REPRODUCTIVE PSYCHOLOGICAL SERVICES

A Compassionate and Inclusive Approach to Reproductive Psychology

Reproductive care is never one-size-fits-all. At PBA Psychology, we recognize that each person’s path to family building is shaped by identity, culture, relationships, health, values, loss, resilience and hope.

Our clinicians offer psychologically informed care that is:

  • Inclusive of LGBTQIA+ parents and families

  • Affirming of single parents by choice

  • Sensitive to cultural, racial and religious identity

  • Supportive of donors, surrogates and intended parents

  • Compassionate toward infertility, pregnancy loss and reproductive grief

  • Attuned to pregnancy fears, anxiety and emotional overwhelm

  • Supportive of adoption as a family-building path

  • Trauma-informed and emotionally responsive

  • Respectful of each client’s reproductive choices

  • Grounded in clinical experience with individuals, couples and families

Whether you are beginning fertility treatment, coping with infertility, grieving pregnancy loss, considering adoption, preparing to become a donor, serving as a gestational carrier or hoping to become a parent, we are here to support your psychological wellness throughout the process.

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Psychological support for intended parents, hopeful parents, donors, surrogates and all families on the path to parenthood

Every reproductive journey is deeply personal. Some people arrive after years of infertility treatment. Some are grieving miscarriage, pregnancy loss, failed IVF cycles or changes in the family they imagined. Others are considering donor conception, surrogacy or adoption for the first time. We support all families on their journey, including LGBTQIA+ parents, single parents by choice, blended families, known donors, gestational carriers, surrogates and intended parents navigating complex decisions with medical, legal, relational and emotional implications.

We provide thoughtful, inclusive and clinically informed support for all families on their reproductive journey

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Infertility Therapy and Fertility Counseling

Infertility can affect emotional wellness, relationships, identity, sexuality, finances, family expectations and a person’s sense of control over the future. Whether you are beginning fertility treatment, considering IVF, using donor conception, exploring surrogacy or deciding whether to continue treatment, therapy with experienced clinicians can provide support during a deeply vulnerable time.

Infertility therapy may help with:

  • Anxiety, sadness or frustration during fertility treatment

  • Coping with failed IVF cycles or unsuccessful procedures

  • Deciding whether to pursue donor conception, surrogacy or adoption

  • Navigating medical appointments and treatment fatigue

  • Managing pressure from family, culture or community

  • Coping with jealousy, isolation or grief when others become pregnant

  • Processing changes to the family-building path you expected

  • Supporting communication between partners

  • Making values-based decisions about next steps

PBA Psychology offers fertility counseling for individuals and couples who want emotional support while navigating infertility, reproductive treatment and family-building decisions.

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Pregnancy Loss, Miscarriage and Reproductive Grief

Pregnancy loss can be devastating, whether it happens early in pregnancy, after fertility treatment, after multiple losses or later in the reproductive journey. Miscarriage, stillbirth, unsuccessful IVF cycles, embryo loss, termination for medical reasons and other reproductive losses can bring grief that is often private, misunderstood or difficult to discuss.

Therapy for pregnancy loss may support clients with:

  • Grief after miscarriage or pregnancy loss

  • Anxiety about trying again

  • Fear during a subsequent pregnancy

  • Feelings of guilt, anger, numbness or isolation

  • Relationship strain after loss

  • Difficulty being around pregnant friends or family members

  • Processing medical trauma or difficult treatment experiences

  • Making decisions about future fertility treatment

  • Honoring the loss while moving forward

At PBA Psychology, we provide compassionate psychological support for reproductive grief, helping clients process loss in a way that respects the depth and complexity of their experience.

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Pregnancy Fears, Pregnancy Anxiety and Emotional Support During Pregnancy

Pregnancy can bring joy and anticipation, but it can also bring fear, uncertainty and emotional distress. Some people experience anxiety about pregnancy after infertility, pregnancy loss, trauma, medical complications or a difficult previous birth. Others may feel overwhelmed by the physical, emotional and identity changes that come with pregnancy.

