In this episode Jennifer talks with Alicia Abdella, MSW, LICSW,  about the emotional and psychological dimensions of third-party reproduction, including egg donation and gestational surrogacy. Alicia is the founder of On the Path Counseling and Consultation, a specialized psychotherapy practice supporting individuals and couples through the emotional challenges of reproductive health. With 15 years of clinical experience, Alicia and her team of licensed therapists provide compassionate counseling for those navigating fertility struggles, IVF, pregnancy loss, third-party reproduction, and complex family-building decisions. Her practice is based in Andover, Massachusetts, with virtual services available in New Hampshire, Maine, Florida, and Massachusetts.

Key topics discussed: 

• What egg donation and gestational surrogacy are, and who uses them
• The wide range of emotional starting points when considering donor egg or surrogacy
• Why partners are rarely at the same emotional place at the same time, and how to navigate that
• Normalizing ambivalence – you don’t have to be 100% on board right away
• How the loss of a genetic connection reshapes feelings about bonding and parenthood
• Disclosure decisions: navigating social stigma, family, culture and religion
• Known vs. anonymous donors and surrogates: short-term and long-term considerations
• Why true anonymity is no longer realistic in the age of direct-to-consumer DNA testing (23andMe, Ancestry.com)
• Bonding with a baby you didn’t carry – what gestational surrogacy looks like emotionally for intended parents
• The role of community and peer connection as a coping tool
• What to expect from a therapy session or formal consult with a reproductive mental health professional
• ASRM guidelines for mental health professional involvement in donor and gestational carrier cycles

Resources Mentioned:

• Fertility Forward — a support program in partnership with Terra Fertility (Boston area)
• American Society for Reproductive Medicine (ASRM) — asrm.org (practice guidelines for third-party reproduction)

Connect with Alicia:

• On the Path Counseling and Consultation
• Email: [email protected]

Connect with Jennifer:

• Schedule a free Fertility Support Session
• Follow Jennifer on Instagram for more tips and insights: @jennredmondinhc

I would be so grateful if you would subscribe, leave a review and share this episode with women in your life who can benefit from this information.

Disclaimer: The Cycles and Seasons podcast is for general educational and informational purposes only and should not be taken as medical advice, diagnosis or treatment. Please consult your healthcare professional regarding any symptoms or medical problems you are experiencing.