• Loss of interest in usual activities
• Depression that doesn't lift
• Strained interpersonal relationships (with partner, family, friends or colleagues)
• Difficulty thinking of anything other than your infertility
• High levels of anxiety.
• Diminished ability to accomplish tasks
• Difficulty with concentration
• Change in your sleep patterns (difficulty falling asleep or staying asleep,
• Early morning awakening, sleeping more than usual for you)
• Change in your appetite or weight (increase or decrease)
• Increased use of drugs or alcohol
• Thoughts about death or suicide
• Social isolation
• Persistent feelings of pessimism, guilt, or worthlessness
• Persistent feelings of bitterness or anger

In addition, there are certain points during infertility treatment when discussion with counselor can be helpful. For example, consultation with a counselor may be helpful to you and your partner if you are:

• at a treatment crossroad
• deciding between alternative treatment possibilities
• exploring other family building options
• considering third party assistance (egg donation, surrogacy)
• having difficulty communicating or if you have different ideas about what direction to take

Zoe has over ten years experience in grief counseling & bereavement. Her approach draws on her clinical training in psychology & her personal experience with loss. Zoe also facilitates an Infant & Pregnancy Loss Support Group for Sutter VNA& Hospice. Zoe is a member of RESOLVE & leads groups for couples dealing with infertility.