Therapy can help with pregnancy-related concerns such as:

  • Fear of miscarriage or pregnancy complications

  • Anxiety during pregnancy after infertility or loss

  • Panic, intrusive thoughts or excessive worry

  • Fear of birth or medical procedures

  • Body image concerns during pregnancy

  • Relationship stress during pregnancy

  • Concerns about becoming a parent

  • Ambivalence, guilt or emotional overwhelm

  • Preparing emotionally for childbirth and postpartum adjustment

PBA Psychology offers a supportive space to discuss pregnancy fears openly and develop strategies for emotional regulation, communication and support.

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Support for LGBTQIA+ Parents and Family Building

PBA Psychology proudly supports LGBTQIA+ parents and intended parents pursuing reproductive services. LGBTQIA+ family building can involve unique emotional, relational, social, medical and legal considerations. Our clinicians provide affirming psychological support that honors each client’s identity, relationship structure and path to parenthood.

We support LGBTQIA+ individuals and couples navigating:

  • Donor conception

  • Surrogacy

  • IVF and assisted reproduction

  • Adoption

  • Co-parenting conversations

  • Family-of-origin reactions

  • Gender identity and reproductive care

  • Legal and emotional decision-making

  • Parenting preparation

  • Pregnancy fears, fertility stress or reproductive grief

  • Relationship stress during fertility treatment

Our goal is to provide care that is inclusive, identity-responsive and grounded in respect for each family’s reproductive journey.

Support for Single Parents by Choice

Single parents by choice often approach reproductive services with courage, intention and careful planning. Therapy and consultation can provide meaningful support while navigating the emotional, logistical and relational aspects of building a family independently.

PBA Psychology supports single intended parents with concerns such as:

  • Deciding whether donor conception, surrogacy or adoption is right for them

  • Managing anxiety, loneliness or uncertainty during treatment

  • Coping with infertility, pregnancy loss or treatment setbacks

  • Building a support system

  • Talking with family and friends about reproductive choices

  • Preparing for parenthood

  • Thinking through future conversations with a child about their origin story

  • Managing pregnancy fears or anxiety during the family-building process

We provide a warm and nonjudgmental space for single parents by choice to explore their hopes, questions and concerns.

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Adoption-Related Emotional Support

Adoption can be a meaningful and loving path to family building. It can also involve complex emotions, uncertainty, waiting periods, grief, identity questions and important conversations about family, attachment and origin stories.

PBA Psychology provides adoption-related emotional support for individuals and couples considering or pursuing adoption as part of their family-building journey.

Support may include:

  • Exploring adoption after infertility or pregnancy loss

  • Processing grief around genetic parenthood or changes in family-building plans

  • Preparing emotionally for adoptive parenthood

  • Managing uncertainty during the adoption process

  • Navigating family, cultural or community reactions

  • Discussing identity, attachment and openness

  • Preparing for transracial adoptions

  • Preparing for future conversations with a child about their story

  • Supporting couples through adoption-related stress and decision-making

Our approach is thoughtful, affirming and sensitive to the emotional complexity of adoption and family formation.

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Psychological Evaluations for Donors and Surrogates

PBA Psychology provides psychological evaluations for donors and surrogates as part of the reproductive services process. These evaluations are designed to support informed decision-making, emotional readiness and clear understanding of the responsibilities involved in third-party reproduction.

Evaluations may be appropriate for:

  • Egg donors

  • Sperm donors

  • Embryo donors

  • Known or directed donors

  • Gestational carriers

  • Surrogates

  • Intended parents participating in donor or surrogacy arrangements

A psychological evaluation may explore emotional preparedness, expectations, support systems, boundaries, communication, mental health history and understanding of the donor or surrogacy process. When appropriate and authorized, we can coordinate with fertility clinics, agencies or attorneys involved in the reproductive care process.

Our approach is professional, respectful and sensitive to the unique circumstances of each donor, surrogate and intended family.

Couples Therapy During Infertility, Pregnancy Loss, Donor Conception or Surrogacy

Reproductive treatment and family-building decisions can place pressure on even the strongest relationships. Partners may cope differently, communicate differently or feel differently about timelines, finances, donor selection, adoption, surrogacy, pregnancy loss or next steps.

Couples therapy can help partners:

  • Improve communication during fertility treatment

  • Navigate difficult reproductive decisions together

  • Process grief after pregnancy loss or failed treatment

  • Discuss donor conception, surrogacy or adoption options

  • Strengthen emotional connection

  • Manage conflict and reduce blame

  • Cope with uncertainty and treatment fatigue

  • Prepare for parenthood

  • Support one another through fear, grief and hope

PBA Psychology provides couples therapy for partners from all backgrounds, including LGBTQIA+ couples, heterosexual couples, unmarried partners and co-parenting arrangements.

