Infertility Therapists in Greenwood Village, CO
![Photo of Natalie Cherry, MA, LPC, NBCC, Licensed Professional Counselor](https://photos.psychologytoday.com/53099892-46cd-11ea-a6ad-06142c356176/1/320x400.jpeg)
Natalie Cherry
Licensed Professional Counselor, MA, LPC, NBCC
Verified Verified
Greenwood Village, CO 80111
As a mom of 2 HS boys & wife married for 20+ years, I've journeyed many of the challenges we face as women! My work with women encompasses infertility; parenting; relationship & career challenges. The soul of my counseling is the intentional pursuit of relating & connecting with my clients, a journey that allows us to discover the source of their struggles. It is my hope to guide clients in developing stronger support, learning effective coping skills; activating their strengths & healing from trauma. With effective counseling & lifecoaching, clients experience more fulfillment and freedom from stress induced anxiety & burn out.
As a mom of 2 HS boys & wife married for 20+ years, I've journeyed many of the challenges we face as women! My work with women encompasses infertility; parenting; relationship & career challenges. The soul of my counseling is the intentional pursuit of relating & connecting with my clients, a journey that allows us to discover the source of their struggles. It is my hope to guide clients in developing stronger support, learning effective coping skills; activating their strengths & healing from trauma. With effective counseling & lifecoaching, clients experience more fulfillment and freedom from stress induced anxiety & burn out.
![Photo of Stacy Ford, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/401189fe-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
I specialize in working with individuals, couples, women's issues (infertility, parenting/work issues, menopause, motherhood, grief and loss), adolescents and PTSD/trauma.
Is life currently a struggle? Do you feel anxious, sad or lonely? Do things that use to bring you joy no longer provide you happiness? Is your mental health negatively affecting your relationships, job or family life? Today we face more stressors in our lives than we ever have before. COVID 19, changes in the economy, daily uncertainty has made our lives more challenging than ever. If you feel like old coping skills are no longer working and that support from friends and family isn't enough then it's time to get outside support. Finding someone who will support you during hard times in a non-judgmental, safe space can be helpful.
I specialize in working with individuals, couples, women's issues (infertility, parenting/work issues, menopause, motherhood, grief and loss), adolescents and PTSD/trauma.
Is life currently a struggle? Do you feel anxious, sad or lonely? Do things that use to bring you joy no longer provide you happiness? Is your mental health negatively affecting your relationships, job or family life? Today we face more stressors in our lives than we ever have before. COVID 19, changes in the economy, daily uncertainty has made our lives more challenging than ever. If you feel like old coping skills are no longer working and that support from friends and family isn't enough then it's time to get outside support. Finding someone who will support you during hard times in a non-judgmental, safe space can be helpful.
![Photo of Hilary Goulding - Anxiety Therapist For Women, MA, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/4fad4c45-46cd-11ea-a6ad-06142c356176/1/320x400.jpeg)
Hilary Goulding - Anxiety Therapist For Women
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Greenwood Village, CO 80111
Waitlist for new clients
I help women throughout every stage of motherhood from infertility issues and prenatal/postpartum to parenting littles to help you not just survive but thrive.
Hi, I’m Hilary, a licensed Marriage and Family Therapist. I am so glad you are here. My passion is helping women finally feel relief from anxiety and worry with science-backed strategies that actually work. I help clients break the cycle of anxiety and worry, stop overthinking, decrease stress & burnout, heal their root causes of anxiety and learn effective coping skills. Anxiety does not have to run your life. Relief is possible! Start living your life with less anxiety and more JOY. You deserve it.
I help women throughout every stage of motherhood from infertility issues and prenatal/postpartum to parenting littles to help you not just survive but thrive.
Hi, I’m Hilary, a licensed Marriage and Family Therapist. I am so glad you are here. My passion is helping women finally feel relief from anxiety and worry with science-backed strategies that actually work. I help clients break the cycle of anxiety and worry, stop overthinking, decrease stress & burnout, heal their root causes of anxiety and learn effective coping skills. Anxiety does not have to run your life. Relief is possible! Start living your life with less anxiety and more JOY. You deserve it.
![Photo of Rebecca A. Saltzman, MA, NCC, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/6bcd627d-24a3-4724-8958-19d2bf0e4807/1/320x400.jpeg)
Rebecca A. Saltzman
Licensed Professional Counselor, MA, NCC, LPC
Verified Verified
3 Endorsed
Greenwood Village, CO 80111
I work with pre-teen, adolescent and adult individuals facing challenges with mood, life transitions, balance/stress, adoption/infertility, parenting issues, relational issues and trauma.
