Infertility Therapists in Dallas, TX

Photo of Lisa M Roark, Licensed Professional Counselor, MEd, LPC-S
Lisa M Roark
Licensed Professional Counselor, MEd, LPC-S
Verified Verified
1 Endorsed
Online Only
Life as a woman can be full of transitions— infertility, career changes, motherhood, empty nesting, relationship struggles, or simply trying to manage it all.
Together, we’ll explore what’s weighing you down and build practical tools to help you feel more confident, resilient, and emotionally grounded. If faith is important to you, I offer Christian-integrated therapy for those seeking a deeper spiritual connection in their healing journey.
Life as a woman can be full of transitions— infertility, career changes, motherhood, empty nesting, relationship struggles, or simply trying to manage it all.
Together, we’ll explore what’s weighing you down and build practical tools to help you feel more confident, resilient, and emotionally grounded. If faith is important to you, I offer Christian-integrated therapy for those seeking a deeper spiritual connection in their healing journey.
(830) 402-4760 View (830) 402-4760
Photo of Christelle Garza, Pre-Licensed Professional, PhD
Christelle Garza
Pre-Licensed Professional, PhD
Verified Verified
1 Endorsed
Online Only
My focus is on treating depression, anxiety, relationship issues, infertility/fertility difficulties, trauma/PTSD, adjustment disorders, manage chronic pain, sleep, and or stress.
My goal is to provide an inclusive and supportive therapy environment that allows a safe space to my clients to experience their emotions, share their struggles and challenges and grow and develop new skills that will help improve their life. If you are depressed, feeling anxious, have chronic stress, experiencing loss and grief, I can work with you in identifying your therapy needs. I believe that therapy should be individualized and tailored to each person.
My focus is on treating depression, anxiety, relationship issues, infertility/fertility difficulties, trauma/PTSD, adjustment disorders, manage chronic pain, sleep, and or stress.
My goal is to provide an inclusive and supportive therapy environment that allows a safe space to my clients to experience their emotions, share their struggles and challenges and grow and develop new skills that will help improve their life. If you are depressed, feeling anxious, have chronic stress, experiencing loss and grief, I can work with you in identifying your therapy needs. I believe that therapy should be individualized and tailored to each person.
(469) 824-9630 View (469) 824-9630
Photo of Robyn Webster, Licensed Professional Counselor, MS, LPC
Robyn Webster
Licensed Professional Counselor, MS, LPC
Verified Verified
Online Only
My own lived experience with infertility and loss (along with specialized training in Perinatal Mood and Anxiety Disorders) offers me a deep awareness of the impacts on not only those directly undergoing treatment but their loved ones as well.
Life can have it's challenges. Many of us rarely predict that one of those challenges will involve growing your family. I have a passion for helping those who might be undergoing fertility treatments, have experienced pregnancy loss, or are navigating maternal mental health related symptoms. I am a safe space and affirming of all identities and relationship structures.
My own lived experience with infertility and loss (along with specialized training in Perinatal Mood and Anxiety Disorders) offers me a deep awareness of the impacts on not only those directly undergoing treatment but their loved ones as well.
Life can have it's challenges. Many of us rarely predict that one of those challenges will involve growing your family. I have a passion for helping those who might be undergoing fertility treatments, have experienced pregnancy loss, or are navigating maternal mental health related symptoms. I am a safe space and affirming of all identities and relationship structures.
(469) 715-3961 View (469) 715-3961
Photo of Dr. Cassidy Cisneros Liland, Psychologist, PhD, PMH-C
Dr. Cassidy Cisneros Liland
Psychologist, PhD, PMH-C
Verified Verified
2 Endorsed
Dallas, TX 75220
I specialize in treating the concerns of women across the lifespan including perinatal/postpartum mood and anxiety, infant loss, reproductive issues ( infertility, high risk pregnancies), health concerns (PCOS, chronic pain, cancer survivorship and previvorship), grief, trauma, and parenting.
I place great emphasis on the importance of the therapeutic relationship. I work to foster a safe and non-judgmental environment where my clients can feel understood and fully supported. I enjoy working collaboratively with patients and coordinating treatment efforts with complimentary mental health and medical professionals to help patients achieve therapeutic goals and an enhanced quality of life.
