Therapy Center for Pregnancy Loss

Recurrent Pregnancy Loss

Therapy for recurrent pregnancy loss

Compassionate support for the chronic grief, trauma, anxiety, and emotional exhaustion that follow repeated miscarriages, stillbirth, infertility-related losses, and pregnancy after loss anxiety.

Care Modes
In-person & Telehealth
Licensed
MD · PA · PSYPACT
Certified
IPPE-C
Focus
Recurrent Pregnancy Loss

Experiencing recurrent pregnancy loss can be emotionally devastating and deeply isolating. After multiple miscarriages or pregnancy losses, many individuals and couples find themselves living with chronic grief, fear, anxiety, emotional exhaustion, and uncertainty about the future. Each new loss may intensify feelings of heartbreak, helplessness, anger, or distrust in one's body and the pregnancy process itself.

Recurrent pregnancy loss often affects far more than hopes for pregnancy. Many people experience profound emotional and psychological effects, including anxiety, depression, trauma symptoms, difficulty feeling hopeful, relationship strain, obsessive monitoring of symptoms, fear of attachment during pregnancy, and a constant anticipation of loss. Others describe feeling emotionally numb, disconnected from friends or family, or unable to tolerate pregnancy-related reminders.

The experience of repeated loss can also become traumatic. Medical procedures, repeated cycles of hope and grief, difficult appointments, uncertainty surrounding causes of loss, and feeling misunderstood by others may contribute to overwhelming emotional distress. Some individuals begin to feel consumed by fear, guilt, self-blame, or a sense that their lives have become organized around pregnancy loss and waiting for the next disappointment.

Many people struggling with recurrent pregnancy loss also feel isolated because the grief is not always fully recognized by others. Comments such as “you can try again” or “at least it happened early” may unintentionally minimize the emotional impact of repeated losses. The cumulative nature of recurrent pregnancy loss can make each subsequent pregnancy feel increasingly anxiety-provoking and emotionally complex.

In therapy we may work with

Areas we may work on together

  • Chronic grief and sadness
  • Trauma related to repeated losses
  • Anxiety during future pregnancies
  • Fear of attachment or emotional vulnerability
  • Shame, guilt, or self-blame
  • Relationship stress
  • Medical and reproductive trauma
  • Difficulty functioning day-to-day
  • Emotional burnout related to fertility treatment or trying to conceive

My approach

A compassionate, evidence-based approach

My approach is warm, compassionate, and grounded in evidence-based psychotherapy. I strive to create a space where the full emotional reality of recurrent pregnancy loss can be acknowledged without minimizing the depth of your experience.

Area of focus

Specialized therapy for reproductive loss

I provide specialized psychotherapy for individuals coping with recurrent miscarriage, infertility-related loss, pregnancy after loss anxiety, stillbirth, and reproductive trauma.

FAQ

Frequently asked questions

How long does miscarriage grief last?

Grief after miscarriage can last far longer than many people expect. Some individuals experience intense grief for weeks or months, while others continue to feel emotional pain years later, especially around anniversaries, due dates, pregnancy announcements, or future pregnancies. There is no “correct” timeline for grieving pregnancy loss.

Why am I so anxious during pregnancy after miscarriage?

Pregnancy after loss often brings intense anxiety, fear, and emotional uncertainty. Many individuals feel unable to fully trust the pregnancy or their bodies after a previous loss. It is common to experience constant worry, hypervigilance, difficulty bonding with the pregnancy, fear before appointments, or emotional conflict between hope and fear.

Can therapy help after pregnancy loss?

Therapy can help individuals process grief, trauma, anxiety, guilt, shame, relationship strain, and emotional overwhelm related to pregnancy loss. Specialized therapy may provide support in coping with miscarriage, stillbirth, recurrent pregnancy loss, infertility-related grief, reproductive trauma, and pregnancy after loss anxiety.

See all questions

Dr. Rayna D. Markin, PhD

Written by

Rayna D. Markin, PhD

Licensed psychologist · IPPE-C credentialed · Associate Professor in Counseling · President-Elect, Society for the Advancement of Psychotherapy (Division 29, APA) · Associate editor, APA journal Psychotherapy: Theory, Research, Practice, and Training · Author of Psychotherapy for Pregnancy Loss

Read full bio

Related services

Explore related areas of focus

Couples Therapy

Couples therapy after miscarriage, stillbirth, infertility-related loss, recurrent pregnancy loss, and pregnancy after loss anxiety.

Learn more

Medical Trauma

Therapy for medical trauma after miscarriage, stillbirth, ectopic pregnancy, termination for medical reasons, and fertility-related loss.

Learn more

Infertility, IVF & Reproductive Loss

Specialized infertility therapy for individuals and couples coping with infertility, IVF, pregnancy loss grief, and reproductive trauma. In person in Maryland, serving the Washington, DC metro area, and telehealth throughout PSYPACT states.

Learn more

Perinatal Mental Health

Therapy for anxiety, depression, mood disorders, and trauma during pregnancy and the postpartum period.

Learn more

TFMR Therapy

Specialized attachment-oriented therapy for grief, trauma, and pregnancy after termination for medical reasons (TFMR). Telehealth across MD, PA, VA, DC, and PSYPACT states.

Learn more

Stillbirth Therapy

Compassionate therapy for stillbirth grief and trauma. Specialized support for parents coping with the loss of a baby, pregnancy trauma, and life after stillbirth

Learn more

Pregnancy & Birth Trauma

Compassionate childbirth trauma therapy using attachment-informed, emotion-focused, and trauma-informed psychotherapy to help parents recover after difficult births, emergency deliveries, NICU experiences, and obstetric trauma.

Learn more

Postpartum Support After Loss & Infertility

Specialized postpartum therapy after pregnancy loss, miscarriage, stillbirth, infertility, IVF, and pregnancy after loss. Support for postpartum anxiety, grief, attachment, bonding, and the transition to parenthood. In-person in Maryland and telehealth throughout PSYPACT states.

Learn more

Serving clients in Maryland and Pennsylvania and via PSYPACT in Washington DC metro area, Virginia, and other PSYPACT participating states.

Get in touch

Support is available — you don't have to navigate this alone.

rayna.markin@therapycenterpregnancyloss.org
Recurrent Pregnancy Loss Therapy | The Therapy Center for Pregnancy Loss