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NAVIGATING THE FOURTH TRIMESTER; A THERAPIST'S GUIDE TO SURVIVING AND THRIVING


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As a therapist, I often find myself supporting clients through various life transitions. As a new

mom myself, I found myself seeking support as I navigated a major transition in my own life. One

significant transition that is often overlooked is what is often called the fourth trimester: the three

months following childbirth when things are sometimes a little…hectic (to say the least). While most

energy during this time is typically on the well-being of the newborn, it is so important to not neglect

the mental and emotional health of the new parents. Here are some practical tips and insights to help

you navigate the challenges of the fourth trimester and emerge stronger on the other side.


Embrace the Rollercoaster of Emotions

The fourth trimester is a whirlwind of emotions; from the joy and excitement of welcoming a new life to the overwhelming fatigue and hormonal shifts, it's essential to acknowledge and embrace the full spectrum of feelings. Having a newborn will introduce you to a reality where you’ll be grateful to get 4 hours of uninterrupted sleep while being furious at your partner for forgetting to restock the diaper caddy…at the exact same time! As a therapist, I encourage my clients to express themselves openly and without judgment. Whether it's tears of joy, frustration, or exhaustion, every emotion is valid and should be embraced.


Prioritize Self-Care

New parents often put their needs on the back burner, focusing entirely on the baby; however, self-care is not a luxury. It is a necessity during the fourth trimester (and beyond). I encourage clients to carve out moments for themselves, even if it's just a few minutes of quiet time, a warm bath, or a short walk around the block. Take a few minutes every day to engage in some activity that brings you joy, no matter how big or small it may seem at the time. I remind them that taking care of their mental and physical well-being ultimately benefits the entire family.


Establishing Boundaries

With the influx of well-wishers and visitors, setting boundaries becomes crucial. Establishing clear boundaries around visitation, help, and advice allows others to know what is and is not acceptable when visiting the new family member and can help the new parents feel confident in their own parenting. It's okay to say no and to prioritize rest and bonding time as a family. Setting these boundaries early on can contribute to a more positive and less stressful postpartum experience.


Utilize Your Support System

No one should navigate the fourth trimester alone. I encourage new parents to build a strong support system that includes friends, family, and possibly a postpartum doula. Having a reliable network can provide emotional support, practical assistance, and a sense of community during this transformative time. Plan time to visit with the people you love and trust and allow yourself the opportunity to accept their help when it is appropriate to do so.


Foster Connection with a Partner

The arrival of a new baby can strain even the strongest relationships. I try to emphasize the importance of open communication between partners, no matter how ridiculous you may feel in the moment. Being open about your experience and your needs is the best way to survive this difficult transition and is likely to strengthen your relationship. I encourage clients to express their needs, fears, and expectations while actively listening to their partner's concerns. Building a united front as parents can strengthen the foundation of the family.


Spend Time Away from Baby

Hear me out: just because you are navigating life postpartum does not mean that your whole life has to be about the baby. Before you were a parent, you likely had friends and hobbies that you enjoyed. These things are still important! Try to create time out of the house and away from baby when you feel comfortable enough to do so (there is no timeline for this, so no rush!). Being a new parent can be a very isolating experience, despite all the visitors (because, let’s face it: most people are there to see the baby and the parents often get put on the backburner unfortunately). So, want to grab lunch with a friend? Do it. Want to take a painting class or go see a movie? Do it! It is so easy to lose yourself in parenthood, so creating time away from baby is an effective way of preventing this from happening to you.


Seek Professional Support

Therapists play a crucial role in supporting individuals through life transitions. I encourage clients to seek professional help if they are struggling with postpartum depression, anxiety, other mental health challenges, or if they simply need a space to unwind and get clarification on the adjustment they’re experiencing. Normalize the idea that asking for support is a sign of strength, not weakness.


The fourth trimester is a period of profound transformation. By acknowledging and addressing the emotional, physical, and relational aspects of the postpartum experience, new parents can not only survive but thrive during this critical time. Remember, seeking help is a sign of strength, and there is support available for every step of the way.


Written by Cheyenne Hubbard, LPCA


Therapist at New Hope Counseling
Cheyenne Hubbard LPC

Cheyenne Hubbard is a therapist at New Hope Counseling. She is a new mom and understands the difficulty in the transition to this life stage. She is trained in EMDR, working with substance abuse, and more. if you are interested in setting up an appointment with Cheyenne, call New Hope Counseling at 502-712-9604.


For more information on the fourth trimester visit http://www.carryingmatters.co.uk

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