I specialize in treating the concerns of women across the lifespan including perinatal/postpartum mood and anxiety, infant loss, reproductive issues ( infertility, high risk pregnancies), health concerns (PCOS, chronic pain, cancer survivorship and previvorship), grief, trauma, and parenting.
I place great emphasis on the importance of the therapeutic relationship. I work to foster a safe and non-judgmental environment where my clients can feel understood and fully supported. I enjoy working collaboratively with patients and coordinating treatment efforts with complimentary mental health and medical professionals to help patients achieve therapeutic goals and an enhanced quality of life.
(469) 523-0270 x2 View (469) 523-0270 x2
Photo of Gayla Sahl, Psychologist, PhD
Gayla Sahl
Psychologist, PhD
Verified Verified
4 Endorsed
Dallas, TX 75248
Some of the issues I address include depression, anxiety, coping with a miscarriage, self esteem issues, parenting concerns, and coping with infertility.
Are you experiencing sadness or anxiety that is keeping you from having a fulfilling life? Are you having difficulties within your relationships or finding it hard to be authentic with others? If so, therapy is a place where you can address these struggles. I believe it is important that you trust me in order for you to benefit from therapy. As a result, I will work hard to create a safe environment where you feel comfortable. I will also work to develop a supportive environment while also challenging you to make changes.
Some of the issues I address include depression, anxiety, coping with a miscarriage, self esteem issues, parenting concerns, and coping with infertility.
Are you experiencing sadness or anxiety that is keeping you from having a fulfilling life? Are you having difficulties within your relationships or finding it hard to be authentic with others? If so, therapy is a place where you can address these struggles. I believe it is important that you trust me in order for you to benefit from therapy. As a result, I will work hard to create a safe environment where you feel comfortable. I will also work to develop a supportive environment while also challenging you to make changes.
(972) 349-0087 View (972) 349-0087
Photo of Elizabeth Walsh Busbey, Licensed Professional Counselor, MA, LPC-S
Elizabeth Walsh Busbey
Licensed Professional Counselor, MA, LPC-S
Verified Verified
1 Endorsed
Online Only
The emotional effects of infertility and loss are overwhelming and far-reaching.
Hi, I'm Elizabeth from Fertile Insight Therapeutic Services. I'm a trauma specialist with 10 years of experience working with survivors of violence and abuse. I am passionate about using my expertise to help clients cope with and heal from the effects of reproductive trauma, infertility, and loss.
The emotional effects of infertility and loss are overwhelming and far-reaching.
Hi, I'm Elizabeth from Fertile Insight Therapeutic Services. I'm a trauma specialist with 10 years of experience working with survivors of violence and abuse. I am passionate about using my expertise to help clients cope with and heal from the effects of reproductive trauma, infertility, and loss.
(469) 416-3289 View (469) 416-3289
Photo of Jennifer Wolf Bradford, Psychologist, PhD
Jennifer Wolf Bradford
Psychologist, PhD
Verified Verified
11 Endorsed
Dallas, TX 75231
I specialize in treating women's issues, relational issues (no couples therapy), and infertility/pregnancy difficulties as well as stress/anxiety, depression, and eating concerns.
Are you feeling overwhelmed, stuck in life, or simply needing support? Maybe you have been struggling for a while? I approach therapy as an opportunity to listen, provide support, and assist you in developing clarity as well as new tools for addressing your concerns. I offer compassion, empowerment, and encouragement in a warm, non-judgmental environment conducive to growth and change. Therapy can provide relief, insight, and strategies to help you become or return to your best version of yourself.
I specialize in treating women's issues, relational issues (no couples therapy), and infertility/pregnancy difficulties as well as stress/anxiety, depression, and eating concerns.
Are you feeling overwhelmed, stuck in life, or simply needing support? Maybe you have been struggling for a while? I approach therapy as an opportunity to listen, provide support, and assist you in developing clarity as well as new tools for addressing your concerns. I offer compassion, empowerment, and encouragement in a warm, non-judgmental environment conducive to growth and change. Therapy can provide relief, insight, and strategies to help you become or return to your best version of yourself.
(972) 627-4403 View (972) 627-4403
Photo of Marielle Skouras, Marriage & Family Therapist, MA, LMFT, PMH-C
Marielle Skouras
Marriage & Family Therapist, MA, LMFT, PMH-C
Verified Verified
Online Only
Infertility, pregnancy, and the postpartum period can bring a whirlwind of emotions—hope, grief, anxiety, and everything in between.
