Telehealth · PSYPACT-Participating States
Telehealth Therapy for Pregnancy Loss
Available across PSYPACT states — specialized counseling for miscarriage, fertility challenges, and reproductive grief, delivered securely from the comfort of home.
- Care Mode
- Secure Telehealth
- Coverage
- All PSYPACT States
- Focus
- Reproductive Grief
The Practice
Specialized Support, Wherever You Are
You don't need to be located near a specialist to receive expert care after pregnancy loss. Through secure telehealth services, Therapy Center for Pregnancy Loss provides counseling to individuals and couples across PSYPACT-participating states. This allows you to access highly specialized support for miscarriage, fertility challenges, and reproductive grief — no matter where you live.
What Is PSYPACT?
One compact, many states
PSYPACT (the Psychology Interjurisdictional Compact) allows licensed psychologists to provide telehealth services across participating states.
This means you can work with a psychologist who specializes in pregnancy loss — even if they are not physically located in your state.
How It Works
How telehealth therapy works
Telehealth sessions are:
- Conducted through a secure, HIPAA-compliant video platform
- Held in the privacy of your home
- Designed to feel as close to in-person therapy as possible
Many clients find telehealth to be just as effective as in-person care, with added flexibility and comfort.
Who It's For
Who telehealth is for
Telehealth pregnancy loss counseling may be a good fit if you:
- Do not have access to a local specialist
- Prefer privacy during a vulnerable time
- Are balancing fertility treatments, work, or parenting
- Feel more comfortable receiving support from home
Areas of Focus
What The Therapy Center for Pregnancy Loss treats
01
Miscarriage and early pregnancy loss
Compassionate support for the grief, shock, and disorientation that can follow a miscarriage at any stage.
02
Recurrent pregnancy loss
Care for the layered grief, fear, and hopelessness that can build after multiple losses.
03
IVF and fertility-related stress
Support through the emotional intensity of fertility treatments, waiting, and uncertainty.
04
Infertility grief
A space to honor the quiet, ongoing grief of unrealized parenthood and reproductive longing.
05
Pregnancy after loss anxiety
Help navigating the anxious, protective stance that often shapes a pregnancy after previous loss.
06
Termination for medical reasons (TFMR)
Specialized care for the complex grief and moral pain that can follow medical terminations.
07
Relationship strain after loss
Couples-focused support to reconnect when grief is experienced and expressed differently.
You won't need to explain why this loss matters — it is already understood.
— The Therapy Center for Pregnancy Loss
A Specialized Approach
A specialized approach to reproductive grief
Pregnancy loss is often misunderstood — even within the mental health field. At The Therapy Center for Pregnancy Loss, Dr. Rayna D. Markin focuses specifically on reproductive trauma and grief.
You won't need to explain why this loss matters — it is already understood.
Areas of specialized focus:
- The emotional attachment formed early in pregnancy
- The silence and stigma surrounding miscarriage
- The complexity of trying to conceive again
- The intersection of medical and emotional experiences
Frequently Asked Questions
Common questions about telehealth
01
Is telehealth therapy effective?
Yes. Research shows telehealth therapy is comparable in effectiveness to in-person care for many concerns, including grief and trauma.
02
Do I need to be in Maryland?
No. Telehealth is available to clients in all PSYPACT states.
03
Can couples attend together virtually?
Yes. Couples sessions can be conducted via telehealth.

Written by
Rayna D. Markin, PhD
Licensed psychologist · 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
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You deserve support that understands
If you are looking for specialized pregnancy loss therapy and live in a PSYPACT state, you are invited to reach out. You deserve support that understands the depth of your experience.