Surrogacy Therapy for Intended Parents in St. Louis Missouri & Illinois
Therapy for intended parents navigating gestational surrogacy, infertility, pregnancy loss, relationships, and the transition to parenthood
St. Louis, Missouri ● Online Therapy in Chicago & Throughout Missouri and Illinois
When the path to parenthood involves complex decisions, uncertainty, and layers not seen by others.
Building your family through gestational surrogacy can be one of the most hopeful—and emotionally complex—experiences of your life.
For many intended parents, surrogacy comes after years of infertility, pregnancy loss, unsuccessful fertility treatment, or difficult decisions about how to build a family.
Alongside hope can be grief, anxiety, loss of control, complicated feelings about not carrying the pregnancy, and uncertainty about your relationship with your gestational carrier. For couples, surrogacy can also bring unexpected strain when partners experience the process differently.
Therapy offers intended parents a place to make sense of these experiences—individually or together—while preparing emotionally for pregnancy, birth, and the transition to parenthood.
Common Challenges I Help Intended Parents Navigate
Deciding whether gestational surrogacy is right for your family
Grieving not carrying the pregnancy you imagined
Anxiety during matching and waiting
Fear after failed embryo transfers or pregnancy loss
Loss of control during a surrogate pregnancy
Navigating your relationship with your gestational carrier
Feeling disconnected from the pregnancy
Concerns about bonding with your baby
Feeling disconnected from your partner during the process
Coping differently from your partner
Navigating family questions and disclosure
Preparing emotionally for birth and parenthood
Why Work With Joanna
Choosing gestational surrogacy often comes after difficult decisions and significant loss. While this path can create an extraordinary opportunity to build a family, it can also raise deeply personal questions about identity, attachment, grief, control, relationships, and what it means to become a parent.
My expertise is grounded in specialized training in reproductive and maternal mental health and informed by my own experience as an intended parent.
After experiencing infertility, my own path to parenthood ultimately included gestational surrogacy. I understand that this experience can hold grief, hope, uncertainty, and immense love at the same time—and that some of the most complicated parts can be difficult to explain to people who haven’t lived them.
My goal is to provide thoughtful, informed support for intended parents and couples navigating the emotional complexity of building a family through surrogacy.
When Surrogacy Affects Your Relationship
Surrogacy can affect a relationship in ways couples may not anticipate. You and your partner may experience grief differently, disagree about decisions, have different levels of anxiety about the pregnancy, or struggle to feel connected after years of infertility and fertility treatment.
I work with intended parents individually and as couples to understand these differences without making either partner’s way of coping the problem.
Therapy can provide space to understand these differences without making either partner’s way of coping the problem. Together, we can work through the emotional impact of surrogacy while helping you remain connected to one another as you prepare to become parents.
You don’t have to navigate this part of surrogacy alone.
Whether you are seeking support individually or together as a couple, therapy can provide space for the parts of surrogacy that can be difficult to talk about—even with each other.
Surrogacy is rarely simply another way to build a family. For many intended parents, it follows years of infertility, pregnancy loss, unsuccessful treatment, and difficult decisions about what becoming a parent will look like.
You may find yourself caught between gratitude and grief—deeply grateful for the opportunity to become a parent while also grieving the pregnancy or family-building experience you imagined.
You may find yourself wondering:
Will I feel connected to this pregnancy?
How do I trust someone else to carry my baby?
Will I bond with my child?
What if something goes wrong?
What if my partner and I are experiencing this completely differently?
How do we navigate our relationship with our gestational carrier or donor?
How and when will we share our child's story?
How Therapy Can Help
Therapy provides an opportunity to process the emotional complexity of surrogacy, strengthen your relationship with your partner, navigate your relationship with your gestational carrier, and prepare for the transition to parenthood.
Rather than asking you to simply “stay positive,” our work makes room for hope, grief, uncertainty, joy, fear, and love to exist at the same time.
Common Questions About Surrogacy
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Therapy for intended parents provides emotional support throughout the surrogacy journey. While surrogacy is often filled with hope, it can also involve uncertainty, anxiety, grief, loss of control, and complex emotions that many people don't anticipate.