I provide a warm, validating space where you can process your emotions, manage stress, and find resilience in the face of challenges. My approach is tailored to your unique journey, integrating evidence-based strategies with deep empathy and understanding. Together, we’ll work toward healing, hope, and a renewed sense of self—no matter where your path leads.
Infertility, pregnancy, and the postpartum period can bring a whirlwind of emotions—hope, grief, anxiety, and everything in between.
I provide a warm, validating space where you can process your emotions, manage stress, and find resilience in the face of challenges. My approach is tailored to your unique journey, integrating evidence-based strategies with deep empathy and understanding. Together, we’ll work toward healing, hope, and a renewed sense of self—no matter where your path leads.
(323) 747-7238 View (323) 747-7238
Photo of Martha Franek-Montanez, Licensed Professional Counselor, MA, LPC-S, EMDR, PMH-C
Martha Franek-Montanez
Licensed Professional Counselor, MA, LPC-S, EMDR, PMH-C
Verified Verified
1 Endorsed
Online Only
Using our clinical and empathy skills we help women who are facing challenges with infertility, pregnancy, postpartum as well as other challenges.
Support Space Therapy & Wellness also has providers that feel passionate about serving individuals in higher education, intimate partner violence and domestic violence.
Using our clinical and empathy skills we help women who are facing challenges with infertility, pregnancy, postpartum as well as other challenges.
Support Space Therapy & Wellness also has providers that feel passionate about serving individuals in higher education, intimate partner violence and domestic violence.
(972) 914-3951 View (972) 914-3951
Photo of Doreen Simonian, Licensed Professional Counselor, MA, MS
Doreen Simonian
Licensed Professional Counselor, MA, MS
Verified Verified
9 Endorsed
Serves Area
One of my passions is working with clients who have experienced the roller coaster of emotions associated with infertility and/or pregnancy loss, perinatal depression, anxiety and other mood disorders.
Life can often be hard and unexpected challenges can happen to anyone. I believe that having the support of someone in our corner can help us discover our unique qualities so we can emerge from difficulties stronger than we ever thought possible. I will provide a compassionate and supportive environment while we embark on your journey of growth and healing. Taking this first step is often very difficult and I invite you to contact me and see if counseling is right for you and if I would be a good fit for your needs.
One of my passions is working with clients who have experienced the roller coaster of emotions associated with infertility and/or pregnancy loss, perinatal depression, anxiety and other mood disorders.
Life can often be hard and unexpected challenges can happen to anyone. I believe that having the support of someone in our corner can help us discover our unique qualities so we can emerge from difficulties stronger than we ever thought possible. I will provide a compassionate and supportive environment while we embark on your journey of growth and healing. Taking this first step is often very difficult and I invite you to contact me and see if counseling is right for you and if I would be a good fit for your needs.
(972) 441-7066 View (972) 441-7066
Photo of Jen Espino, Marriage & Family Therapist, MA, LMFT, PMH-C
Jen Espino
Marriage & Family Therapist, MA, LMFT, PMH-C
Verified Verified
1 Endorsed
Online Only
Suffering through infertility and baby loss is beyond devastating.
You long to feel secure in your relationship and within yourself. With improved confidence and self-esteem, you will be able to move through all of life's painful experiences with grace, self-compassion, courage, and authenticity. You will be fully present in your life, free from the past, and moving towards an optimistic future. I can help you get there.
Suffering through infertility and baby loss is beyond devastating.
You long to feel secure in your relationship and within yourself. With improved confidence and self-esteem, you will be able to move through all of life's painful experiences with grace, self-compassion, courage, and authenticity. You will be fully present in your life, free from the past, and moving towards an optimistic future. I can help you get there.
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Photo of Shaye Mueller - Shaye Mueller: Trauma & PTSD Counselor, Licensed Professional Counselor, LPC, ATR, MA
Shaye Mueller: Trauma & PTSD Counselor
Licensed Professional Counselor, LPC, ATR, MA
Verified Verified
7 Endorsed
Serves Area
My clinical niche is where these challenges intersect- infertility and pregnancy loss.
