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Infertility Therapy

Facing infertility can be one of the most emotionally demanding experiences of a person's life — and one of the most isolating. Whether you are navigating a diagnosis for the first time, preparing for IVF or IUI, processing a failed transfer, or grieving a pregnancy loss along the way, the weight of this journey extends far beyond the medical appointments and waiting rooms. It touches your sense of self, your relationships, your plans for the future, and your hope.


At Helping Hands Psychotherapy, we provide specialized mental health support for individuals and couples navigating all aspects of the fertility journey. Our therapists understand the unique grief, anxiety, and emotional complexity of infertility — and we are here to help you find your footing, whatever the path forward looks like. 


We offer in-person and virtual therapy on Long Island and throughout New York State.  Our locations in Rockville Centre and Bethpage are conveniently located for those looking for the comfort of in office therapy.

Looking for Support?

When Infertility Therapy or Counseling May Help

You don't have to be falling apart to reach out. Many of the people we work with come to us not in crisis, but simply exhausted — from the waiting, the hoping, the appointments, and the conversations they're not sure how to have with the people they love.


If infertility is affecting your mood, your relationships, your ability to be present, or your sense of hope — that's enough. You don't need to hit a breaking point first.


Some signs that therapy might help:

  • You're feeling anxious, sad, or emotionally drained more often than not

  • The two-week wait, the injections, or the results feel impossible to sit with

  • You and your partner are struggling to connect or communicate through this

  • You're finding it hard to be around pregnant friends or family — and then feeling guilty about it

  • You've experienced a loss and feel like you're expected to just move on

  • You are confused about what you want to do next and don't know how to make these decisions

  • You're not sure how much more of this you can do, and you're afraid to say that out loud

  • You've been doing this so long, you sometimes forget why you started

If any of this sounds familiar, you're not alone — and you don't have to keep carrying it by yourself. We get it and we're here for you.

When Infertility Therapy or Counseling May Help

1 in 6 people experience infertility and the emotional stress of infertility has been compared to that of having cancer.

What can I expect from infertility therapy?

What can I expect from infertility therapy?

Infertility therapy — also called fertility counseling or reproductive mental health therapy — brings a specialized approach to psychotherapy to support people through the emotional and psychological challenges that happen while trying to conceive or building a family.   Therapy with someone who specializes in infertility therapy is different from general talk therapy in that it is grounded in an understanding of the reproductive medicine landscape: the timelines of treatment, the language of fertility clinics, the emotional rhythms of a two-week wait, and the compounding grief of repeated loss.


Research confirms what many patients already know: infertility is not only a medical condition but a psychological one. Studies have found that the prevalence of major depression among those presenting for infertility treatment ranges from 15% to 54% Mass General Hospital, and research on IVF patients specifically has found that 20–50% report mild to moderate symptoms of depression, and 15–56% report clinically significant anxiety — with symptoms often worsening after failed treatment cycles. PubMed Central


Infertility therapy creates space to process what is happening emotionally alongside what is happening medically. Sessions may involve individual therapy, couples support, or group work — depending on what feels most helpful to you. 


In therapy for infertility, you can expect a safe, compassionate space to explore your emotions, process grief and frustration as you consider and/or navigate family building and  assisted reproduction. You will work with your therapist to develop coping strategies and find joy. Your therapist will support you through the ups and downs of the journey, helping you build resilience and find hope.

Ready to Connect?

Who We Help With Infertility Therapy

Our therapists work with people across the full spectrum of the fertility experience, including those navigating:

  • Unexplained infertility

  • IVF, IUI, and other assisted reproductive technologies (ART)

  • LGBTQIA+ Family Buidling

  • Single Parents By Choice

  • Oncofertility

  • Recurrent pregnancy loss and miscarriage

  • Failed embryo transfers

  • Fertility preservation (egg or embryo freezing)

  • Donor egg, donor sperm, or donor embryo family building (Third Party Reproduction)

  • Gestational surrogacy

  • Secondary infertility (difficulty conceiving after a previous pregnancy)

  • Decisions about when or whether to continue treatment

  • The transition to living childfree after infertility (Childfree Not By Choice)

We also support partners and couples, recognizing that infertility affects relationships in profound ways — and that both people deserve care.

Related Group Therapy Sessions

Infertility & Traumatic Stress Therapy Support Group

Infertility & Traumatic Stress Therapy Support Group

Couples Group Therapy

Couples Group Therapy

Pregnancy Loss Therapy Support Group

Pregnancy Loss Therapy Support Group

Serving Nassau County, Long Island, and Beyond In NYS

Helping Hands Psychotherapy is rooted in Nassau County, with offices in Rockville Centre and Bethpage that are conveniently located for surrounding communities including Plainview, Syosset, Massapequa, Garden City, Oceanside, and Long Beach. We are proud to serve individuals and families across Long Island — including both Nassau and Suffolk Counties — as well as clients throughout New York State via secure telehealth. If you are working with a fertility clinic or reproductive endocrinologist on Long Island or in the greater New York area, our therapists are experienced in collaborating with medical providers to offer coordinated, compassionate care. Wherever you are in your journey, support is close by.

Therapists that Specialize

Megan Nelson

Megan Nelson

LMSW

Pauline Walfisch

Pauline Walfisch

Founder & Clinical Director, LCSW-R, PMH-C, Approved EMDR Consultant

Joan Salmon

Joan Salmon

LCSW

Frequently Asked Questions

Do you accept insurance?

Yes, we do work with many insurance plans. Our intake coordinators will check your specific insurance plan and let you know how that would cover care at HHP. When using your insurance isn't an option, we are proud to offer a fee structure that aims to make care accessible, while still allowing us to provide high quality care. You can find more information on our Fees and Insurance page.

How do I schedule an appointment?

Scheduling an appointment is easy. You can schedule an introductory call at 516-442-1116. Let us know how we can help and we will call you as soon as possible- usually the same/next business day.

How would group therapy be helpful?

Our therapist-led groups provide a safe, supportive space to process the emotional and relational impact of infertility, pregnancy loss, and reproductive trauma. Being in a group can help reduce isolation and shame, foster connection with others who truly get it, and help you regulate intense emotions while rebuilding trust in your body and a sense of control. Through psychoeducation, grounding techniques, and shared reflection, you will work toward healing, meaning-making, increasing resilience, and renewed hope. The group can support you in navigating complex experiences like relationship issues, treatment decisions, family building options, or pregnancy at a pace that feels good to you. We have short term groups which have a focus on learning skills to manage the stress, as well as an ongoing weekly group for finding calm, connection, and meaning through the uncertainty of infertility. A space where healing and possibility meet.

What if I or someone else in the group has a positive pregnancy test?

That’s one of the goals that you all are working towards. So we not only prepare for it, we expect it. It is normal to have mixed emotions about sharing or hearing news from others. Of course, we will handle these situations with thought and care. Pregnancy announcements are handled with care in this group.

Will we only talk about infertility?

Absolutely not! You are a whole person with an entire life outside of your infertility experience. Part of coping with the experience of infertility is enhancing the other parts of your life. Bring it all!

How is “graduation” from group handled?

We will collaborate with you and the group as a whole to determine when graduation feels right. Usually this happens around the same time you “graduate” from your reproductive endocrinologist. Some members may remain longer Readiness often becomes clear when the support needs of someone who is newly pregnant naturally begin to differ from the ongoing needs of those still in active fertility treatment or early loss recovery.

What if my partner also needs therapy?

We know that families are complex and are here to support each person so that you can support each other.

Fees & Insurance

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