Find an Adoption Therapist in Iowa
This page highlights therapists in Iowa who specialize in adoption-related needs for adoptive parents, birth families, and adoptees across the lifespan. Browse the listings below to compare specialties, locations, and online availability and find a good fit.
Katherine (Katie) Strub
LMHC
Iowa - 15 yrs exp
How adoption therapy works for Iowa residents
If you are exploring adoption therapy in Iowa, the process often begins with an intake conversation to identify the specific adoption-related concerns you want to address. That initial meeting may be in person or online and is an opportunity to share your family story, any prior supports, and goals for therapy. From there a therapist will outline a plan that may include individual sessions, family work, and coordination with schools or pediatric providers when children are involved. Adoption therapy commonly focuses on attachment, grief and loss, identity, behavior, and navigating relationships affected by adoption history. Many therapists combine clinical assessment with practical strategies you can use at home and in school settings.
Intake and assessment in Iowa
During intake a clinician will typically gather developmental history and information about the adoption timeline, openness arrangements, and any medical or developmental concerns. If you live in a rural area or a smaller community, such as near Davenport or Iowa City, online sessions can make it easier to connect with clinicians who specialize in adoption. Assessment can include standardized measures of attachment and behavior when appropriate, but the emphasis is usually on creating an individualized plan that addresses the emotional and relational needs that come with adoption experiences.
Finding specialized adoption help in Iowa
When seeking a therapist with adoption expertise, look for clinicians who explicitly list adoption, attachment, trauma-informed care, or family systems work among their specialties. Many therapists working in Des Moines, Cedar Rapids, Davenport, and Iowa City have additional training in adoption-competent approaches, such as attachment-based interventions or grief-focused therapy. You can also ask about a therapist's experience with open adoption arrangements, transracial adoption, foster-to-adopt situations, and post-adoption support. Local adoption agencies, community health centers, and pediatric clinics can sometimes provide referrals, and online directories allow you to filter by specialty and telehealth options to find clinicians who match your needs.
What to expect from online therapy for adoption
Online therapy can be an effective option if you live far from specialists or need flexible scheduling. In Iowa, many clinicians offer a mix of in-person and virtual sessions, which can be particularly helpful for families balancing school and work or for those outside larger metropolitan areas. In virtual sessions you can expect similar therapeutic goals as in-person work - building attachment, processing loss, developing identity and coping skills - with adaptations so activities and interventions work through a screen. A therapist may use shorter, more frequent sessions with young children, involve caregivers in coaching exercises, and recommend local resources or in-person services when physical assessments or community-based supports are needed. If you live in a city like Des Moines or Cedar Rapids, you may have the option of alternating between in-person and online meetings depending on your family's needs.
Privacy and technology considerations
Before beginning online therapy, you should ask your clinician about the video platform they use, how they handle notes and records, and what to expect if technical issues arise. It is helpful to choose a quiet, comfortable environment in your home for sessions so that you and your child can focus. If a child is involved, therapists often coach caregivers on ways to manage behaviors between sessions and may recommend school-based supports in Iowa City, Davenport, or other local districts.
Common signs someone in Iowa might benefit from adoption therapy
There are many reasons people seek adoption-related therapy. You might notice changes in mood, persistent questions about identity, difficulty with trust and attachment, or behavioral challenges that do not respond to typical parenting strategies. Children may express grief or confusion about their history through play, regression, or difficulty at school. Teens and young adults can struggle with identity issues, shame, or feeling disconnected from family narratives. Birth parents may experience unresolved grief, complicated reunions, or challenges navigating open adoption arrangements. You may find yourself repeatedly revisiting adoption-related losses at significant life milestones or experiencing intense stress when adoption becomes part of discussions about health, schooling, or family growth. If these patterns feel familiar, talking with a therapist who understands adoption dynamics can provide targeted support and coping strategies.
Tips for choosing the right adoption therapist in Iowa
Start by clarifying what you want to address and whether you prefer in-person, online, or a mix of both. If you live in a metro area like Des Moines, you may have more in-person options; if you live elsewhere in the state, online therapy broadens your choices. Ask potential therapists about their experience with specific adoption-related issues that matter to you - for example, transracial adoption, infant adoption, foster care reunification, or adoptive parent coaching. Inquire about therapeutic approaches they use and how those approaches translate into practical work with families and children. Many clinicians will describe work that combines trauma-informed care with attachment-focused strategies and skills-based coaching for caregivers.
Practical questions to ask
Consider asking how often they recommend sessions for your situation, whether they provide child or family sessions, and how they involve schools or pediatricians when appropriate. Ask about fees, whether they accept your insurance, and whether sliding scale options are available if cost is a concern. You should also ask how they handle crisis situations and whether they have experience coordinating with local resources in Iowa, such as school counselors in Cedar Rapids or community mental health centers in Davenport. A good match often hinges on both clinical expertise and the interpersonal fit between you and the therapist.
Working with children, teens, and parents
Therapy for adoptees may include direct work with the child or teen, coaching and support for caregivers, and combined family sessions to improve communication and attachment. Play-based interventions are common with younger children, while adolescents may engage in talk therapy focused on identity, relationships, and future planning. For parents, therapy often focuses on understanding developmental and attachment needs, responding to difficult behaviors in ways that promote connection, and processing the emotional complexities of adoption - including grief and loss that can affect everyone in the family. If you are coordinating care for a school-aged child, therapists in Iowa will often collaborate with teachers to provide consistency between home and school strategies.
Finding ongoing community and resources in Iowa
Beyond individual therapy, you may benefit from support groups, workshops, or adoption education offered by local agencies and community organizations. Cities like Des Moines, Cedar Rapids, Davenport, and Iowa City frequently host events or continuing education for adoptive families and professionals. These opportunities can help you build a network of peers who understand adoption-related challenges and provide a complement to individual therapy. When you are looking for long-term support, consider a therapist who is open to coordinating with these community resources to create a comprehensive plan for your family.
Final thoughts
Choosing adoption therapy is an important step toward addressing the unique emotional, relational, and practical concerns that come with adoption. By focusing on therapists who list adoption competence, asking clear questions about experience and approach, and considering both in-person and online options across Iowa, you can find a clinician who helps your family build stronger relationships and develop tools to thrive. Use the listings on this page to explore profiles and reach out with any questions - starting the conversation is often the most meaningful first step.