Do you feel burnt out, frazzled, and dysregulated in your body? You've got the insight into your problems, but can't seem to shake the discomfort in your body. I work with people who struggle with anxiety, stress, and trauma to help them break free from these patterns and feelings. If you are someone who wants to break free from this vicious cycle, you're what I call a Cycle Breaker. As a therapist, I understand the toll trauma, stress, and mental health can take on your life, which is why I specialize in helping adults with PTSD break free from their past, so they can thrive in the present.
My clinical niche is where these challenges intersect- infertility and pregnancy loss.
Do you feel burnt out, frazzled, and dysregulated in your body? You've got the insight into your problems, but can't seem to shake the discomfort in your body. I work with people who struggle with anxiety, stress, and trauma to help them break free from these patterns and feelings. If you are someone who wants to break free from this vicious cycle, you're what I call a Cycle Breaker. As a therapist, I understand the toll trauma, stress, and mental health can take on your life, which is why I specialize in helping adults with PTSD break free from their past, so they can thrive in the present.
(866) 614-8896 View (866) 614-8896
Photo of Sarah Detrick, Marriage & Family Therapist, LMFT
Sarah Detrick
Marriage & Family Therapist, LMFT
Verified Verified
Online Only
I have a particular passion for helping those who are struggling with infertility.
I believe as a therapist it is my job to help you see past what is holding you down and work with you to find the solutions that will move your life in a more positive direction. Struggles are a part of life but at times they can seem overwhelming or even insurmountable. I enjoy working with people of all ages on a range of issues including depression, anxiety and relational problems.
I have a particular passion for helping those who are struggling with infertility.
I believe as a therapist it is my job to help you see past what is holding you down and work with you to find the solutions that will move your life in a more positive direction. Struggles are a part of life but at times they can seem overwhelming or even insurmountable. I enjoy working with people of all ages on a range of issues including depression, anxiety and relational problems.
(469) 378-9401 View (469) 378-9401
Photo of Dinah Dziolek, Licensed Professional Counselor, MS, LPC-S, BC-TMH, CCTP
Dinah Dziolek
Licensed Professional Counselor, MS, LPC-S, BC-TMH, CCTP
Verified Verified
Serves Area
I know first-hand the pain of infertility as a military spouse and navigated fertility treatments in Military Training Facilities.
I know there’s a way through the pain. It is possible to embrace the adventures and enjoy the unique opportunities service life brings. I want to help you do just that! I believe in genuineness and evidenced based therapies. I have years of experience providing counseling and specialize in trauma, military families, couples and women with infertility.
I know first-hand the pain of infertility as a military spouse and navigated fertility treatments in Military Training Facilities.
I know there’s a way through the pain. It is possible to embrace the adventures and enjoy the unique opportunities service life brings. I want to help you do just that! I believe in genuineness and evidenced based therapies. I have years of experience providing counseling and specialize in trauma, military families, couples and women with infertility.
(844) 785-0055 View (844) 785-0055
Photo of Dr. Dea Rabuck, Psychologist, PhD
Dr. Dea Rabuck
Psychologist, PhD
Verified Verified
2 Endorsed
Online Only
I support adults facing a range of challenges, including stress, anxiety, relationship challenges, life transitions, men's issues, and specialize in infertility.
Thinking about starting therapy (or coming back to it) can feel overwhelming. You might wonder where to begin, what it will be like, or if it will actually help. I get it! Taking that step is hard, no matter how many times you’ve done it before. Therapy should be a safe space to explore your life stories and foster discovery of meaning, healing, and growth. My goal is to make the process feel a little easier by creating a space where you feel truly seen, heard, and supported.
I support adults facing a range of challenges, including stress, anxiety, relationship challenges, life transitions, men's issues, and specialize in infertility.
Thinking about starting therapy (or coming back to it) can feel overwhelming. You might wonder where to begin, what it will be like, or if it will actually help. I get it! Taking that step is hard, no matter how many times you’ve done it before. Therapy should be a safe space to explore your life stories and foster discovery of meaning, healing, and growth. My goal is to make the process feel a little easier by creating a space where you feel truly seen, heard, and supported.
