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092: Maternal desire: The missing element of mental health for mothers

Most conversations about maternal mental health stop at a triad of therapy, medication, and social support. Two Truths disrupts this clinical consensus by introducing a fourth, often silenced pillar: the right to want. This piece argues that anxiety and depression in mothers are frequently symptoms not of a chemical imbalance alone, but of a profound disconnection from one's own desires, a tension that the article suggests is the missing link in familial well-being.

The Anatomy of a Missing Piece

The editors of Two Truths frame the conversation through the lens of Toronto-based psychologist Tanya Cotler, Ph.D., who identifies the core conflict in modern motherhood. "Symptoms like anxiety and depression, she says, often arise from 'the tension between what you want and the squashing of that,'" the piece reports. This reframing is potent because it shifts the burden of pathology from the mother's internal biology to the external suppression of her agency. The article posits that to feel well, a mother must be allowed to want "deeply. Boldly. And without apology."

092: Maternal desire: The missing element of mental health for mothers

This argument resonates with historical shifts in developmental psychology. Just as the mid-20th-century concept of "maternal deprivation" highlighted the catastrophic effects of a child's separation from their caregiver, this piece suggests a reciprocal deprivation occurs when the caregiver is stripped of their own identity. The editors note that while terms like "agency" come close to describing this need, they fall short because desire is fundamentally about meaning. "Everyone has a fire inside, says Cotler—things that make us feel alive, daydreams, or fantasies. 'We want to become curious about those,'" the article quotes.

The coverage effectively dismantles the cultural narrative that a "good" mother must be entirely self-erasing. It points out that society bombards women with contradictory mandates: "Sacrifice, but stay whole; be present, but don't lose yourself; give everything to your child, but maintain an identity." The piece argues that when mothers are guided by unconscious "shoulds" rather than their own wants, they silence parts of themselves that are desperately trying to be heard. Critics might note that prioritizing individual desire in a resource-scarce environment can feel like a luxury, yet the article counters that this disconnection is precisely what harms the family unit.

"Your child maps their inner world to yours. If they feel you're alive, they feel permission to feel alive."

The Dyad and the 4R Method

Moving from theory to practice, the editors introduce Cotler's "4R method" as a strategy for navigating the inevitable friction between a mother's needs and a child's. The core of the argument is that mother and child exist as a dyad, not as competing entities. "It's not either/or. It's always both/and. I would love to see a world where we can exist in between, in the messy middle," Cotler is quoted as saying.

The article outlines a practical framework: Reflect on what a situation brings up historically; Recognize what the child needs; Acknowledge the Rupture when needs clash; and Repair the connection while holding a boundary. This approach is significant because it validates the mother's discomfort without demonizing the child's needs. For instance, the piece illustrates how a mother might dread a loud party but still honor her child's excitement by finding a compromise, rather than collapsing into resentment or forcing a celebration that breaks her limits. "Every time there's a disconnect between your needs and your child's needs, there is this important toggling back and forth between reflecting on yourself while recognizing your child," the piece explains.

This section is particularly strong in its rejection of the "perfect parent" myth. By encouraging mothers to engage in fantasy and daydreaming—activities often dismissed as selfish or impractical—the article suggests that these mental spaces are where meaning is found. "Fantasy is where meaning is," says Cotler. "It's where we come alive." The editors wisely connect this to the broader psychological impact on the child, citing Carl Jung's observation that "The greatest burden on a child is a life unlived of the parent." This historical reference adds weight to the claim that a mother's aliveness is not a selfish indulgence, but a vital resource for her child's emotional development.

Institutional Gaps and the Path Forward

The coverage concludes by highlighting the gap between this psychological reality and the institutional support available. While the piece acknowledges the standard treatments of therapy and medication, it suggests that without addressing desire, these interventions may only treat the surface. The article notes that many mothers engage in behaviors to actively avoid feeling, such as reaching for phones in moments of stillness, effectively shutting down the very signals that need attention. "Space is actually metaphorical. In many ways, it's permission not to shut down what's inside of you, but instead notice when it comes," Cotler explains.

