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A counselor's perspective on motherhood and mental wellness

The mental load of motherhood

Published May 10, 2025 08:25 am
In today’s fast-paced, high-pressure world, motherhood has become an emotionally demanding balancing act—one that often leaves women stretched thin and silently struggling.
Photo by Zachary Angeles from Pexel
Photo by Zachary Angeles from Pexel
This is something Dr. Carol Angeline P. Macawile, MA, RGC, a seasoned psychologist and registered guidance counselor, has witnessed firsthand—the mental and emotional toll the role can take. A member of Mindcare Club since 2020, Carol offers compassionate, evidence-based support to clients navigating stress, burnout, and life transitions, particularly mothers striving to meet endless expectations. With over a decade of experience in counseling and a deep commitment to mental wellness, she shares insights in an interview with Manila Bulletin Lifestyle into the invisible struggles many mothers face, the barriers that prevent them from seeking help, and why self-care is not selfish—but essential.
In your experience, what are the most common psychological challenges faced by mothers today?
Being a mother is a fulfilling role, but it is also a major responsibility and a “full-time job.” Mothers are often challenged by high levels of stress, stemming from the pressure to do almost everything for the different members of the family. In many households, mothers are the primary caregivers, but they also contribute financially and carry the mental load of meeting extended family obligations. For those with little to no support, this can lead to anxiety, depression, and burnout. There are a lot of expectations for moms to be strong, capable, and enduring. This can cause them to feel guilty and unable to express emotions when they feel tired, angry, or overwhelmed by all they have to do—and be.
What are the signs that a mother might be struggling with her mental or emotional wellbeing?
Warning signs include persistent feelings of sadness, frequent crying spells, irritability or a short temper, and feelings of hopelessness or inadequacy. Some may emotionally withdraw or have difficulty bonding with their children. There can also be physical symptoms such as fatigue or body pain, along with sudden changes in appetite or sleep patterns. These signs often go unnoticed or are dismissed, as mothers tend to power through and focus more on their family’s needs than their own.
How does balancing work and family responsibilities affect mothers psychologically?
Balancing work and family responsibilities often leads to stress and emotional exhaustion. It can be overwhelming for working mothers who must manage the household and take care of their families after fulfilling work obligations. Having little to no time to rest or attend to their own needs can take a toll on their mental health. Mothers may experience anxiety, guilt, or a diminished sense of self when they struggle—especially when it feels like they still can’t do it all, despite the many sacrifices they make for their families.
How accessible is mental health support for mothers, and what barriers do they face in seeking help?
Mental health support for mothers is available, but access is often limited. Barriers include financial constraints, lack of time, and the stigma surrounding seeking professional help. Mothers frequently prioritize their family’s needs over their own, which leads to delays in seeking help. Some may even view reaching out for mental health support as a sign of weakness or failure as a parent, which can deter them from pursuing the care they need.
What advice would you give to new mothers who feel overwhelmed?
You are doing your best, and you are enough. Be kind to yourself, and understand that your struggles do not make you weak or lacking as a mother. Let go of the need to be perfect. You are just as important as the people you dedicate your life to. Self-care is essential—it is not selfish.
When things feel overwhelming, remember, you are not alone, and you don’t have to carry the burden by yourself. Reach out to someone you trust, whether to share your thoughts and feelings or to ask for help with tasks that can be delegated. It’s okay to seek professional support for your psychological needs. Taking care of your own well-being is one of the best gifts you can give to yourself and your family.
Dr. Carol’s insights offer a compassionate reminder that behind every mother’s strength is a human being who also needs care, rest, and support. Her work with Mindcare Club highlights the value of accessible, stigma-free mental health services that meet women where they are—especially in the quiet, unseen moments of struggle. For overwhelmed mothers, the first step toward healing may simply be recognizing that they are not alone—and that reaching out is not a sign of failure, but an act of courage and self-love.

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Health and Wellbeing Parenting mothers mental health
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