From there, we can take stock of the full picture if that’s helpful: where you are in treatment, the options in front of you, and how this has been affecting you and your relationships. With your permission, I’m glad to coordinate with your reproductive endocrinologist or other providers.

For many people, part of this work is grief. That might be grief over a pregnancy loss or several, the timeline you expected, a genetic connection, or the experience of carrying a pregnancy. It’s common to feel things that are harder to admit, like envy, anger, or ambivalence, and we can talk about those as well.

Therapy can also be a place to build specific skills for anxiety, decision fatigue, and the moments that hit hardest, like a negative beta, a baby shower invitation, or the two-week wait. Depending on what fits, that might include CBT to examine the thoughts that keep you stuck, or mindfulness and nervous-system regulation for when you’re overwhelmed.

If you have a partner, we can look at how each of you is coping, where that may be creating distance, and how to support each other through it. Some people also want help setting boundaries with family and friends whose comments, however well-intended, are hard to hear.

And when you’re ready, we can also think through longer-term decisions. Whether you’re considering IVF, donor conception, adoption, or a child-free life, the aim is to make choices grounded in your values rather than driven by exhaustion or fear.