8 Common Adoption Challenges and How Therapy Can Help

Posted by Gladney Center for Adoption on 4/4/25 9:00 AM

Adoption is a beautiful and life-changing journey, but it also comes with emotional complexities that can affect adoptees, children affected by foster care, birth parents, foster parents, and adoptive families in different ways. Whether you’re struggling with identity, attachment, or past trauma, therapy provides a safe space to explore emotions, develop coping skills, and find healing. Here are eight common adoption-related challenges and how counseling can help you navigate them.

1. Identity Struggles

Many children grapple with questions about who they are, where they come from, and how adoption or foster care shapes their identity. These feelings can surface at different life stages and may be triggered by major milestones, family discussions, or personal reflection.

How therapy helps:

  • Encourages self-exploration in a safe environment
  • Provides guidance in understanding personal and cultural identity
  • Helps adoptees develop confidence in their unique story

2. Grief and Loss

Even in the most loving adoptive and foster families, adoption and foster care often involves loss—of biological connections, cultural roots, or an expected future. Birth parents may grieve the loss of parenting, adoptees may struggle with the absence of their birth family.

How therapy helps:

  • Creates space to acknowledge and process emotions
  • Provides tools for managing grief in a healthy way
  • Helps birth parents and adoptees find peace and meaning

3. Attachment and Trust Issues

For some adoptees and children in foster care, early separation from birth parents or time spent in foster care can impact their ability to trust and form healthy attachments. Adoptive parents may notice their child struggling with connection, independence, or fear of abandonment.

How therapy helps:

  • Supports healthy parent-child bonding through attachment-focused techniques
  • Helps adoptees build trust and feel secure in relationships
  • Provides strategies for parents to create a nurturing environment

4. Feelings of Rejection or Abandonment

Even when adoptees know their placement was made out of love, feelings of rejection can linger. These emotions may surface during childhood, adolescence, or even adulthood, affecting self-esteem and relationships.

How therapy helps:

  • Validates feelings of loss and abandonment
  • Teaches coping skills to build resilience and self-worth
  • Helps adoptees reframe their adoption story in an empowering way

5. Open Adoption Complexities

Open adoption allows ongoing connections with birth families, but navigating those relationships can sometimes be confusing or emotionally challenging. Adoptees, birth parents, and adoptive families may struggle with boundaries, expectations, or shifting emotions over time.

How therapy helps:

  • Provides guidance on setting and maintaining healthy boundaries
  • Helps families navigate changing relationships over time
  • Creates a supportive space to process emotions related to open adoption

6. Navigating Adoption in Adolescence and Adulthood

Adoption-related emotions can resurface at different stages of life. Adolescents may experience identity conflicts, while adult adoptees may struggle with questions about birth family connections, genetic history, or feelings of belonging.

How therapy helps:

  • Supports emotional growth and self-awareness at every life stage
  • Helps adoptees process adoption-related questions and relationships
  • Provides tools for handling major life transitions

7. Parenting Challenges in Adoptive Families

Adoptive parents may face unique parenting challenges, especially when children experience trauma, attachment difficulties, or struggles with belonging. Parents may feel uncertain about how to best support their child.

How therapy helps:

  • Equips parents with tools to create a supportive, connected family dynamic
  • Offers adoption-specific parenting strategies
  • Helps parents understand and respond to their child’s emotional needs

8. Processing Trauma and Early Life Experiences

For children who have experienced foster care, institutional care, or prenatal trauma, adoption can be a fresh start—but past experiences can leave emotional scars. Trauma may manifest as anxiety, fear, or behavioral challenges.

How therapy helps:

  • Uses evidence-based approaches like EMDR and TF-CBT to help process trauma
  • Provides coping strategies to manage emotional triggers
  • Supports healing and emotional regulation

Find Support with Gladney Counseling Services

No one has to navigate adoption challenges alone. Whether you’re an adoptee, birth parent, foster family, or adoptive family, Gladney Counseling Services offers specialized therapy to help you find clarity, healing, and emotional strength.

Call: 817-672-9581
Email: counseling@gladney.org

Take the first step toward healing today. Reach out to schedule a session.

Topics: Counseling Services

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