Childbirth may produce anxiety symptoms and posttraumatic stress disorder (PTSD) in women, but little is known about ways to reduce this distress. This study explored women's views of counselling strategies that may facilitate recovery following a traumatic birthing experience. A focus group interview with six women was analysed to reveal recurring themes. Four themes that relate to counselling processes were identified: opportunities to talk about the birth, develop an understanding of events, explore alternative courses of action, and discuss future childbearing. Counselling approaches need to incorporate the unique characteristics of the childbirth context and specific needs of women.