I believe counseling is a collaborative, wholistic process. I come from a strengths-based perspective that supports a person's capacity for change and recognizes the importance of one's life story. As a counselor, my goal is to reach positive changes in every client's life by creating an environment that feels safe and exploratory while looking at experiences, fears, and desires through multiple lenses while learning tools to manage stressors. My current appointment availability changes quickly, please call or email today for current availability as openings change quickly!
I work with pre-teen, adolescent and adult individuals facing challenges with mood, life transitions, balance/stress, adoption/infertility, parenting issues, relational issues and trauma.
I believe counseling is a collaborative, wholistic process. I come from a strengths-based perspective that supports a person's capacity for change and recognizes the importance of one's life story. As a counselor, my goal is to reach positive changes in every client's life by creating an environment that feels safe and exploratory while looking at experiences, fears, and desires through multiple lenses while learning tools to manage stressors. My current appointment availability changes quickly, please call or email today for current availability as openings change quickly!
![Photo of Steven A Lazarus - Dr. Steven A. Lazarus, Psy.D., Inc., PsyD, PSYPAC, LPC, MA, Psychologist](https://photos.psychologytoday.com/3d4b4e1f-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Dr. Steven A. Lazarus, Psy.D., Inc.
Psychologist, PsyD, PSYPAC, LPC, MA
Verified Verified
Greenwood Village, CO 80111
I specialize in helping individuals with divorce, stress/ anxiety, college transition, parenting challenges, infertility, and provide couples counseling.
Hello, I'm Dr. Steve, also known as Steven Lazarus. I'm a Licensed Psychologist with a certified therapy dog named Zeke, who is a labradoodle. Therapy dogs like Zeke have been proven to have a significant positive impact on people in therapy. Both in-person office visits and virtual therapy (online) sessions are available, and parent meetings are also offered for more effective progress.
I specialize in helping individuals with divorce, stress/ anxiety, college transition, parenting challenges, infertility, and provide couples counseling.
Hello, I'm Dr. Steve, also known as Steven Lazarus. I'm a Licensed Psychologist with a certified therapy dog named Zeke, who is a labradoodle. Therapy dogs like Zeke have been proven to have a significant positive impact on people in therapy. Both in-person office visits and virtual therapy (online) sessions are available, and parent meetings are also offered for more effective progress.
![Photo of Hilary Maxwell, MA, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/5ef4bd33-4cba-4f83-bab1-cc44599605fe/2/320x400.jpeg)
Hilary Maxwell
Licensed Professional Counselor, MA, LPC
Verified Verified
Greenwood Village, CO 80111 (Online Only)
How are you handling your life right now? Life can feel overwhelming creating stress, anxiety, fear, and doubt and leaving us feeling paralyzed and stuck. As we adjust to new seasons of life, there tend to be periods of the unknown with mixed emotions. Life transitions need life skills. This is more of a partnership to navigate through past wounds into a healthier, more stable, and confident future. I also walk with clients with spiritual trauma and fertility issues (including fertility treatments, IVF, miscarriage, and postpartum), as someone who has walked through this myself it's nice to have someone who "gets it".
How are you handling your life right now? Life can feel overwhelming creating stress, anxiety, fear, and doubt and leaving us feeling paralyzed and stuck. As we adjust to new seasons of life, there tend to be periods of the unknown with mixed emotions. Life transitions need life skills. This is more of a partnership to navigate through past wounds into a healthier, more stable, and confident future. I also walk with clients with spiritual trauma and fertility issues (including fertility treatments, IVF, miscarriage, and postpartum), as someone who has walked through this myself it's nice to have someone who "gets it".
![Photo of Natalie Brown, MA, LPCC](https://photos.psychologytoday.com/64592577-eb28-40c5-af1f-6e45c00192ea/2/320x400.jpeg)
Natalie Brown
Licensed Professional Counselor Candidate, MA, LPCC
Verified Verified
1 Endorsed
Greenwood Village, CO 80111
The one constant in life is change, and my goal is to hold space for my clients as they navigate the many changes and bumps in the road that life brings. I am passionate about collaborating with my clients on their goals, celebrating wins, developing coping strategies, and improving their relationship with one's self and others.
The one constant in life is change, and my goal is to hold space for my clients as they navigate the many changes and bumps in the road that life brings. I am passionate about collaborating with my clients on their goals, celebrating wins, developing coping strategies, and improving their relationship with one's self and others.
