Table 1.

Session outline of the “Motherhood and Me (Mom-Me)” group.

Session	Modality	Skill	Content	Sample Handout
1	Acceptance and Commitment Therapy	Values	Provide psycho-education on values vs. goals Group activity on identifying personal values Discuss relevance to being a “good mother” and self-care. Discuss barriers to engaging in behaviors in line with values. Identify person-specific goals consistent with values.	Values Compass [44]
2	Acceptance and Commitment Therapy	Present-Moment Awareness (Mindfulness)	Discuss unique stressors and “lack of time” for moms. Provide psycho-education on mindfulness. Conduct autopilot worksheet individually and discuss relevance to motherhood as part of a group discussion. Practice present-moment awareness as a group (e.g., eating).	Mindfulness of the Breath [45]
3	Dialectical Behavioral Therapy	Understanding Emotions	Provide psycho-education on variety of emotions. Discuss the function and neutrality of all emotions. Facilitate discussion on emotions in context of motherhood.	Emotions handout [40]
4	Dialectical Behavioral Therapy	Emotion Regulation	Review prior session content—value and function of emotions. Group discussion on difficult or unhelpful emotions, especially in relationships with partner, baby, in-laws, and other family members. Apply emotional regulation skills to personal examples provided by mothers (i.e., checking facts, opposite action, and positive events).	Opposite Action worksheet [40]
5	Acceptance and Commitment Therapy & Dialectical Behavioral Therapy	Acceptance	Facilitate discussion on complexity of the human experience. Provide psycho-education on acceptance in ACT and DBT. Mothers offer examples of challenges they need to accept. Discuss coping patterns and acceptance as an alternative.	Accepting Emotions [29]
6	Dialectical Behavioral Therapy	Interpersonal Effectiveness	Discuss the importance of relationships to motherhood. Discuss ways of communicating needs to family members. Present DEARMAN approach to family communication. Group discussion on the importance of communicating needs to loved ones (i.e., self-care, asking for help, and expressing needs to partner/family).	“DEARMAN” worksheet [40]
7	Emotion- Centered Problem Solving Therapy	Planful Problem- Solving	Provide psycho-education on problem-solving (and the relevance to the amygdala and prefrontal cortex). Group discussion on problems and how they were solved. As group, apply skills to one common motherhood problem. Provide psycho-education and practice planful problem-solving steps as a group (i.e., define problem, barriers, creative solutions, pros and cons solutions, action plan)—use whiteboard. Discuss importance of being flexible in roles and relationships.	Planful Problem-Solving worksheet [31]