Marianna Sepe

Online and in Person sessions available 

Saturday morning and early afternoon availability 

Fertility challenges can affect every part of life, emotional wellbeing, relationships, identity, and sense of control. In fertility counselling, my role is to help you navigate the uncertainty, loss, and stress that often accompany this experience.

I work with individuals and couples at various stages of the fertility journey, whether you're just beginning to explore options, undergoing treatment, coping with failed cycles, or considering next steps such as third-party reproduction or living without children. Together, we create space to process the emotional toll of this experience, while also identifying ways to build resilience, strengthen coping strategies, and clarify what matters most to you.

My approach is collaborative and structured. I draw on evidence-based practices—primarily Cognitive Behavioural Therapy (CBT), as well as Acceptance and Commitment Therapy (ACT)—to address anxiety, grief, and relationship stress connected to infertility. I also incorporate psychoeducation, communication tools, and values-based planning to support you in making informed and empowered choices.

If you're attending as a couple, sessions will focus on understanding your individual and shared experiences, improving communication, and helping you work as a team—especially in the face of decisions and outcomes that may feel out of your control.

Fertility counselling isn't about offering quick fixes. It’s about helping you find steadiness and clarity during a process that can feel unpredictable and overwhelming. You don’t have to go through it alone.

Fertility counselling offers space to process the emotional impact of infertility and reproductive challenges—whether you're trying to conceive, undergoing treatment, recovering from loss, or exploring options such as IVF, egg/sperm donation, surrogacy, or child-free living.

In my practice, I work with individuals and couples at various points along this journey. I understand that fertility issues can bring feelings of grief, anxiety, isolation, anger, and identity loss. It can affect your mental health, relationships, and how you see the future. My role is to support you in navigating these complex emotions while helping you stay connected to your values and priorities.

Sessions are tailored to your needs and grounded in evidence-based approaches such as Cognitive Behavioural Therapy (CBT) and Acceptance and Commitment Therapy (ACT). I also incorporate strategies from emotion-focused and trauma-informed care when appropriate. If you're attending as a couple, we may work on communication skills, managing different coping styles, and strengthening your connection as you face tough decisions together.

Clients can expect a structured yet compassionate approach. I offer a space to reflect, make sense of what’s happening, and develop tools to move forward—whatever that may look like for you. I’ve also facilitated fertility support groups and conducted research on the use of CBT in group settings to support emotional resilience in those experiencing infertility.

Whether you’re seeking clarity, support, or a place to just exhale, fertility counselling can help you feel less alone in the process.

The first session is a chance for us to explore what brings you to fertility counselling and what you hope to gain from it. You may be in the middle of treatment, recovering from a loss, facing uncertainty about next steps, or just beginning to process the emotional weight of infertility. Wherever you are, the first session is about meeting you there—with clarity, care, and no assumptions.

There is no reduced rate for the initial session, but it is designed to give you space to share your story, ask questions, and decide whether this feels like the right fit for you. We’ll begin with a conversation about your current situation, any past experiences with fertility-related issues, and the emotional impact this has had on your wellbeing, relationships, and daily life.

Before we meet, I’ll ask you to complete a brief intake form that includes consent, background information, and a few screening questions to help guide our discussion. This allows us to use the first session more intentionally and begin identifying your priorities for therapy.

If you're attending as a couple, I’ll also explore how each of you is coping and how the fertility journey is affecting your relationship. The session may include time together and/or individually, depending on your preference and goals.

By the end of our first meeting, we’ll discuss possible focus areas and what ongoing support could look like. Whether you choose to continue or simply needed a space to begin processing, the first session is your starting point—not a commitment, but a step.