![Photo of Danica Hungerford, MA, LPC, Counselor](https://photos.psychologytoday.com/53555685-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Has life not turned out how you thought it would? Have the hopes, dreams, and unfulfilled expectations left you feeling empty, stuck, or with no sense of purpose or direction? Depression, anxiety, grief and loss, or questions about identity, faith, or purpose can leave us feeling paralyzed and without hope. I have experienced many of these problems in my own life and know how daunting it can be to seek help. If this is your situation, know that you have found someone who is willing to listen, care, and help you work through what has been weighing you down so that you can live a more meaningful life.
Has life not turned out how you thought it would? Have the hopes, dreams, and unfulfilled expectations left you feeling empty, stuck, or with no sense of purpose or direction? Depression, anxiety, grief and loss, or questions about identity, faith, or purpose can leave us feeling paralyzed and without hope. I have experienced many of these problems in my own life and know how daunting it can be to seek help. If this is your situation, know that you have found someone who is willing to listen, care, and help you work through what has been weighing you down so that you can live a more meaningful life.
![Photo of Jennifer Kane, Jennifer Kane, LCSW, MA, Clinical Social Work/Therapist](https://photos.psychologytoday.com/7f7aea8a-1aaa-4a2d-b809-6485b1c5518f/1/320x400.jpeg)
Jennifer Kane
Clinical Social Work/Therapist, Jennifer Kane, LCSW, MA
Verified Verified
2 Endorsed
Greenwood Village, CO 80111
I help clients be their best selves.
I help clients be their best selves.
![Photo of Stephanie Fillmore, LCSW, SAS, Clinical Social Work/Therapist](https://photos.psychologytoday.com/9db377ed-766b-42c8-8970-f1029c938a9e/2/320x400.jpeg)
Stephanie Fillmore
Clinical Social Work/Therapist, LCSW, SAS
Verified Verified
1 Endorsed
Greenwood Village, CO 80111 (Online Only)
As a therapist, my strength is helping people clarify their goals and unearth behaviors that are counterproductive in achieving those goals. Together, we develop a personalized plan, that includes new methods and tools to resolve current and future challenges in an effective and healthy manner.
As a therapist, my strength is helping people clarify their goals and unearth behaviors that are counterproductive in achieving those goals. Together, we develop a personalized plan, that includes new methods and tools to resolve current and future challenges in an effective and healthy manner.
![Photo of Sarah Senst, LPC, LPCS, Licensed Professional Counselor](https://photos.psychologytoday.com/cd3b26bf-7c8d-4736-8f9c-6354c7f66e88/1/320x400.png)
Sarah Senst
Licensed Professional Counselor, LPC, LPCS
Verified Verified
Greenwood Village, CO 80111
I help people feel better. I hear clients say they feel "stuck", "unsure", "confused", "anxious" and/or "afraid". Many of them don’t feel very good about themselves. This can cause problems in their relationships, on their job, not feeling motivated or becoming unable to take joy in everyday activities. My clients typically want to make it through a day without anxiety, to not feel so sad everyday and to feel confident! I understand these experiences and have had many of them in my past. With an excellent therapist and fantastic coaches along the way, I’ve learned, healed and grown. And you can to!
I help people feel better. I hear clients say they feel "stuck", "unsure", "confused", "anxious" and/or "afraid". Many of them don’t feel very good about themselves. This can cause problems in their relationships, on their job, not feeling motivated or becoming unable to take joy in everyday activities. My clients typically want to make it through a day without anxiety, to not feel so sad everyday and to feel confident! I understand these experiences and have had many of them in my past. With an excellent therapist and fantastic coaches along the way, I’ve learned, healed and grown. And you can to!
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![Photo of Sandra Gerardo - Denver Psychology, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/4054ea76-dbf0-4300-aed1-b20ff8337105/2/320x400.jpeg)
Denver Psychology
Clinical Social Work/Therapist, LCSW
Verified Verified
Greenwood Village, CO 80111
Learn how to feel more connected to yourself, others and the world around you. Therapy provides all the elements of intimacy: honest communication, vulnerability and trust. Good therapy is challenging yet warm, providing both structure and empathy for your unique experience. We are a collective of therapists with a wide range of specialties. Our intake professionals will help connect you with the right therapist for your needs. We make appointments easy, offering evenings and weekends and flexibility for creative professionals who can't make the same time each week.
Learn how to feel more connected to yourself, others and the world around you. Therapy provides all the elements of intimacy: honest communication, vulnerability and trust. Good therapy is challenging yet warm, providing both structure and empathy for your unique experience. We are a collective of therapists with a wide range of specialties. Our intake professionals will help connect you with the right therapist for your needs. We make appointments easy, offering evenings and weekends and flexibility for creative professionals who can't make the same time each week.