Therapy can help you manage anxiety, cope with unexpected challenges, process difficult emotions, strengthen your relationship, and navigate the transition to parenthood while feeling supported throughout the process.
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Many intended parents seek therapy because surrogacy involves emotional experiences that friends and family may not fully understand.
Common concerns include grief after infertility or pregnancy loss, anxiety throughout the pregnancy, difficulty feeling connected to the pregnancy, fear of something going wrong, relationship stress, and preparing emotionally for becoming parents.
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Yes, many intended parents experience anxiety during surrogacy, even when everything is progressing as planned.
It is common to worry about the pregnancy, medical appointments, legal processes, your gestational carrier's well-being, or whether you will finally be able to bring your baby home.
These emotions are a normal response to a journey that often involves significant uncertainty.
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Surrogacy can require intended parents to tolerate an unusual amount of uncertainty. Someone else is carrying your pregnancy, and many aspects of the process—from embryo transfer and prenatal appointments to decisions during pregnancy—may not be fully within your control. This can feel especially difficult after infertility or pregnancy loss, when you may already have experienced your path to parenthood as unpredictable.
Therapy can help you understand what the loss of control brings up emotionally, navigate your relationship with your gestational carrier, and find ways to remain connected to the pregnancy without trying to eliminate the uncertainty that comes with it.
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Yes. A failed embryo transfer or pregnancy loss often brings grief that others may not fully recognize. After investing emotionally and financially in the transfer and pregnancy, many intended parents experience sadness, disappointment, anxiety, and fear about the future.
Therapy can help you process this loss while supporting you as you consider your next steps.
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Surrogacy can bring couples closer while also creating unexpected strain. You and your partner may experience grief, anxiety, uncertainty, or excitement differently, particularly after infertility or pregnancy loss.
Therapy can provide space to understand these differences, communicate more openly, and stay connected throughout the surrogacy process.
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It is common for partners to cope with surrogacy differently. One person may want to talk about every detail while the other needs more distance, or one partner may feel hopeful while the other remains guarded after previous loss.
Therapy can help you understand what is underneath these different responses without assuming that either person's way of coping is wrong.
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Yes. Couples therapy during surrogacy can provide space to talk about infertility and loss, decisions about the surrogacy process, your relationship with your gestational carrier, fears about pregnancy and birth, and the transition to parenthood.
Therapy can also help when the surrogacy journey has created distance or highlighted existing patterns in your relationship.
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Many intended parents worry about whether they will bond with a baby they did not carry. Bonding does not depend solely on pregnancy, and it does not always happen instantly for any parent. Therapy can help you explore fears about attachment and make room for your relationship with your baby to develop in its own way and over time.
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Not carrying the pregnancy can sometimes leave intended parents feeling removed from an experience that is deeply important to them. Finding meaningful ways to participate in the pregnancy, while also making space for grief about what you are missing, can help.
Therapy can provide a place to explore what connection to the pregnancy and your developing identity as a parent mean to you.
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The relationship between intended parents and a gestational carrier can hold gratitude, closeness, vulnerability, uncertainty, and questions about boundaries all at once. Differences around communication, involvement, medical decisions, or expectations during pregnancy can also bring up anxiety.
Therapy can help intended parents understand their own needs and emotions while navigating the relationship thoughtfully and preparing for how it may evolve during pregnancy, birth, and afterward.
Related Resources for Intended Parents
REASONS TO BOOK
REASONS TO BOOK
CLINICALLY TRAINED
You’re drawn to therapy that goes beyond symptom relief—a space with a curious, reflective, and empathetic therapist who helps you uncover the unconscious origins of your thoughts, feelings, and relational patterns, and understand how they continue to shape your present experience.
DEEP, INSIGHT-ORIENTED APPROACH
Therapy can be challenging work, and having a skilled, clinically trained therapist by your side makes all the difference. After transforming my own career from attorney to therapist, I completed several years of advanced clinical training at both the St. Louis and Chicago Psychoanalytic Institutes. This depth of training allows me to look beyond symptoms alone, helping you understand the underlying patterns that keep you feeling stuck.
WARM AND APPROACHABLE
Starting therapy can feel vulnerable. My goal is to make the process feel approachable by creating a space where you feel comfortable being yourself, asking difficult questions, and exploring what matters most to you.