Reproductive Therapy and Psychiatry

Therapy can be a powerful resource for those navigating infertility, offering a safe space to process grief, anxiety, and the emotional roller coaster of treatment. Whether you're facing uncertainty, loss, or difficult decisions, speaking with a licensed therapist can provide clarity, coping tools, and compassionate support. You don’t have to carry this journey alone—mental health matters just as much as physical health.

  • McKean Reproductive Psychiatry, LLC

    Providing comprehensive, personalized reproductive psychiatric care to women seeking care for preconception counseling, mood and anxiety symptoms during pregnancy and postpartum, infertility, pregnancy loss, as well as mental health concerns related to menstrual periods, pelvic pain, sexual health, and perimenopause.

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  • Dr. Clay Brigance, PhD, LPC

    Clay has become one of St. Louis’s leading practitioners for couple therapy, and is one of the country’s leading experts on the impacts of infertility and reproductive loss.

    Clay specializes in working with individual men, folks struggling with infertility and loss, as well as couples struggling with conflict, communication, and emotional connection.

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  • Ginny Lupka, PLPC

    Ginny cares deeply about supporting individuals and couples navigating infertility. Through her training with the Institute of Reproductive Grief Care and Postpartum Support International, Ginny cultivates a space that is compassionate, gentle, and welcoming.

    At Shiloh, Ginny exclusively facilitates virtual mental health assessments for clients undergoing specific fertility treatments (e.g. IVF, embryo adoption, use of donated sperm, surrogacy, etc.). This service includes a 90-minute counseling session, 2-3 client-administered mental health assessments (to be reviewed in the aforementioned session), and a summary report for the client’s fertility doctor (if requested).

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