![Photo of Lisa Thomas, LCSW, LMFT, DAACS, Marriage & Family Therapist](https://photos.psychologytoday.com/3c7a2e26-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Lisa Thomas
Marriage & Family Therapist, LCSW, LMFT, DAACS
Verified Verified
1 Endorsed
Greenwood Village, CO 80111
As a Licensed Marriage Therapist with a specialization in Sex Therapy for 20 years, I have the ability to address relationship and intimacy problems without bias and provide experienced solutions for love, sex and relationships. As a Relationship & Intimacy specialist, I can assist you with reorganizing your relationship with an outcome that is best for your couples style & for your family. We will improve communication, intimacy, and connection that will breathe life back into your relationship and rekindle the spark. I look forward to contributing to your success and teaching you the strategies for amazing intimacy.
As a Licensed Marriage Therapist with a specialization in Sex Therapy for 20 years, I have the ability to address relationship and intimacy problems without bias and provide experienced solutions for love, sex and relationships. As a Relationship & Intimacy specialist, I can assist you with reorganizing your relationship with an outcome that is best for your couples style & for your family. We will improve communication, intimacy, and connection that will breathe life back into your relationship and rekindle the spark. I look forward to contributing to your success and teaching you the strategies for amazing intimacy.
![Photo of Alexandra Klein Shelton - Alex Klein Therapy, MSW, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/96449bf0-f4cd-40dd-8c91-efc1a4b895fc/2/320x400.jpeg)
Alex Klein Therapy
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Greenwood Village, CO 80111
I love working with individuals who are eager to find a deeper connection to self and others. Many people who decide to start therapy feel ambivalent about the process, and may feel uncertain about change in general. That is okay. They may not be ready for change and may be coming to therapy in order to first find that motivation for change. They may be highly emotionally sensitive, but have never felt understood in their sensitivity. They want to feel heard, seen, understood because these are some of our innate human needs.
I love working with individuals who are eager to find a deeper connection to self and others. Many people who decide to start therapy feel ambivalent about the process, and may feel uncertain about change in general. That is okay. They may not be ready for change and may be coming to therapy in order to first find that motivation for change. They may be highly emotionally sensitive, but have never felt understood in their sensitivity. They want to feel heard, seen, understood because these are some of our innate human needs.
![Photo of Camille L. Reich, PhD, MS, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/3da1993e-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Camille L. Reich
Marriage & Family Therapist, PhD, MS, LMFT
Verified Verified
Greenwood Village, CO 80111
True Happiness and Stability Stems from the Quality of our Significant Relationships! I work from a strength-based, solution-focused, and systemic or relational orientation, all are evidence-based approaches. I focus on people's strengths and possibilities while addressing their real life difficulties. I also practice child-centered play therapy and provide personality, relationship (couple) and career assessments. I believe in a holistic approach to the therapeutic process that incorporates biological, psychological, social, and spiritual dimensions empowering a person or family towards mastering life to its fullest. I look forward to consulting with you!
True Happiness and Stability Stems from the Quality of our Significant Relationships! I work from a strength-based, solution-focused, and systemic or relational orientation, all are evidence-based approaches. I focus on people's strengths and possibilities while addressing their real life difficulties. I also practice child-centered play therapy and provide personality, relationship (couple) and career assessments. I believe in a holistic approach to the therapeutic process that incorporates biological, psychological, social, and spiritual dimensions empowering a person or family towards mastering life to its fullest. I look forward to consulting with you!
![Photo of Shelley Kaufher Lazear, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/3bf75cf7-46cd-11ea-a6ad-06142c356176/6/320x400.jpeg)
Shelley Kaufher Lazear
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Greenwood Village, CO 80111
I begin by creating a caring environment utilizing my 25 years of experience allowing you to relax, step back and assess what you need from therapy.Once our relationship is established I begin helping you to create solutions to your challanges that we work on in every session My goal is to ensure that you have the inner resources and courage to address new challenges on a daily basis and find within yourself the power to overcome your internal struggles.I help people to step back from the tree and see the whole forest.
I begin by creating a caring environment utilizing my 25 years of experience allowing you to relax, step back and assess what you need from therapy.Once our relationship is established I begin helping you to create solutions to your challanges that we work on in every session My goal is to ensure that you have the inner resources and courage to address new challenges on a daily basis and find within yourself the power to overcome your internal struggles.I help people to step back from the tree and see the whole forest.