(737) 303-4318 View (737) 303-4318
Photo of Elizabeth-Anne Rains, Licensed Professional Counselor, MA, LPC
Elizabeth-Anne Rains
Licensed Professional Counselor, MA, LPC
Verified Verified
Serves Area
Areas of Focus in my Practice: Life Transitions, Depression, Anxiety, Perinatal and Postpartum Depression and Anxiety, Pregnancy Loss, Grief and Loss, Infertility, Work/Family Balance, Transforming Relationships, Parenting, Perimenopause, Menopause
I have dedicated the last 20 years to issues uniquely related to women struggling with overwhelming life transitions, painful family dynamics, grief and loss, and mood disorders. I strive to provide a safe place where you can speak freely without fear of judgement and be fully understood. It is from this emotionally safe place that you will gain insight into yourself and your relationships. Often, what we believe about ourselves is inaccurate, and the resulting misplaced guilt is common among women. We will explore and develop new ways of perceiving yourself and others, while practicing new communication styles and strategies.
Areas of Focus in my Practice: Life Transitions, Depression, Anxiety, Perinatal and Postpartum Depression and Anxiety, Pregnancy Loss, Grief and Loss, Infertility, Work/Family Balance, Transforming Relationships, Parenting, Perimenopause, Menopause
I have dedicated the last 20 years to issues uniquely related to women struggling with overwhelming life transitions, painful family dynamics, grief and loss, and mood disorders. I strive to provide a safe place where you can speak freely without fear of judgement and be fully understood. It is from this emotionally safe place that you will gain insight into yourself and your relationships. Often, what we believe about ourselves is inaccurate, and the resulting misplaced guilt is common among women. We will explore and develop new ways of perceiving yourself and others, while practicing new communication styles and strategies.
(512) 270-6441 View (512) 270-6441
Photo of Tracie Morrison Salmon Lpc Pa, Licensed Professional Counselor, LPC, LMFT, LCDC
Tracie Morrison Salmon Lpc Pa
Licensed Professional Counselor, LPC, LMFT, LCDC
Verified Verified
Dallas, TX 75231
I have been divorced and raised children in a blended family, suffered from infertility, miscarriages, and experienced a range of emotions that accompany traumatic experiences.
I have over 34 years of experience as a Licensed Professional Counselor and maintain a private practice in Dallas, Texas, as well as offer tele-therapy from wherever you are. I work well with professionals and high functioning clients seeking help with relationships and family issues, stress and anxiety, goals and dreams, or issues related to emotion and self-esteem. In a comfortable and supportive atmosphere, whether in my office or on the phone, I offer a highly personalized approach tailored to each of my clients individual needs. My own health and growth have always been important and help me to be relatable with my clients.
I have been divorced and raised children in a blended family, suffered from infertility, miscarriages, and experienced a range of emotions that accompany traumatic experiences.
I have over 34 years of experience as a Licensed Professional Counselor and maintain a private practice in Dallas, Texas, as well as offer tele-therapy from wherever you are. I work well with professionals and high functioning clients seeking help with relationships and family issues, stress and anxiety, goals and dreams, or issues related to emotion and self-esteem. In a comfortable and supportive atmosphere, whether in my office or on the phone, I offer a highly personalized approach tailored to each of my clients individual needs. My own health and growth have always been important and help me to be relatable with my clients.
(214) 761-5997 View (214) 761-5997
Photo of Michael Friedman, Licensed Professional Counselor, MEd, LPC
Michael Friedman
Licensed Professional Counselor, MEd, LPC
Verified Verified
2 Endorsed
Online Only
I focus on Men's Wellness: For Men, By Men: including Masculinity, Intimacy, Sexuality, Infertility, Intrusive Thoughts, and Problematic Behavior.
My ideal client is someone with a listening ear, with the courage to reimagine his/her life. Someone with dreams and a passion to realize them... Or maybe somebody broken and lost. Someone imperfect. Because that's real. That's being human. To quote a British philosopher: "I'm not looking for somebody with some superhuman gifts, some superhero, some fairy tale bliss... I want something just like this..."
I focus on Men's Wellness: For Men, By Men: including Masculinity, Intimacy, Sexuality, Infertility, Intrusive Thoughts, and Problematic Behavior.
My ideal client is someone with a listening ear, with the courage to reimagine his/her life. Someone with dreams and a passion to realize them... Or maybe somebody broken and lost. Someone imperfect. Because that's real. That's being human. To quote a British philosopher: "I'm not looking for somebody with some superhuman gifts, some superhero, some fairy tale bliss... I want something just like this..."
