Exhausted beyond what sleep can fix
You could sleep for twelve hours and wake up just as tired. This isn’t a nap problem, and more coffee isn’t the answer.
Therapy for moms · Austin & online in 40+ states
For the mom who is running on empty and can’t remember the last time anyone asked how she’s doing.
You love your kids. You also lock the bathroom door some days just to breathe. Both are true, and neither makes you a bad mom. I’m a perinatal psychologist and a mom, and this is the work I do most.
A 15-minute call with me, Dr. Jana Rundle.

Sound familiar?
What you’re feeling has a name: maternal burnout. It’s what happens when you pour from an empty cup for months without anyone pouring back. These are signs you need support, not signs you’re broken.
You could sleep for twelve hours and wake up just as tired. This isn’t a nap problem, and more coffee isn’t the answer.
Guilty for working, guilty for not working, guilty for wanting an hour alone, guilty for not enjoying every moment like everyone said you would.
You remember who you were before. You’re not sure where she went, or whether she’s coming back.
You and your partner have become roommates who hand off a baby. The resentment about who does what is louder than anything else between you.
If some of this sounds like you, a 15-minute conversation is an easy next step.
Book a free consultationNot bubble baths
This isn’t lying on a couch talking about your childhood, unless that’s what you need. Therapy with me is practical, focused, and built around your real life. Depending on what’s going on for you, we might work on:
Reconnecting with the parts of you that feel lost or far away, and deciding which ones you actually want back.
Learning to need things for yourself without the shame spiral that follows. Guilt is information, not a verdict.
Moving past the scorekeeping about invisible labor, and asking for one specific thing instead of “more help.”
Becoming a mom involves real loss: your body, your freedom, old friendships, your sense of being good at things. You can grieve that and love your child at the same time.
Not “self-care” as bubble baths. Structural changes to your days, your support, and what you’ve agreed to carry.

Working with me
I’m Perinatal Mental Health Certified and I specialize in exactly this. I won’t tell you to enjoy every moment or suggest more self-care. Motherhood is hard, even when you wanted it, and I’ll meet you where you are: in my Austin office with your baby on your lap, or by video during nap time.
You tell me what’s going on; I tell you honestly whether I’m the right fit.
Weekly for the first 8 to 12 weeks while the momentum builds, then every other week or monthly.
Real situations from your week, changes to try between sessions, and regular check-ins on what’s helping.
Burnout, or something more?
Many moms aren’t sure whether this is exhaustion or something that needs treatment. You don’t have to know before you call. If one of these sounds closer, I have a page for it.
A few practical details
In person at my Austin office.
Online in 40+ states.
Yes, please. There are babies in my office most weeks, and they are the highlight of my day. Feed, change, rock, bounce; none of it derails anything. On video, a baby on your lap is completely normal. They are an addition, not a subtraction.
Most of my moms meet by video during a nap, or in person at my Austin office with the baby along. We pick one consistent weekly time so you aren’t renegotiating it every week, and we work around your schedule, not against it. Getting out the door is half the battle, so you don’t have to.
Then you’re in the right place. Perinatal mood and anxiety disorders are my specialty, and I have dedicated pages on postpartum depression and postpartum anxiety if you want to read more. You don’t need to know which one it is before you call; figuring that out together is part of the first conversation. If you’re having thoughts of harming yourself or your baby, call 911 or go to the nearest emergency room rather than waiting for an appointment.
Yes. The hard parts of motherhood change shape as kids grow; they don’t disappear. I see moms of toddlers, school-age kids, and teenagers, and moms who are several years in and only now realizing how depleted they are.
No. Motherhood is one of the biggest transitions a person goes through, and most of us do it with far less support than any previous generation had. Needing help with it is ordinary. You wouldn’t judge a friend for seeing a therapist; you’re allowed the same.
Friends are essential, and they are not trained in maternal mental health. In therapy we look for the pattern underneath the hard days, you learn specific tools, and you have a place to say the things you feel too guilty to say to anyone who knows your kids. Nothing you say will shock me.
Your mental health is your decision. If you’re struggling, you deserve support whether or not your partner understands yet. Often partners come around once they see the change. If he needs something to read, I wrote a post for partners on the mental load that many moms forward.
Yes. Many moms come in for themselves and find that the division of labor, the resentment, and feeling like roommates are a big part of the picture. In individual sessions we work on how you communicate, ask for what you need, and set limits. If couples therapy would help, I’ll help you find the right person for that.
I’m an out-of-network provider. You pay at the time of the session and I give you a monthly superbill to submit to your insurance; many PPO plans reimburse a portion. Current fees are on the fees and insurance page, and the first 15-minute consultation is free.
Your next step
A free 15-minute consultation with Dr. Jana Rundle. Babies welcome.