Find an Adoption Therapist
This page lists therapists who focus on adoption-related concerns, from attachment and identity to navigating family change. Browse the listings below to compare qualifications, therapeutic approaches, and contact options.
Dr. Colleen Downes
LCSW
New York - 35 yrs exp
What adoption means and how it commonly affects people
Adoption creates lifelong connections and also complex emotional layers for everyone involved. For adoptive parents, it can bring joy and gratitude alongside questions about parenting, attachment, and the navigation of cultural or racial differences. For adoptees, experiences can span a wide range - relief and belonging, curiosity about origins, confusion about identity, or grief about early separations. Birth family members may carry sorrow, relief, or unresolved questions about relationships and decisions. Adoption touches legal, social, and emotional domains, and its effects often unfold across different life stages as new questions and needs arise.
Signs that someone might benefit from therapy related to adoption
If thoughts about adoption are taking more energy than they used to, therapy can help you explore those feelings in a focused way. You might find yourself preoccupied with questions about identity, fearful about telling others your story, or struggling to bond or set boundaries within family relationships. Parents sometimes have persistent anxiety about trauma, attachment, or behavioral challenges that feel overwhelming. You might also notice recurring grief, feelings of loss or disconnection, or difficulty navigating conversations about adoption with schools, family, or community. Therapy can be helpful when these experiences affect daily functioning, relationships, or your sense of wellbeing.
What to expect in therapy sessions focused on adoption
In early sessions, a therapist will typically take time to understand your history and what brought you to therapy now. Expect open-ended questions about adoption history, relationships, cultural background, and current challenges. The therapist will work with you to set goals that feel meaningful - whether that is making sense of your identity, improving attachment and parenting strategies, processing grief, or preparing for reunion conversations. Sessions usually combine exploration of feelings with practical skills you can try between meetings. Therapists create an environment where narratives about adoption can be explored at your pace, including difficult emotions like anger, guilt, or longing without judgment.
Frequency and format
Therapy schedules vary. Some people prefer weekly sessions for several months to build momentum, while others may choose biweekly check-ins or short-term work focused on a specific transition. When you begin, agree with your therapist on the session cadence and how progress will be measured. It is common to reassess goals periodically and adjust the plan as new issues surface.
Common therapeutic approaches used for adoption
Therapists who specialize in adoption draw from multiple approaches to match the needs of individuals and families. Attachment-based therapies focus on strengthening emotional bonds and understanding relational patterns that developed early in life. Narrative therapy helps you reframe the adoption story so it fits with your sense of self and values, allowing space to integrate loss alongside resilience. Trauma-informed care is offered when early experiences include neglect, separation, or other forms of adversity, and it emphasizes safety, pacing, and stabilization rather than immediate processing of painful memories. Cognitive-behavioral techniques can help manage anxiety, intrusive thoughts, or unhelpful beliefs about worth and belonging. Family or systems-oriented approaches consider how adoption affects roles, communication, and cultural identity across family members, and they address dynamics rather than only individual symptoms.
Working with children and adolescents
When working with children and teens, many therapists incorporate play, creative expression, and developmentally appropriate conversation to help young people name feelings and build coping skills. Parenting coaching is often paired with child-focused work so caregivers can learn ways to support attachment, manage behavior, and respond to questions about adoption with sensitivity. Schools and community supports may also be part of a comprehensive plan to address social or academic concerns that intersect with adoption experiences.
How online therapy works for adoption concerns
Online therapy offers a flexible way to access clinicians who understand adoption without geographic limits. You can meet with a therapist from home or another comfortable setting using video or, in some cases, phone sessions. Many therapists adapt established approaches for remote delivery, using conversation, guided exercises, and reflective prompts that work well in a virtual format. Online work can be especially helpful when you want to connect with a therapist who shares a specific cultural background or adoption experience that is not common in your local area.
Setting expectations for virtual sessions
Before beginning virtual therapy, discuss with your therapist how sessions will be structured, how to handle technical interruptions, and what to do between sessions if strong emotions arise. You may be invited to use digital resources or journaling prompts, and some therapists integrate video or email check-ins as part of an agreed plan. If working with children, caregivers are typically involved to create a consistent environment and support in-session activities.
Tips for choosing the right therapist for adoption
Begin by clarifying what you want from therapy - whether it is identity work, trauma processing, parenting support, or help with reunification planning. Look for clinicians who list adoption or related areas in their specialties and who describe specific experience with the age group and cultural context that match your needs. Consider asking about their approach to adoption narratives, how they work with families, and what referral networks they use for legal, medical, or educational concerns. It is reasonable to inquire about training in trauma-informed methods, attachment, or culturally responsive care. Trust your instincts about rapport - if a therapist listens and reflects your experiences without minimizing them, that relationship can powerfully shape progress.
Practical considerations
Check logistical details such as availability, session length, and whether the therapist offers single sessions for focused planning or longer-term options. If you will be using insurance or a benefits program, confirm administrative steps and any coverage limitations. For parents, ask about approaches to involving children in therapy and how the clinician supports parenting strategies outside sessions. If you prefer a clinician with lived experience of adoption or a background in a particular culture, bring that up when searching so profiles and initial conversations can help you narrow options efficiently.
Moving forward
Choosing to explore adoption-related questions in therapy is a step toward greater clarity and resilience. You may find that a short period of work helps resolve immediate challenges or that ongoing therapy supports deeper identity and relational growth. Regardless of the path you take, a thoughtful match between your needs and a therapist's skills increases the likelihood of meaningful progress. Use listings to compare profiles, read descriptions of specialties and approaches, and reach out to schedule an initial conversation. That first meeting is a chance to see whether the clinician's style and experience fit what you are seeking and to set a plan that reflects your goals.
Adoption touches many aspects of life, and therapy can be a helpful resource for making sense of the past while building the relationships and sense of self you want in the present.
Find Adoption Therapists by State
Alabama
39 therapists
Alaska
5 therapists
Arizona
43 therapists
Arkansas
12 therapists
Australia
80 therapists
California
282 therapists
Colorado
60 therapists
Connecticut
19 therapists
Delaware
9 therapists
District of Columbia
10 therapists
Florida
271 therapists
Georgia
115 therapists
Hawaii
11 therapists
Idaho
20 therapists
Illinois
83 therapists
Indiana
45 therapists
Iowa
15 therapists
Kansas
40 therapists
Kentucky
34 therapists
Louisiana
56 therapists
Maine
14 therapists
Maryland
34 therapists
Massachusetts
32 therapists
Michigan
107 therapists
Minnesota
47 therapists
Mississippi
25 therapists
Missouri
90 therapists
Montana
19 therapists
Nebraska
25 therapists
Nevada
8 therapists
New Hampshire
10 therapists
New Jersey
41 therapists
New Mexico
24 therapists
New York
115 therapists
North Carolina
122 therapists
North Dakota
2 therapists
Ohio
59 therapists
Oklahoma
45 therapists
Oregon
16 therapists
Pennsylvania
51 therapists
Rhode Island
6 therapists
South Carolina
70 therapists
South Dakota
4 therapists
Tennessee
49 therapists
Texas
235 therapists
United Kingdom
714 therapists
Utah
30 therapists
Vermont
2 therapists
Virginia
47 therapists
Washington
34 therapists
West Virginia
9 therapists
Wisconsin
38 therapists
Wyoming
12 therapists