The editors also contextualize this within the broader ecosystem of maternal support, noting that while companies like Bobbie are launching free lactation services to support feeding choices, the deeper emotional work of reclaiming desire remains largely unaddressed by policy or corporate wellness initiatives. The piece implies that until the "squashing" of maternal desire is recognized as a public health issue, the cycle of anxiety and depression will persist.

Bottom Line

Two Truths makes a compelling case that maternal mental health cannot be fully understood without addressing the suppression of a mother's own desires. The strongest part of this argument is its reframing of "selfishness" as a necessary component of family health, backed by the psychological insight that children thrive when they see their parents as whole, living individuals. The biggest vulnerability lies in the practical difficulty of reclaiming desire in a society that structurally undervalues maternal time and autonomy; the piece offers a powerful internal framework but stops short of addressing the systemic barriers that make this reclamation so difficult. Readers should watch for how this concept of "maternal desire" begins to influence clinical guidelines and policy discussions in the coming years.

Deep Dives

Explore these related deep dives:

  • Maternal deprivation

    The article discusses how maternal mental health connects to childhood experiences and the mother-child dyad. Bowlby's maternal deprivation theory provides foundational context for understanding how early attachment shapes later psychological development, directly relevant to Cotler's framework of desire rooted in childhood experiences.

  • Self-determination theory

    The article centers on agency, autonomy, and intrinsic motivation in maternal wellbeing. Self-determination theory is the psychological framework that explains why fulfilling core needs for autonomy, competence, and relatedness matters for mental health—directly supporting Cotler's argument that desire and agency are essential for mothers.

Sources

092: Maternal desire: The missing element of mental health for mothers

by Various · Two Truths · Read full article

Welcome to Two Truths, a bestselling newsletter & media brand exploring the many truths of motherhood from journalists & maternal health advocates Cassie Shortsleeve & Kelsey Haywood Lucas of Motherspeak. Two Truths is rooted in the healing & affirming principle that two (or more) things can be true. It’s a “best parenting Substack” per Motherly and The Skimm says you should subscribe; also seen in Vox, The Bump, Popsugar & more.

Over the years, I’ve interviewed many brilliant maternal mental health providers. Some are knee-deep in data, some speak with clinical precision, others carry the softness of lived experience. While most name the aches of motherhood, Toronto-based psychologist Tanya Cotler, Ph.D., listens to them—and she invites you to listen to them, too.

In a recent conversation with Cotler, she used a phrase I haven’t been able to shake: maternal desire.

It sounds abstract until you hear her explain it: Symptoms like anxiety and depression, she says, often arise from “the tension between what you want and the squashing of that.” To feel well, a mother must be allowed to want. To want deeply. Boldly. And without apology.

When discussing perinatal mental health conditions such as postpartum anxiety and depression—the leading complications of birth in the U.S.—most providers focus on a triad of proven and effective treatments: therapy, medication, and social support. Cotler suggests desire as a fourth.

Desire can feel like a slippery slope: selfish, frivolous, or simply out of reach—something meant for someone else, or another time. But Cotler argues it may be the missing piece in not just maternal, but familial, mental health.

In this week’s edition of Two Truths, with Cotler’s help, we dive deep into desire: what it is, why it matters, how to find it beneath the noise—and why reclaiming it may be the most powerful thing you do.

—Cassie

While many issues of this newsletter are exclusive to our paid subscribers, this edition is free to all readers thanks to support from Bobbie, who recently announced free lactation services to support the unique feeding journeys of all parents. (Learn more below.)

If you haven’t already subscribed to Two Truths, make sure to sign up here; free subscribers get occasional issues (plus a special monthly edition that you can read about here), while our premium subscription includes every issue (like links lists, trending news updates, reported deep dives & more) plus access to our full ...