Fertility difficulties, treatment, uncertainty, loss and waiting can affect emotional wellbeing in many different ways. Some people experience anxiety, grief, sadness, anger, numbness, strain in a relationship, self blame or isolation. Others do not. An online guide cannot determine what a particular reaction means or whether it relates to infertility, treatment, physical health, trauma, depression, anxiety, relationship pressures or another circumstance. Fertility assessment, tests, medication, procedures and treatment decisions need appropriate medical and specialist fertility care. A therapist cannot diagnose infertility, interpret tests, advise which treatment to pursue, prescribe or replace a fertility clinic, GP, obstetric clinician or other medical professional. Psychological therapy has a different role: it may offer space to explore the emotional impact of uncertainty, loss, changed plans, difficult decisions and the effect on everyday life. An assessment led conversation can consider safety, sleep, mood, work, finances, social contact, communication with a partner or family, medical care already in place and what support feels useful now. CBT based therapy may be considered after assessment where appropriate. It cannot promise relief, determine the outcome of treatment or decide whether a person should continue, pause or stop fertility care. Urgent appropriate help is needed if you feel unable to stay safe, have thoughts of suicide or self harm, experience psychosis, a sudden marked change in mental state or acute physical symptoms. For related information, see anxiety support at lyceumclinic.co.uk/therapy/anxiety/ and depression support at lyceumclinic.co.uk/therapy/depression/. You can enquire about current arrangements and whether CBT based therapy may be suitable for your circumstances.