Do I need a therapist who specializes in infertility?

It helps. A generalist may inadvertently say things that don't land well. A therapist trained in reproductive mental health understands the medical timeline, the language, the relationship strain, and the specific kind of grief that infertility produces.

My partner and I are fighting more. Is that normal?

Yes, and it's also something therapy can help with directly. Infertility puts couples under sustained pressure, and partners often process it differently. Individual therapy can help, and sometimes couples work added in is the right call.

I can't handle baby showers anymore. Is that something I just have to push through?

No. Setting limits on what you can attend is a reasonable response to grief, and your therapist can help you figure out how to communicate that without losing relationships you care about. It is not a moral failing to take care of yourself.

Will therapy help me get pregnant?

Therapy is not a fertility treatment. What therapy does is reduce the stress, isolation, and depression that come with infertility, which improves quality of life during a very hard chapter. Some research suggests that lower distress may have modest effects on treatment outcomes, but the primary value is in how you live, not in the outcome.

What is a PMH-C certification?

PMH-C (Perinatal Mental Health Certification) is awarded by Postpartum Support International (PSI) to clinicians who have completed advanced training in perinatal mental health — covering postpartum depression, anxiety, OCD, birth trauma, and related conditions. It represents the gold standard of specialization in this field.

How do I know if I need therapy?

If you're struggling — with your mood, your thoughts, your relationship, or just how you're coping — that's enough of a reason to talk to someone. You don't need a diagnosis. A free consultation is a low-commitment first step.

The emotional cost of trying to get pregnant is real — and rarely talked about.

"Every month is a cycle of hope and grief. Nobody warns you it's this hard."

Infertility affects 1 in 8 couples — the emotional toll is comparable to a cancer diagnosis.

✓See a specialist this week✓PMH-C Certified Therapists✓Telehealth · see anyone from home

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Every month is a cycle of hope and grief. The treatments are relentless. The intimacy has become medicalized. The financial pressure is enormous. And most people around you either don't know what you're going through or keep saying the wrong thing. The psychological impact of infertility is real, it's serious, and it deserves real support.

The psychological impact of infertility is comparable to chronic illness, and therapy during treatment — specialized in reproductive mental health — is one of the most effective ways to stay steady through it. Learn more about Infertility therapy →

You might benefit from therapy if…

✓You've been trying to conceive for months or years and the weight keeps growing
✓Failed cycles have piled up, and each one leaves something behind
✓Your relationship has changed under the pressure in ways you didn't expect
✓You're exhausted from performing okay at work and family events
✓You've started avoiding baby showers, pregnancy announcements, and sometimes, people

Dr. Emily Guarnotta

Psychologist & Founder

From our founder
Infertility is one of the most underestimated experiences in my practice. The cumulative weight of each month, each appointment, each negative test, is enormous, and most people are carrying it without anyone really seeing it. Therapy doesn't shorten the road. It does change what it's like to walk it.

What therapy looks like

Therapy during infertility usually combines CBT, ACT, and grief-informed work. Cognitive Behavioral Therapy helps with the thought patterns that fuel rumination and shame. Acceptance and Commitment Therapy is particularly useful because so much of infertility involves uncertainty you can't control. Grief work shows up because each cycle, each loss, and each missed milestone is its own loss that often doesn't get acknowledged. Most Phoenix Health therapists hold PMH-C certification, and several have additional training in reproductive mental health. Sessions might focus on coping during a treatment cycle, processing a recent failed cycle, decision-making around treatment options, relationship strain, or grief about a path that's taking longer or looking different than you imagined. Some clients work weekly during active treatment and then move to less frequent sessions during pauses. A typical course of work is 3 to 6 months, but many clients stay in therapy throughout treatment because having a steady relationship with someone who already knows the picture is itself part of the support. The goal isn't to make the pain go away. It's to keep your life from being entirely defined by the trying.

Our Infertility specialists

Most Phoenix Health therapists hold PMH-C certification — the gold standard in perinatal mental health.

