When Intended Parents and Surrogates Should Seek Mental Health Support

The journey of surrogacy is both rewarding and complex. For intended parents and gestational carriers, the process often brings moments of joy mixed with emotional strain. Knowing when to seek support during surrogacy is essential for protecting your mental health, strengthening relationships, and ensuring a positive overall experience.

Getting help early can prevent emotional fatigue, miscommunication, and the stress that sometimes arises from the unpredictable nature of surrogacy.

Why Support Matters in the Surrogacy Process

Every surrogacy journey includes emotional highs and lows. Stress can surface at many stages—from navigating contracts and medical treatments to waiting for test results. While occasional worry is normal, ongoing stress that disrupts daily life, work, or relationships signals the need for professional mental health support.

Another common challenge lies in communication between intended parents and gestational carriers. Misunderstandings, unspoken expectations, or emotional distance can create unnecessary tension. In such cases, counseling or mediation provides a neutral space to resolve conflicts and strengthen collaboration.

The uncertainty of medical outcomes or changes in the surrogacy timeline may also cause anxiety or frustration. Developing coping strategies with the help of a therapist can help both intended parents and surrogates manage these stressors more effectively.

Signs You May Need Extra Support

It’s important to recognize early warning signs that indicate additional help is needed:

  • Emotional signals: Persistent sadness, irritability, or feeling emotionally drained.

  • Withdrawal: Avoiding family, friends, or support networks—a common sign of depression or anxiety.

  • Physical stress symptoms: Difficulty sleeping, appetite changes, frequent headaches, or stomach problems.

Acknowledging these signs and reaching out for professional support can prevent minor stress from escalating into more serious mental health challenges.

Types of Emotional Support Available in Surrogacy

1. Individual Counseling

Working one-on-one with a licensed therapist allows intended parents or surrogates to process emotions privately, develop coping tools, and build resilience throughout the journey.

2. Surrogacy Support Groups

Support groups—online or in person—offer shared experiences, validation, and encouragement. Talking with others who understand the unique challenges of surrogacy can reduce isolation and provide practical guidance.

3. Joint Counseling for Surrogates and Intended Parents

When communication issues arise, joint sessions with a counselor can help address concerns constructively. These guided discussions ensure all voices are heard while fostering trust and collaboration.

4. Support From Surrogacy Agencies

Most agencies provide access to psychological evaluations, counseling, and ongoing check-ins. These resources are built into agency-managed surrogacy programs to ensure all parties feel supported at every stage.

Accessing the Right Support: Agency vs. Independent Surrogacy

  • With an Agency: Agencies usually provide built-in mental health resources, regular check-ins, and referrals to experienced professionals. This support ensures you never have to navigate challenges alone.

  • Independent Surrogacy: Without an agency, intended parents and surrogates take on more responsibility for communication and emotional management. In these cases, it is especially important to seek out your own therapist and connect with surrogacy-specific support groups.

Steps for Both Paths:

  • Involve your support system early—family, friends, or a trusted confidant.

  • Find a licensed mental health professional with experience in third-party reproduction.

  • Join online or local support groups to connect with others on the same journey.

Maintaining Balance Through Self-Care

In addition to formal counseling, self-care practices help maintain emotional equilibrium:

  • Mindfulness & relaxation techniques: Deep breathing, yoga, or meditation.

  • Journaling: A healthy outlet for processing emotions and stress.

  • Healthy lifestyle habits: Adequate rest, proper nutrition, and regular exercise.

  • Celebrating milestones: Acknowledge each stage of progress with your support network to maintain positivity and motivation.

Prioritizing Mental Health for a Positive Surrogacy Experience

Recognizing when to seek support during surrogacy is not a sign of weakness—it’s an essential part of ensuring a successful journey for both intended parents and gestational carriers. Early intervention, open communication, and professional resources can make the difference between a stressful experience and one filled with resilience, trust, and fulfillment.

By taking proactive steps to safeguard your emotional well-being, you create a healthier, more supportive environment—one that benefits not just you, but also the baby and family at the center of this remarkable journey.

At PECGNA, we specialize in providing comprehensive psychological evaluations and emotional support tailored to surrogacy journeys. Our experienced team is here to guide you through every stage, from pre-surrogacy screenings to post-surrogacy counseling, ensuring a positive and fulfilling experience for all involved.

Contact PECNA today to learn more about how we can support you throughout your surrogacy journey.

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FOUNDER

Dr. Irada Wattanavitukul, Ph.D., LPC., LMHC

Licensed mental health professional with a Ph.D. in Clinical Psychology

Dr. Irada received her Ph.D. in Clinical Psychology from the California School of Professional Psychology (Los Angeles) and is a highly respected licensed mental health professional with a Ph.D. in Clinical Psychology with specialized training in trauma-informed care, neurodevelopmental assessments, and immigration evaluations. She is deeply committed to supporting individuals and families impacted by trauma, abuse, and developmental challenges, offering evaluations and guidance tailored to their unique needs.

Dr. Irada works extensively with survivors of violence, victims of crime, and individuals with developmental disabilities, ensuring they receive the support and resources they need to thrive. Her compassionate approach helps people navigate the emotional and psychological challenges that often accompany these experiences. Additionally, she plays a critical role in helping families stay together by assisting those going through the immigration process. She understands the emotional toll of separation and provides evaluations and support that empower families to advocate for the protections and accommodations they deserve.

In addition to her work with trauma and immigration, Dr. Irada has completed specialized training in Psychological Evaluation for Assisted Reproductive Technology (ART) through the American Society for Reproductive Medicine (ASRM). As a member of ASRM and its Mental Health Professionals Group (MHPG), she supports individuals and families on their family-building journeys. Her evaluations help identify emotional needs and provide guidance to ensure the well-being of all involved.

Dr. Irada’s expertise and dedication have earned her national recognition. She holds an EB-2 National Interest Waiver (NIW) status, a prestigious acknowledgment of her significant contributions to mental health in the United States. Her work with high-need populations—such as trauma survivors and individuals with developmental challenges—has had a meaningful impact, helping many achieve healing and personal growth.

By combining her expertise in forensic psychology, trauma-informed care, neurodevelopmental assessments, and family support, Dr. Irada has become a key figure in her field. Her compassionate and thorough approach not only benefits individuals and families but also strengthens communities by fostering resilience and well-being.