Find Adoption Counseling

Medically reviewed by Gabriela Asturias, MD on June 24, 2024
Written by the MiResource team

Adoption is a life-changing decision that can bring joy, meaning, and connection—but it can also involve complex emotions, loss, and transitions for everyone involved. Whether you're an adoptive parent, a birth parent, or an adoptee, adoption counseling provides essential support before, during, and after the process. With the right therapist, you can navigate the emotional terrain of adoption with greater clarity, resilience, and compassion.

  • Monik Lopez, Licensed Mental Health Counselor (LMHC)

    Monik Lopez

    Licensed Mental Health Counselor (LMHC)

    1550 Madruga Avenue, Coral Gables, Florida 33146

    Monik Lopez is a Licensed Mental Health Counselor (LMHC) in Coral Gables, Florida and has been in practice for 15 years. They treat Adoption, Divorce, Relationship(s) with Partner/Husband/Wife.

    The most important relationship you will ever have is the one you have with yourself. If you’re struggling, we’re here to help! Call me anytime

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  • Sandra Tursini, Licensed Professional Counselor (LPC)

    Sandra Tursini

    Licensed Professional Counselor (LPC)

    2409 South Rural Road, STE C, Tempe, Arizona 85282

    Sandra Tursini is a Licensed Professional Counselor (LPC) in Tempe, Arizona and has been in practice for 30 years. They treat Adoption, Sexual Identity, Trauma.

    Caring LPC with 30+ years’ expertise in diverse counseling areas, committed to recognizing individual worth and guiding clients through life's challenges

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  • Orvon White, Licensed Clinical Social Worker (LCSW)

    Orvon White

    Licensed Clinical Social Worker (LCSW)

    Remote only

    Orvon White is a Licensed Clinical Social Worker (LCSW) in undefined, undefined and has been in practice for 8 years. They treat Adoption, End of Life, Peer Difficulties.

    My intention is to create a safe space where clients feel validated and affirmed in their lived experiences and that they feel lighter when they leave.

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  • Ebony Martinez, Licensed Mental Health Counselor (LMHC)

    Ebony Martinez

    Licensed Mental Health Counselor (LMHC), Counselor, Licensed Professional Clinical Counselor (LPCC)

    Remote only

    Ebony Martinez is a Licensed Mental Health Counselor (LMHC) in undefined, undefined and has been in practice for 5 years. They treat Adoption, Social Anxiety, Self-Esteem.

    I aim to remain culturally sensitive and open to what is priority for you. I believe your voice has value & I'm ready to listen.

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  • Heidi Soto Holgate, Licensed Clinical Social Worker Associate (LCSWA)

    Heidi Soto Holgate

    Licensed Clinical Social Worker Associate (LCSWA)

    3720 Benson Drive, Raleigh, North Carolina 27609

    Heidi Soto Holgate is a Licensed Clinical Social Worker Associate (LCSWA) in Raleigh, North Carolina. They treat Adoption, Academic Concerns, Sexual Assault.

    As a social worker, my practice is deeply rooted in a commitment to social justice, anti-racism, and cultural humility.

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  • Margaret Bester, Licensed Professional Counselor (LPC)

    Margaret Bester

    Licensed Professional Counselor (LPC), Licensed Clinical Social Worker (LCSW), Licensed Marriage and Family Therapist (LMFT)

    7633 Ganser Way, Madison, Wisconsin 53719

    Margaret Bester is a Licensed Professional Counselor (LPC) in Madison, Wisconsin and has been in practice for 21 years. They treat Adoption, Sex Addiction/Pornography Concerns, Physical Assault.

    Current availability, all identities welcome, experienced and passionate professionals working with a variety of diagnosis' and symptoms.

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What is pre-adoption counseling, and why is it important?

Pre-adoption counseling is a form of therapy designed to help prospective adoptive parents (or birth parents) prepare emotionally, mentally, and relationally for the adoption process. It offers a safe, supportive space to:

  • Understand the lifelong implications of adoption
  • Explore personal motivations and expectations
  • Learn about trauma-informed parenting and child development
  • Process grief, especially if infertility or loss led to the decision to adopt
  • Discuss fears, hopes, and relational dynamics
  • Prepare for the challenges and beauty of forming a non-biological family

By working with a therapist experienced in pre adoption counseling, families can enter the process more grounded and emotionally ready for what lies ahead. Agencies may require it—but even when optional, it's highly recommended for long-term success.


How can therapy help individuals or couples decide if adoption is right for them?

Deciding to adopt is not just a legal or logistical step—it’s an emotional and identity-shaping decision that affects everyone involved for a lifetime. Whether you're considering adoption after fertility struggles, feeling drawn to expand your family in a non-traditional way, or unsure if it's the right path, adoption counseling can help clarify your motivations, address unspoken fears, and create emotional readiness.

In pre adoption counseling, a therapist provides a supportive, nonjudgmental space where individuals or couples can:

  • Explore their reasons for pursuing adoption: Are they motivated by a desire to parent, to help a child in need, or to resolve grief from infertility? Clarifying intent helps build a strong foundation.
  • Address unresolved grief: If infertility, miscarriage, or pregnancy loss is part of your history, therapy helps process these losses so adoption isn’t a substitute for unhealed pain.
  • Navigate uncertainty and ambivalence: It's normal to feel both excitement and anxiety. Therapy allows these emotions to be aired openly without pressure to “decide now.”
  • Understand the long-term impact: Adoption isn’t a one-time event—it’s a lifelong dynamic. A therapist can help prospective parents imagine and prepare for future identity conversations, questions from the child, and family adjustments.
  • Discuss parenting roles and expectations: Couples may have different ideas about how they’ll parent, what kind of adoption they prefer (infant vs. older child, domestic vs. international), or how open they want the process to be. Counseling creates alignment.
  • Assess readiness for openness, complexity, and emotional demands: Adoption involves navigating not just love, but loss. Therapy helps ensure you’re emotionally equipped for the realities ahead—not just the dream.

Many agencies now encourage or require pre adoption counseling because it’s been shown to reduce adoption disruptions and increase emotional preparedness. Even if you're already leaning toward “yes,” working with an adoption therapist can help you move forward with clarity, confidence, and care.


What emotional challenges do adoptive parents commonly face before and after adoption?

Even in joyful adoptions, complex emotions often arise. Common emotional challenges for adoptive parents include:

Before Adoption:

  • Grief over infertility or pregnancy loss
  • Anxiety about the matching process
  • Fear of not bonding with the child
  • Guilt about adopting rather than conceiving
  • Pressure from extended family or social norms

After Adoption:

-Struggles with attachment or connection -Fear of rejection by the child or birth family -Identity questions (e.g., “Am I a real parent?”) -Emotional fatigue from managing trauma responses -Isolation or lack of understanding from peers

A skilled adoption therapist can help normalize these feelings and teach parents how to cope, connect, and care—for their children and themselves.


Yes. Just like pediatric checkups, counseling for adoptive families can be preventive, not just reactive. Even when everything seems smooth, therapy can:

  • Offer a space for kids to explore identity or emotions
  • Give parents tools to navigate future challenges
  • Foster open communication between family members
  • Prepare for developmental transitions (e.g., adolescence, search for birth family)
  • Reinforce secure attachment and emotional safety

Adoption is not a one-time event—it’s a lifelong journey. Ongoing support for adoptive families helps everyone grow and adjust over time.

Find care for Adoption

Remember, recovery is possible. With early intervention, a supportive network, and the right professional care, you can overcome the challenges of Adoption and build a fulfilling life. We are here to help you find care.

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