheavals of motherhood, from fertility challenges to the adjustment of new parenting roles. It's a compassionate space acknowledging the complex emotions and stresses that impact mental health during this transformative period. Seeking help is a proactive measure, equipping mothers and partners with strategies to cope with postnatal depression and anxiety, birth trauma, grief and loss and the adjustment to parenthood. Through counselling, mothers and partners gain tools to tackle overwhelming feelings, ensuring they navigate parenthood with resilience and support.

  • Neuroprotective Developmental Care (NDC), also known as the Possums programs, is a holistic approach that safeguards an infant's critical early development, including brain, gut, immune system, and stress responses, while also bolstering parents' psychological resilience. As an accredited NDC practitioner, I integrate evolutionary biology and current scientific evidence to support families with breastfeeding, infant cry-fuss issues, sleep, and mental health. Eschewing the profit-driven and often conflicting advice of the baby sleep industry, we focus on aligning babies' biologically diverse sleep needs with healthy circadian rhythms and sleep-wake cycles. Our approach discards unhelpful behavioural sleep myths, working with each baby's unique biology to find sleep solutions that fit each family.

  • Relationship dynamics often shift significantly after having children, leading to conflicts and feelings of disconnect between partners. Many mothers find it beneficial to address these issues in counselling, where they can process emotions and learn to establish boundaries. As a Becoming Us relationships practitioner, I provide individual counselling for mothers to help navigate these complex dynamics and foster better communication and connection with their partner and family members, acknowledging the stages of growth both for children and parental relationships.

Perinatal Counselling

Whilst it often feels like a lonely experience, it is common for women to face fertility loss, miscarriage, stillbirth and birth trauma. Breastfeeding challenges can be significant and come with a great deal of grief and loss for many mothers. Other issues such as the massive transition to motherhood, the loss of identity, changes in relationships with partners and family members, and adjusting to a new baby whilst juggling toddlers or older children can be overwhelming.

There are many emotions we experience that are unexpected. We can experience enormous grief and loss trying to have a baby. We can experience trauma during birth or breastfeeding. We can experience grief and loss around our identity and our relationships. Having a baby is a time of huge adjustment. Your sleep, priorities, and lifestyle are all impacted at once. With the waves of change it can be hard to sometimes know whether the way you might be feeling are all just part of adjusting to life with a new baby, or a sign that something is not quite right.

It is normal to feel emotional, frustrated and stressed at times. It is also quite understandable to have some concerns about your baby, how you will cope with the new demands and responsibilities, and sometimes just how to get through the day. For many mums, feeling sad, losing interest or enjoyment in things that you once enjoyed or finding yourself worrying over things to the point that it is causing you to feel distressed can be reasons to seek professional support for your mental health. This doesn’t mean you are a failure or not good enough. Seeking help in times when things feel overwhelming and you are struggling means you are more than the best mum for your child!

If you are feeling any of the following, please consider seeing me for an assessment of postnatal depression and/or anxiety:

  • feeling low or numb – some people describe feeling nothing at all

  • lack of interest and/or pleasure in life, yourself and/or the baby

  • no energy – finding it difficult to cope and get through the day (may also be attributed to lack of sleep)

  • loss of confidence, feeling helpless, hopeless and worthless

  • often feeling close to tears, highly sensitive to other’s comments, or crying a lot

  • feeling angry, irritable or resentful towards other mothers, the baby or your partner

  • changes in sleep – not being able to sleep even when you have the opportunity, or conversely, wanting to sleep all the time

  • changes in appetite – accompanied by weight loss or weight gain

  • difficulties concentrating, thinking clearly or making decisions (which could also result from lack of sleep)

  • feeling isolated, alone and disconnected from others

  • having thoughts of harming yourself, baby and/or other children

  • feelings of fear and worry which begin to ‘take over’ your thinking

  • feeling irritable, restless, tense or constantly ‘on edge’

  • racing heart/strong palpitations – sometimes panic attacks

  • reoccurring worrying thoughts such as that you are not doing things right and/or that something terrible will happen

  • avoiding situations for fear something bad will happen

If you are feeling anxious, you might feel like you are ‘going crazy’ or ‘losing your mind’ as racing thoughts keep coming back and causing you to feel a range of physical and emotional symptoms. This can be also exacerbated by a lack of sleep that can come not only with anxiety but also with a new baby. In response to the feeling of losing control, you may find yourself wanting to make sure that everything is perfectly in order and under control for fear that you are not doing things ‘the right way’ or that ‘something bad’ will happen. Oftentimes, counselling can help address these feelings.

