“I could hardly wait to come today,” Laura says smiling brightly, as she settles into the chair across from me. “Although last time I felt really sad after the session. I always saw myself as having this normal, average family. You know, nice home in the suburbs, Dad commutes to work, Mom substitute teaches, everyone loves everyone else. And I guess that’s still true. But it’s more complicated. Everyone loves everyone else as much as they can, but that may not always be enough for the kids.”
“For the kids?” I ask.
“I guess I mean for me. It’s hard. It’s hard to give up the illusion that everything was just as it should have been. My mother just doesn’t have it, whatever that it is, that maternal instinct, that ability to tune into me. She always preferred being alone with her books and her crafts.” She pauses. “And I didn’t expect to be here. I come into therapy for the first time in my life at 34 to decide whether or not I want to have a child. I never thought I did. And I never questioned why I didn’t, I just didn’t. But with my biological clock getting ready to hit the alarm button and all my friends having babies, I don’t know, I just started to wonder.”
“Do you have feelings about coming into therapy to answer what you thought was a simple question and having me open up Pandora’s box?”
Her eyes twinkle in delight. “That’s why I love coming here. You’re so honest, so straightforward. You always want to know. You want to know me, want to know what I’m thinking, what I’m feeling. It’s incredibly refreshing.”
I smile back at her, thinking that she’s the one who’s incredibly refreshing. “I do want to know you, Laura. It’s a privilege to watch your journey of discovery, to watch you find yourself, discover new things about yourself, confront your pain, as well as your joy.”
She begins to cry.
I remain silent.

“I’m sorry… I know. I know. I should never apologize for my tears. It’s just that you’re so different from my mother. And your being so different makes it terribly clear what she couldn’t give me. And it’s sad. No matter what I do I’m not going to make her into you.” She pauses, then adds quietly, “And I can’t make you my mother.”
I smile inwardly. It’s such a pleasure to work with Laura. Despite her having no psychological background, despite her never being in therapy before, she intuitively grasps profound psychological and unconscious processes. Besides, she’s a warm, caring, thoughtful, loving person. We connect well together and I’m confident that I can help her more fully appreciate the fine human being she is.
I say, “So I wonder if what you’re saying, Laura, is that as warm and positive as it feels to be in this room with me, it also mirrors the deprivation and loss you felt in your childhood. Your mother couldn’t be the mother you needed and deserved as a child and although I come closer to the mother you want, I’m not your mother – and I certainly wasn’t the mother of your childhood – which leaves you feeling sad and bereft.
“So what good are you?” Laura asks, attempting to smile through her tears.
“You’re smiling, but I bet you feel angry, angry at me, angry at your mother.”
“That doesn’t seem fair.”
“Feelings don’t have to be fair, Laura, they just are.”
She looks at me quizzically. “Putting my sarcasm aside, what good is it for me to feel sad and bereft all over again? And how does that help me decide about having a child?”
“Well, feeling sad and bereft with me enables you to replicate in the present the feelings you had as a child, right at this moment between us. It brings those feelings from the past into the present and allows you to feel sad and angry, sad and angry, and sad and angry and eventually to put them away with a different level of adult acceptance. It allows a mourning for that which never was and never can be.”
“And the child part?”

“I think you already know that having or not having a child is tied to your feelings about how you were mothered and how you feel about mothering another little being. I don’t think we understand it all yet, but I suspect as it becomes clearer to you, you’ll know whether or not you want to have a child.”
She sighs. “I bet if you had been my mother I would have had three kids by now.”
“That’s a really interesting statement, Laura. I think we should look at that more closely next time.”
“I came to see you because I thought you would understand,” Mara begins. “When my father insisted I see a therapist I did a lot of research. I was looking for someone who understood loss. I didn’t read your whole book, but I read enough to know you believe it’s important to stay connected to the person who died, that it can provide comfort. My father just doesn’t get it. As he would say he’s ‘moved on,’ and that I need to too.”
Thoughts and questions swirl through my mind: Who died? Mara seems so young. How old is she? She’s the first person who’s come to see me because of my book. I wonder if she’ll be anything like the other young woman who started treatment with me many years ago after reading a book I co-authored. That woman was fragile, defensive, and crying out for love.
Mara continues. “That’s all well and good for him. He can get another wife. I can’t get another mother. I know it’s been a long time since she died. But it’s not like I’ve stopped living. I did well in high school. I’m doing fine in college. The letters don’t interfere with my life.”
“The letters?” I ask.
“I’ve written my mother a letter every day since she died.”
“And when did she die?”
“Nine years ago, when I was twelve.”
Uh oh, I think. What I say is, “That must have been very hard.”
Mara’s eyes fill with tears. Her eyes are big and brown and bring to mind a deer which, in turn, makes me think of another young woman I saw many years ago who covered her terror with rage. Whenever I saw her I thought of a deer caught in the headlights.
“It was terrible. She died of breast cancer. She seemed to be getting better. And then she was suddenly dead,” Mara says shaking her head. “I cried for days and days. For weeks, really. I couldn’t go to school because I couldn’t stop crying, I mean like continually. I don’t know how I got the idea to write her letters, but I did. I wrote to her every day. And I still do. It helped me stop crying.”
“What do you do with the letters, Mara?”
“I keep them. I have boxes and boxes of them. Some are pretty short, others are longer. Sometimes I tell her about my day or a problem I’m having. But I end them all the same way. I tell her we’ll always be together.”
My stomach tightens. It wasn’t only Mara’s youth that made me think of those two other young women. Mara is another fragile doe, holding onto her deceased mother as a drowning person clutches a life vest.
“Can you tell me about your relationship with your mother, Mara? I ask.
She smiles, nodding. “We had a wonderful relationship. She loved me so much. She stopped working when I was born. She’d walk me to school, read me bedtime stories, kiss and hug me all the time. She was the perfect Mom.” She pauses. “Until she got sick.”
“When was that, Mara?”
“I was seven.”
“So she was sick for two years.”
“Yeah,” Mara says. Her doe eyes look downward. “It was really hard for her. She had to have a mastectomy and then chemo and radiation. It was awful.”
“You must have been really scared then. And pretty lonely too.”
“Yeah, I was really scared. I’m not sure I got it completely. I mean I knew she was really sick …”
“Did you worry about her dying?”
“I guess.”
“Did you spend time with your Mom when she was sick?”
“Depends. Sometimes I’d crawl into bed with her and it would be like always. She’d stroke my hair and tell me everything would be OK. She’d tell me we’d be together always.” She pauses. “Other times, other times she’d just want to be left alone.”
The room fills with sadness. I feel sad for Mara’s loss and for my losses as well. Mara was a dependent child when she lost the person she was closest to in the world. Is there also anger at her mother’s desertion? No doubt. But she is nowhere near ready to deal with that.
Yes, I do believe that mourning is a process of taking in images and memories of the deceased which then provide a sense of connection with the person who is no more. But there’s more going on here for Mara. She is trying to keep her mother alive, compelled to make good on the promise that they be together always.
I suspect this will be a long, intense, and painful treatment.