Phase 1 — RELEASE (Weeks 1–13) Confronting the Weight of the Wound
Goal: Help mothers release guilt, shame, and unhealthy relational patterns; begin separating identity from the crisis.
Objectives (3):
Identify and process guilt/shame;
Recognize enabling/codependency and begin letting go;
Establish foundational boundaries and self-compassion.
Benchmark: By Week 13, ≥20% decrease in guilt/shame/stress (PSS or adapted shame indices) and the mother can name 2+ patterns she has begun to release.
Core interventions: Resilience plan; crisis scripts; mindfulness and body scans; thought records; boundary enforcement drills; relapse-response playbook (for the child’s setbacks without maternal collapse).
Phase 3 — RENEW (Weeks 27–39)
Restoring Connection & Attachment
Goal: Reclaim identity, self-worth, and life purpose beyond the caregiving crisis.
Objectives (3):
Reconnect with values/identity;
Reduce self-blame; cultivate self-compassion;
Set new personal goals and relational intentions.
Benchmark: By Week 39, ≥30% improvement on RSES (self-esteem) / life satisfaction measures and articulation of 1+ concrete personal goal independent of the child’s condition.
Goal: Sustain healing, strengthen family systems, and embody empowered motherhood.
Objectives (3):
Practice empowered communication and firm/compassionate boundaries;
Build relapse-prevention for old emotional/relational patterns;
Lead—at home, community, or peer settings.
Benchmark: By Week 52, ≥40% improvement in resilience/stress regulation (PSS, PCL-5) and demonstration of 1+ sustained lifestyle/relational change.
Primary modalities: Family Systems therapy, CBT relapse-prevention, strengths-based coaching, group therapy/peer mentoring. Core interventions: Family communication role-plays; structured family meetings; relapse-prevention plan for the mother; leadership/advocacy skills; “legacy of healing” ritual/project.