For many mums, the struggle can often come not with your first baby, but with a subsequent baby. Managing the transition to more than one child can be a tough battle, fraught with the timing of a toddler’s normal developmental stage of learning about emotions, having tantrums, wanting to be independent and yet defiant and not listening – these behaviours are a real test for a tired parent who might also be managing a newborn baby. It means setting off triggers of negative emotions in you where you end up yelling or giving in and generally feeling stretched thin to the point of failing. The good news is you aren’t failing, you are having a hard time and need support. We parent imperfectly, but sometimes just can’t do it on our own. In counselling sessions we can explore your feelings of overwhelm and the mental load, as well as feelings of 'mum guilt', anger and rage. I will give you tools to connect with your toddler, while you also parent your baby, in order to reduce the challenging behaviours.

Counselling sessions are $175 per hour and are held at Kindred Midwifery, Obstetrics & Gyneacology at East Brisbane or via telehealth.

Medicare rebates are available with a GP referral for up to 3 sessions of non-directive pregnancy support counselling where you are either pregnant, or have been pregnant in the preceding 12 months. This includes women who have experienced pregnancy loss. (Please note: the referral needs to state ‘non-directive pregnancy support counselling’. Mental Health Care Plans are not accepted).

 

Neuroprotective Developmental Care

For more information about the Possums approach click here, or for Neuroprotective Developmental Care visit The NDC Institute

Neuroprotective Developmental Care (NDC or the Possums programs) aims to protect the rapidly developing infant brain, gut, immune and stress response settings during the first critical months of life, and supports parents’ psychological resilience during this challenging though rewarding time. NDC applies the lenses of evolutionary biology, complexity science and holistic (or generalist) clinical practice in the interpretation of the latest scientific evidence.

I am a NDC accredited practitioner. In my work with families, we address:

  • Clinical breastfeeding support

  • Infant cry-fuss problems

  • Baby and toddler sleep

  • Perinatal and infant mental health

Through the lens of NDC work, I support many families with baby and toddler sleep issues. Have you noticed how much the baby sleep industry has become such a big money making business? There are now sleep consultants, books, websites, chat groups filled with an overwhelming (and conflicting!) amount of information on sleep. How do you know what’s right and what’s not? Is sleep training being suggested to you but it just doesn’t feel right?

Baby and toddler sleep needs are incredibly biologically variable. The amount of sleep a baby or toddler needs will vary with their own unique genetic make-up, and with their developmental stage, since sleep needs decrease as our baby or toddler grows. We can’t ‘teach’ our babies and toddlers to sleep, despite what you hear. Sleep is under the control of the two biological sleep regulators, the circadian clock and the sleep-wake homeostat (or ‘sleep pressure’). All we can do is to keep these regulators functioning in a healthy way, so that your child’s sleep patterns align as closely as possible with yours. 

We look at the difference between excessive night waking, which needs help, and normal night waking, where you might need reassurance and ideas about how to manage the night waking so that you can get back to sleep really quickly and enjoy life with your baby or toddler as much as possible.

The NDC Possums approach ignores ‘first wave behavioural’ approaches, or ‘myths’ which don’t assist in baby and toddler sleep, such as:

  • ‘Sleep breeds sleep’

  • Lists of tired cues

  • Don’t let baby be awake for more than a certain amount of time during day depending on age

  • First tired sign put baby down

  • Try to get second sleep cycle in day-time naps

  • Feed-play-sleep cycles

  • Teach baby to self-settle

  • Put baby down in cot drowsy but awake

  • Delay responses to grizzly behaviour

  • Develop positive sleep associations with cot and other comforting items

  • Avoid teaching baby bad habits

    • Don’t let baby go to sleep with breast or bottle

    • Don’t let baby go to sleep in arms

  • Avoid over-tiredness

  • Avoid overstimulation

  • Put baby to bed early in evening

The Possums approach works step by step with your baby’s biology (not against it). The aim of the game is to equip you with tools to experiment with your situation and try new things to find a way that works right for you and your family.

Relationship Counselling

For more information about Becoming Us visit the Becoming Us Family website

It is extremely normal for relationships changes to occur with your partner after having children. You might see conflict that wasn’t there before, or you might be carrying the burden of the mental load that your partner doesn’t carry and you feel resentment. Parenthood can also bring changes in relationships with other family members and friendships which are difficult to manage, especially in the early days or years of parenting children. Many mums find it helpful to process these relationship issues in counselling sessions, in order to heal from hurt and disappointment, or to learn how to put appropriate boundaries in place.

