Mental Health

Something Has to Give

By Amelia Dowell, RP, MA, CCC · May 15, 2026 · 4 min read

Table of Contents

I want to start with something nobody really says out loud:

"You cannot have a spotless house, a thriving career, a strong body, a connected marriage, present parenthood, and full nights of sleep — all at once. Something has to give. The goal isn't to do everything. It's to choose what matters most right now and actually commit to it."

I'm a therapist, a wife, a mom of two little girls (and a mini labradoodle named Tica), a breastfeeding mom with a 15-month-old who still wakes at night, and someone building a group therapy practice in Ottawa while also working toward a new certification. I'm not telling you this to impress you. I'm telling you because I think there's a version of what I do that looks impossible from the outside — and I want to be honest about what actually makes it work.

It's not a perfect schedule. It's not a village. It's not even discipline in the way most people think about it.

It's mindset. And mindset is a muscle — one most of us were never taught to train.

The Problem Isn't Your Life. It's How You're Thinking About It.

I see this constantly in my clinical work. High-achieving people — women especially — who are exhausted not just from what they're doing, but from the mental load of how they're thinking about what they're doing.

The guilt. The comparison. The feeling that if one thing slips, everything falls apart.

Here's what I know from sitting with people in their hardest moments, and from living my own: most of the things that are holding you back aren't logistical. They're psychological. It's not that you don't have time. It's that somewhere along the way you decided that rest is laziness, that asking for help is weakness, that your needs come last, and that anything less than perfect means you're failing.

That is not truth. That is a story. And stories can be rewritten.

What Postpartum Taught Me About Letting Go (The Second Time Around)

In my first postpartum experience, I was just trying to figure out who I was now and what this baby needed and honestly how to keep both of us alive.

The second time was different. Not easier — different. I was more intentional. I knew what I was walking into, and I made decisions in advance about what I was willing to protect: my non-negotiables.

I was going to keep training, because movement is how I regulate. It's how I stay emotionally available for my kids, my clients, and my marriage. When I don't move, everything suffers.

I was going to keep breastfeeding — my goal is two years. That means broken sleep. That means my body is doing more. That means some weeks fat loss slows down. I've made peace with that because I know what I'm choosing and why.

The Guilt Piece. Let's Actually Talk About It.

Mom guilt is real. But sometimes we give it more authority than it deserves.

I've watched incredible women hand over decisions to guilt as if guilt itself is proof they're doing something wrong. It isn't. Guilt is a feeling. Not a verdict.

Guilt tells you that going to the gym is selfish. That wanting time alone means you don't love your kids enough. That having ambition is somehow in conflict with being a good mother. None of that is true.

You Don't Have to Have It All Together to Start.

I work with high-achieving people in Ottawa who come to therapy not because they're falling apart, but because they're tired of holding everything together alone.

What I tell them is this: most of what's blocking you isn't the circumstances. It's the mindset underneath the circumstances. And mindset is the fastest thing to shift when you have the right support.

You don't have to wait until you're in crisis. You don't have to have a dramatic reason. If something feels off, if you're running on empty, if you're achieving everything on paper and still feel disconnected from yourself — that's enough.

Something has to give. Make sure it isn't you.

motherhoodemotional-regulationperfectionismburnout
Amelia Dowell, RP, MA, CCCBelieve Therapy & Coaching

If this resonated, we work with adults, couples, and parents at Believe Therapy & Coaching in Westboro, Ottawa — in person and virtually across Ontario.

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