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Stories that may sound familiar

These are examples, not client reviews. We don't publish our clients' words. What's said in therapy stays there.

“"What nobody tells you about infertility is that it changes how you see pregnant people. I couldn't go to baby showers. I hid from social media. I felt like a horrible person for feeling what I was feeling. My therapist helped me understand that grief doesn't follow rules and that I was allowed to feel all of it without shame."”

“Two years of treatments and nobody talked about what it does to your relationship, your identity, your sense of self. I felt like my body had failed me. My therapist helped me separate my worth from my fertility, and helped my husband and I find each other again in the middle of it. Still trying. Feeling more like myself than I have in years.”

“My emergency C-section left me with nightmares and panic attacks. I couldn't talk about the birth without shaking. Therapy helped me process the trauma and reclaim my story. I'm pregnant again now, and I actually feel ready.”

“I had stopped telling people we were trying because I couldn't handle one more well-meaning comment. My therapist understood the language and the timing, and I never had to explain a single thing twice. After six months I felt like I had my life back, even though we were still in treatment.”

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Expert care.
Covered by insurance.

We're in-network with major plans in 11 states so you can receive care without financial stress.

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Most clients pay less than $20 per session.

We verify your benefits before your first session — no surprises on cost.

Accepted Insurance Networks

+25 more

Ready to start Infertility therapy? Here’s how it works.

The whole process takes about 5 minutes. We handle insurance — you just show up.

1
Book your free call
A quick 15-minute chat to hear what you're going through, answer your questions, and make sure we're a great fit for your needs. No cost, no commitment.
2
Get matched
We'll pair you with the right specialist for your specific situation. We'll also check your insurance, so you know your exact cost per session before moving forward.
3
Start your first session
Meet your therapist from the comfort of home. No commute, no waiting rooms, no judgment. Most clients notice a real difference within just 2 to 3 sessions.

Book your free call

No commitment · Most insurance accepted · Available this week

Common questions

It helps. A generalist may inadvertently say things that don't land well. A therapist trained in reproductive mental health understands the medical timeline, the language, the relationship strain, and the specific kind of grief that infertility produces.
Yes, and it's also something therapy can help with directly. Infertility puts couples under sustained pressure, and partners often process it differently. Individual therapy can help, and sometimes couples work added in is the right call.
No. Setting limits on what you can attend is a reasonable response to grief, and your therapist can help you figure out how to communicate that without losing relationships you care about. It is not a moral failing to take care of yourself.
Therapy is not a fertility treatment. What therapy does is reduce the stress, isolation, and depression that come with infertility, which improves quality of life during a very hard chapter. Some research suggests that lower distress may have modest effects on treatment outcomes, but the primary value is in how you live, not in the outcome.
PMH-C (Perinatal Mental Health Certification) is awarded by Postpartum Support International (PSI) to clinicians who have completed advanced training in perinatal mental health — covering postpartum depression, anxiety, OCD, birth trauma, and related conditions. It represents the gold standard of specialization in this field.
If you're struggling — with your mood, your thoughts, your relationship, or just how you're coping — that's enough of a reason to talk to someone. You don't need a diagnosis. A free consultation is a low-commitment first step.

From the Phoenix Health resource center

Articles and guides about infertility

The Emotional Weight of Infertility: What the Mental Health Impact Actually Looks Like

Infertility is a medical condition, but its mental health impact is often more disabling than the physical experience. Understanding what's happening psychologically — and why it's so hard — is the first step toward getting the right support.

Read article →

When Infertility Starts Damaging Your Relationship

Infertility puts enormous strain on couples — but the signs aren't always obvious. Here's how to recognize when the stress has become something more.

Read article →

Does the Grief of Infertility Get Better? What Recovery Actually Looks Like

Infertility grief does shift over time, but what \"better\" looks like depends on where you are in the process. Here's what recovery actually looks like.

Read article →