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Reproductive Psychological Services in Los Angeles and via Telehealth

PBA Psychology offers reproductive psychological services through our Beverly Hills and Downtown Los Angeles offices, with telehealth options available where clinically appropriate and legally permitted.

Our team provides care for intended parents, hopeful parents, donors and surrogates seeking support with the emotional and psychological aspects of reproductive services, infertility, pregnancy loss, pregnancy fears, donor conception, surrogacy and adoption.

To learn more or schedule a consultation, contact PBA Psychology today.

Frequently Asked Questions About Reproductive Psychological Services

What are reproductive psychological services?

Reproductive psychological services include therapy, consultation and psychological evaluations related to fertility treatment, infertility, pregnancy loss, donor conception, surrogacy, adoption, pregnancy fears and assisted reproduction. These services support intended parents, hopeful parents, donors and surrogates as they navigate the emotional and relational aspects of reproductive care.

Who can benefit from reproductive psychological support?

Hopeful parents, LGBTQIA+ parents, single parents by choice, couples, donors, surrogates, gestational carriers and people pursuing adoption may all benefit from reproductive psychological support. Therapy can help with stress, grief, decision-making, communication, identity questions and preparation for parenthood.

Do you provide therapy for infertility?

Yes. PBA Psychology provides infertility therapy and fertility counseling for individuals and couples coping with fertility treatment, IVF, donor conception, reproductive uncertainty and family-building decisions.

Can therapy help after pregnancy loss or miscarriage?

Yes. Therapy can provide support after miscarriage, pregnancy loss, unsuccessful IVF cycles, stillbirth, embryo loss or other reproductive grief. Clients may use therapy to process grief, manage anxiety, communicate with partners and decide what comes next.

Do you help with pregnancy fears or pregnancy anxiety?

Yes. PBA Psychology supports clients experiencing pregnancy fears, pregnancy anxiety, fear of miscarriage, fear of birth, anxiety after infertility or loss, and emotional overwhelm during pregnancy.

Do you provide adoption-related support?

Yes. PBA Psychology offers adoption-related emotional support for individuals and couples considering or pursuing adoption. Therapy may help with grief after infertility, decision-making, waiting, family conversations, identity questions and preparation for adoptive parenthood.

Do donors and surrogates need psychological evaluations?

Many fertility clinics, agencies and reproductive arrangements request or require psychological evaluations for donors and surrogates. These evaluations help assess emotional readiness, understanding of the process, expectations, support systems and potential psychological concerns.

Do you work with LGBTQIA+ intended parents?

Yes. PBA Psychology supports LGBTQIA+ intended parents and families pursuing fertility treatment, donor conception, surrogacy, adoption and other reproductive services. We provide affirming care that respects each client’s identity, relationship and family-building path.

Do you support single parents by choice?

Yes. We provide therapy and consultation for single parents by choice who are exploring or actively pursuing reproductive services, donor conception, surrogacy or adoption. Support may include decision-making, emotional preparation, managing stress, building support systems and preparing for future conversations with a child.

Can couples therapy help during fertility treatment or pregnancy loss?

Yes. Couples therapy can help partners communicate more clearly, manage stress, process grief, make decisions together and stay emotionally connected during infertility treatment, pregnancy loss, donor conception, surrogacy or adoption.

What is discussed in a donor or surrogate psychological evaluation?

A donor or surrogate psychological evaluation may include discussion of mental health history, emotional readiness, support systems, expectations, boundaries, motivations, understanding of the process and potential emotional implications. The exact structure may vary depending on the needs of the fertility clinic, agency or reproductive arrangement.

How do I schedule reproductive psychological services with PBA Psychology?

You can contact PBA Psychology to request a consultation for reproductive psychological services, including donor evaluations, surrogate evaluations, infertility therapy, pregnancy loss support, adoption-related support, individual therapy or couples therapy.

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Phone: 310.271.2275

BEVERLY HILLS LOCATION

9350 Wilshire Blvd, Suite 212
Beverly Hills, CA 90212

DOWNTOWN LA LOCATION

714 W. Olympic Blvd, Suite 926
Los Angeles, CA 90015