Pregnancy is a developmental task that requires women to become accustomed to inherent and sometimes profound biological, somatic, and psychological changes. When pregnancy is interrupted by miscarriage, it may become a pivotal crisis point in the development of a woman's maternal identity as well as an issue in family development. This manuscript will discuss the growing body of literature that addresses the emotional and psychological impact of miscarriage, as well as concomitant attachment issues and present therapeutic and treatment implications for counselors working with women and their partners.