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The importance of Counselling Print
Written by Mollie Graneek   
Friday, 17 February 2006
Infertility does not come alone.  With it comes a whole range of charging emotion including

  •     Guilt
  •     Anger
  •     Frustration
  •     An overwhelming sense of loss
  •     Isolation
  •     Despair

These sadly are only to name but a few.

Infertility represents a major crisis in people's lives.  Most people who experience infertility have an enormous sense of failure - failure in themselves, their partners and in nature.  We all touch on failure at some stage in our lives so we have an idea of how it impacts our fundamental understanding of who we are.   We are however, usually well resourced to seek success in other activities which gives perspective to the ones in which we have failed.   For many couples facing infertility, their sense of failure becomes who they are.  They have failed in the most elementary physiological and biological exercise in the cycle of life.

We know that people facing fertility problems have the potential to become anxious and depressed.  We also know that depression and anxiety plays a large part in infertility ie: anxiety and depression might perpetuate infertility and infertility in turn gives rise to anxiety and depression.  

What then can we do about it?

Well, we know that there are many clinical techniques in place that can assist conception in the hope of achieving pregnancy but, what of the emotional issues?  You would not expect a receptionist to perform the highly skilled duty of a fertility specialist - neither should you expect her to undertake the emotional and psychological support of clients experiencing infertility.  

Counselling is at times much maligned - it is a service which, until recently, had little credence as an evidence base science.  Counsellors are however highly trained individuals who are sympathetic and empathic listeners.  Specialist fertility counsellors have a wealth of knowledge about the psychological and social impact of infertility.  People undertaking fertility treatment have a need to know that their experience is similar to other people's experience but, paradoxically, unique to them. Knowing this, they feel less isolated and more accepting of their own experience.  It is vital that clients experiencing fertility treatment are kept well informed.  This gives them a sense of control over their experience and, when educated to the potential consequences of infertility, they are more able to prepare themselves for the aftermath and in turn, better equipped to cope.   

The ordeal of infertility takes place in the context of a demanding world.  Most of us have extremely busy working lives which are, often compounded by busy social lives.  Managing infertility in general responds well to slowing down and respecting the extra burden it brings.  A loss of perspective and 'loss of control' is something which clients often express when they come to clinics for treatment.  Counselling can help to bring perspective back into the lives of infertile people by giving them permission to stay with their experience.  While clients cannot necessarily control their infertility, they can control their experience of it.  It is important that the experience of infertility is recognized and, often, with the endorsement of that experience by a professional fertility counsellor, clients feel more understood.  With the psychological and emotional support and, with recognition of the client's unique experience, they are more able to cope with the punishing regime of fertility treatment.

Mollie Graneek is a Registered General Nurse and a State Certified Midwife.  She is a BACP Accredited Counsellor and has worked in the field of fertility for 25 years.   Mollie is an Executive Member of the British Infertility Counselling Association (BICA).


 
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