(469) 772-6451 View (469) 772-6451
Photo of Jaya Mathew, Psychologist, PhD, MSW
Jaya Mathew
Psychologist, PhD, MSW
Verified Verified
5 Endorsed
Dallas, TX 75235
I enjoy working with women's issues: infertility, post- partum, work/life balance, and body image.
Many of us struggle with feelings of insecurity, anger, anxiety, and sadness. We may find ourselves wishing that relationships with our families, romantic partners, or friends were more fulfilling. Sometimes the struggle to decipher how to live a more fulfilling life can be a lonely one. If you feel this way, know that you are not alone and there is help. After working as a therapist for over two decades, what I have found is that no one wants to live a "less than" life, yet many do not know how to live any differently.
I enjoy working with women's issues: infertility, post- partum, work/life balance, and body image.
Many of us struggle with feelings of insecurity, anger, anxiety, and sadness. We may find ourselves wishing that relationships with our families, romantic partners, or friends were more fulfilling. Sometimes the struggle to decipher how to live a more fulfilling life can be a lonely one. If you feel this way, know that you are not alone and there is help. After working as a therapist for over two decades, what I have found is that no one wants to live a "less than" life, yet many do not know how to live any differently.
(972) 808-6605 View (972) 808-6605
Photo of Dr. Ashlyn Parides, Psychologist, PhD, PMH-C
Dr. Ashlyn Parides
Psychologist, PhD, PMH-C
Verified Verified
Dallas, TX 75205
I specialize in working with pregnancy, postpartum, parenting, infertility and loss, anxiety, and life transitions.
Are you a new or expectant parent? Navigating a recent loss or change of plans? Struggling to adjust to a new phase of life? Whether you are hoping to better manage stress and anxiety or navigate a challenging time in your life, seeking support is the first step toward that goal. In therapy, you can develop insight and learn skills to get unstuck, resolve conflict, and make positive change in your life. I value creating a space of non-judgment, curiosity, and compassion, which enables us to work together to make room for all parts of you. I would be honored to partner with you in healing and becoming the best version of yourself.
I specialize in working with pregnancy, postpartum, parenting, infertility and loss, anxiety, and life transitions.
Are you a new or expectant parent? Navigating a recent loss or change of plans? Struggling to adjust to a new phase of life? Whether you are hoping to better manage stress and anxiety or navigate a challenging time in your life, seeking support is the first step toward that goal. In therapy, you can develop insight and learn skills to get unstuck, resolve conflict, and make positive change in your life. I value creating a space of non-judgment, curiosity, and compassion, which enables us to work together to make room for all parts of you. I would be honored to partner with you in healing and becoming the best version of yourself.
(469) 306-0085 View (469) 306-0085
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Infertility Therapists

How can infertility affect couples and their relationship?

Clients who are dealing with infertility may experience conflict and communication problems. It’s not unusual for shame, blame, and guilt to arise in cases of infertility, whether the source of the problem is one partner or both. This means that clients are upset and pulling away from their partner just when they need them the most. Some clients may find it difficult to spend time around friends and family who are pregnant. Friends and family can also make hurtful comments that increase tension during this time.

How does therapy for infertility issues work?

The therapist will begin by gathering information about the client or couple and make a treatment plan for their specific concerns. In addition to addressing common mental health issues, such as anxiety, depression, and trauma reactions or PTSD, therapists can help clients improve their decision-making and deal with stressors unique to infertility. Some examples include coping with the “two-week wait” before a pregnancy test, the distress associated with a failed attempt or miscarriage, and the shame and blame sometimes associated with reproductive concerns.

What type of therapy is best for infertility issues?

Many therapists offer psychotherapy for individuals and couples who are dealing with infertility issues. Some helpful therapeutic approaches include cognitive behavioral therapy (CBT), which can aid clients in reframing negative thoughts about their situation. Expressive writing and art therapy can help clients process difficult feelings. Clients might also benefit from group therapy to experience support from others who are dealing with the same problems.

How long does therapy for infertility issues take?

There is no set length for therapy that addresses infertility or reproductive concerns. Some clients might find it helpful to continue therapy during their pregnancy to have healthy ways to cope with any associated stress, anxiety, depression, or trauma. Some clients who decide not to pursue fertility treatments might benefit from the support of a therapist. The duration of therapy varies depending on the individual client’s specific needs and goals.