Infertility Counseling Session 3: Assessment

Yesterday was the third infertility counseling session and a host of topics were covered including how to best assess and then assist individuals and couples, using modalities that have been shown to have the most efficacy. These modalities can include psychodynamic psychotherapy, cognitive behavioral therapy, group therapy and alternative medical and healing techniques including acupuncture, mind-body work, prayer, homeopathy among many others.

Assessment is one of the most key elements in the beginning stage of infertility counseling. Often times, one session may be all a therapist has to learn about and then help guide a patient(s) who has been diagnosed with infertility. It is therefore essential that any and all tools be used to best uncover some of the personal challenges a patient(s) may face as they move forward with trying to have a baby.

An individual or couple coming for infertility counseling may not be seeking help with trying to make major changes in their lives. Their focus of attention is trying to find ways to deal with the satellite issues surrounding infertility such as stress reduction, education about infertility and learning how to negotiate and communicate with a partner. The responsibility of the therapist is to help the individual or couple identify goals and then facilitate their ability to achieve those goals. There may be things that arise along the way such as relationship and financial problems, family pressure, mental health issues and unexpected medical findings. If the individual or couple is willing to explore those issues as well, the therapeutic process can continue along that vein while simultaneously incorporating them in to the current infertility discourse.

An infertility counselor has to be sensitive to gender differences when dealing with clients who have been diagnosed with infertility. Historically, women were thought to be primarily responsible for infertility but with advanced diagnostic techniques, it has been discovered that male factor infertility occurs in a significant number of cases. Women and men deal with this diagnosis differently and it is of extreme importance to understand those differences. Women tend more to seek out help, whereas men tend to hold back from sharing. The injury to one’s sense of self is perceived differently by men and women and therapy can help a couple understand one another’s coping styles and work to help achieve mutuality.

Feeling stress, anxiety or depression is to be expected when undergoing infertility treatment as long as it remains within manageable boundaries. Techniques and psychological practices used to help an individual or couple deal with these issues is of prime importance, as it promotes a sense of empowerment and an improved sense of self.

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