![Photo of Meredith DuBose, LCSW, PMH-C, Clinical Social Work/Therapist](https://photos.psychologytoday.com/9f9ce0ec-ffb9-4f06-8051-478d2804c590/2/320x400.jpeg)
Meredith DuBose
Clinical Social Work/Therapist, LCSW, PMH-C
Verified Verified
Greenwood Village, CO 80111
Welcome! I am here to help you work through life's tough transitions and emotional difficulties. I provide an approach based in acceptance, but I also find it important to be direct and give concrete solutions and responses to my clients. I use many different treatment modalities, dependent on what best fits you and your needs. I have specialized training in cognitive behavioral therapy, solution-focused therapy, and trauma-informed care. Helping people through life's challenges and transitions is my passion.
Welcome! I am here to help you work through life's tough transitions and emotional difficulties. I provide an approach based in acceptance, but I also find it important to be direct and give concrete solutions and responses to my clients. I use many different treatment modalities, dependent on what best fits you and your needs. I have specialized training in cognitive behavioral therapy, solution-focused therapy, and trauma-informed care. Helping people through life's challenges and transitions is my passion.
![Photo of Amanda Hua, LPC, EMDR, Licensed Professional Counselor](https://photos.psychologytoday.com/82e6c712-f690-4626-ae0e-e893decf22ea/2/320x400.jpeg)
Amanda Hua
Licensed Professional Counselor, LPC, EMDR
Verified Verified
2 Endorsed
Greenwood Village, CO 80112
As a licensed professional counselor, my passion lies in helping individuals navigate the complex terrain of trauma and the profound aspects of aging, death, and dying. My journey in the field of psychology has been driven by a deep commitment to providing compassionate and effective support to those who have experienced trauma and those who are confronting the challenges of aging and the existential questions of mortality. My specialized focus on trauma allows me to offer a safe and empathetic space for individuals to heal from the scars of their past experiences.
As a licensed professional counselor, my passion lies in helping individuals navigate the complex terrain of trauma and the profound aspects of aging, death, and dying. My journey in the field of psychology has been driven by a deep commitment to providing compassionate and effective support to those who have experienced trauma and those who are confronting the challenges of aging and the existential questions of mortality. My specialized focus on trauma allows me to offer a safe and empathetic space for individuals to heal from the scars of their past experiences.
![Photo of Virginia Walton, MSW, MFT, Registered Psychotherapist](https://photos.psychologytoday.com/4621619f-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Is remarriage and stepfamily life more difficult than you anticipated? Are your children struggling to adapt to a new family situation? Or, are you divorced and struggling with the aftershock of single parenthood and trying to co-parent with your ex? Are you emotionally you depleted, caught in the same conflict again and again with your spouse, stepchild or ex? Being remarried with a stepfamily of my own, I care deeply about helping remarried couples navigate the unique challenges of blending a family.
Is remarriage and stepfamily life more difficult than you anticipated? Are your children struggling to adapt to a new family situation? Or, are you divorced and struggling with the aftershock of single parenthood and trying to co-parent with your ex? Are you emotionally you depleted, caught in the same conflict again and again with your spouse, stepchild or ex? Being remarried with a stepfamily of my own, I care deeply about helping remarried couples navigate the unique challenges of blending a family.
![Photo of Chris Wilhoite, MS, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/44950edb-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Chris Wilhoite
Marriage & Family Therapist, MS, LMFT
Verified Verified
1 Endorsed
Greenwood Village, CO 80111
We as human beings long to connect and feel seen, heard, and validated. Stresses are mounting, emotions are high, and life is much more complicated. I provide a safe space for you to express and explore what is happening in our world and in your life and relationships. We will work together to explore your strengths and help you to live your best life possible. Together we will work to support you in feeling deeply connected to yourself and to those you love and care about. I help to foster a sense of self-trust, connection, and belonging. Therapy is a place where you can explore what makes you laugh and cry.
We as human beings long to connect and feel seen, heard, and validated. Stresses are mounting, emotions are high, and life is much more complicated. I provide a safe space for you to express and explore what is happening in our world and in your life and relationships. We will work together to explore your strengths and help you to live your best life possible. Together we will work to support you in feeling deeply connected to yourself and to those you love and care about. I help to foster a sense of self-trust, connection, and belonging. Therapy is a place where you can explore what makes you laugh and cry.
See more therapy options for Greenwood Village
Nearby Infertility Therapists Searches for Greenwood Village
- Aurora
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- Edgewater
- Englewood
- Glendale
- Highlands Ranch
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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.