Parenthood brings challenges for couples as they often move away from one another and feel disconnected. Significantly, 92% of parents report increased disagreements with their partner in their first year of family and 67% are less happy in their relationship. And just as there’s stages for your child/ren to grow through, there’s stages for you and your partner to navigate too. As a Becoming Us relationships practitioner, I can provide you with the knowledge, skills and resources to turn towards one another, to increase the connection with your partner and how to communicate effectively. Whilst I do not offer couples counselling, I do provide counselling for mums and provide a safe space to process the highs and lows of your relationship.

In addition, it is quite common for mums to address relationship issues with other family members in our counselling sessions. Frequently, relationships with your mother, father, in-laws, become fraught with tension after having children. Conflict may exist about the way you are raising your baby or children, because it’s different to how the older generation raised theirs. Often, your own childhood issues are brought to the surface when you begin parenting your own children, and this can cause friction with your parents. You may discover that you would like to parent differently to the way your parents parented you, because you see the struggles you had as a child, and don’t want the same for your children. Sometimes this is easier said than done, because automatic parenting takes over and we sometimes realise “oh my gosh, I sound so much like my mum!” If you are looking for a safe place to process your childhood experiences, and the way it impacts on the way you parent now, I can support you with this. If you would like to learn how to navigate around family members during tricky relationships, I am here. Whilst I do not provide family therapy, I work holistically with family systems and can support you to manage your own thoughts and emotions.

Going to a counsellor when you are sad or overwhelmed should be as normal as going to the doctor when you have the flu

— Source Unknown

Counselling sessions are $175 per hour and are held at Kindred Midwifery, Obstetrics & Gyneacology at East Brisbane or via telehealth.

Medicare rebates are available with a GP referral for up to 3 sessions of non-directive pregnancy support counselling where you are either pregnant, or have been pregnant in the preceding 12 months. This includes women who have experienced pregnancy loss. (Please note: the referral needs to state ‘non-directive pregnancy support counselling’. Mental Health Care Plans are not accepted).

  • I was given Karen’s name after the birth of my second child. I’d had a loss between my first and second and I had not dealt with the grief associated with my loss. Karen has been an absolute god-send for me. Right from the start Karen created such a safe space for me to sit in my grief, let it all out, feel my pain and to cry my river of tears. I feel a hundred times better than I did before meeting Karen - I feel heard, I feel validated and I feel healed. I only wish I had met Karen sooner.

    Kerri - son aged 3 and daughter aged 5 months

  • I saw Karen about 8 months postpartum and it's actually difficult to fully put into words how much she helped me. I struggled with PPD with my main symptom being postpartum rage (something often not talked about). Through my sessions with Karen I was able to identify the cause and triggers for these feelings, bringing light into a very dark feeling and eliminating the shame and guilt I was feeling around it. Karen was also able to support me emotionally in dealing with other incredibly stressful issues happening in my life at the time (husband's cancer diagnosis). So her counselling skills aren't just limited to motherhood issues, she is incredibly holistic and appreciates all the complexities of the person in order to support them through whatever they are going through. Karen's questioning skills and ability to reflect back to help you see your situation with a deeper understanding and with more perspective is truly impressive. She offered an incredibly warm and non-judgemental space, and I would always look forward to my sessions with her as it felt like a weight slowly lifting after each session. I am eternally grateful to Karen for the support she provided to me and for being a part of my very small village. And I will definitely be seeing her again when times get tough in parenting. If you are unsure whether to book a session, just do it. I wished I'd done it sooner!

    Holly - son aged 12 months

Karen O’Mara

Karen O’Mara is a clinical social worker with more than 25 years experience working with families and is a member of the Australian Association of Social Workers. Karen has worked extensively in the areas of grief, loss, trauma, crisis, breastfeeding and parenting support counselling. She is a qualified NDC (neuroprotective developmental care) practitioner with the Possums Program and a Becoming Us relationships practitioner. Her interventions include Cognitive Behavioural Therapy, Acceptance and Commitment Therapy, Interpersonal Therapy, Narrative Therapy, psychoeducation and engagement with other perinatal services. In counselling sessions, Karen uses an attachment and family systems approach to looking at problems holistically. She is known to hold you in a non-judgemental space that allows you the opportunity to speak your truth and find your own way forward, without any direct instruction or advice. Karen believes in your ability to build on your own strengths, as she guides and supports you.