About Me

Hello! I’m Alyssa

Alyssa Koch, Clinical Social Work/Therapist, LCSW

I’m Alyssa Koch, LCSW, a licensed clinical social worker in private practice and a therapist who specializes in supporting women who are childless not by choice, childfree by choice, or navigating uncertainty around motherhood.

My work in this area is both professional and personal.

My Professional Background

I am a licensed clinical social worker with extensive experience working with women navigating grief, identity transitions, relationship strain, anxiety, and life-stage disruptions. My training includes evidence-based approaches that support emotional regulation, cognitive flexibility, trauma processing, and meaning-making during significant life shifts.

In my practice, I integrate:

• Grief-informed therapy
• Cognitive-behavioral and acceptance-based approaches
• Trauma-sensitive care
• Identity and values clarification work
• Boundary-setting and communication skill development

I have built my practice to intentionally serve women whose lives do not follow traditional scripts, particularly those whose reproductive journeys have been complicated, altered, or consciously redefined.

This is not a niche I “fell into.” It is one I chose deliberately.

My Personal Perspective:

I am also a childless woman.

That reality has shaped how I see the world, how I understand grief, and how I sit with clients. I know firsthand how subtle, and not-so-subtle, cultural messaging can impact self-worth. I understand how holidays can land differently. I understand how identity can feel destabilized when the life you envisioned shifts course.

And I also understand that a meaningful life is not dependent on motherhood.

My personal experience does not replace clinical training, but it deepens my empathy, sharpens my awareness of pronatalist bias, and informs the intentional safety I create in this space.

You will not need to explain to me why Mother’s Day is complicated.

You will not need to justify why you chose not to have children.

You will not need to convince me that your grief is real.

Why This Work Matters to Me:

For too long, women without children, whether by choice or by circumstance, have been treated as outliers, afterthoughts, or cautionary tales.

I believe we deserve something different:

• Nuanced support
• Language for our experiences
• Space to grieve
• Space to celebrate
• Space to redefine success and purpose

My goal is not to convince you that “everything happens for a reason.”

My goal is to help you build a life that feels aligned, intentional, and emotionally honest, whatever your path has been.

My Experience

• 15 Years of Substance Dependency Recovery
• 10 Years as a Primary Therapist
• 5 Years as a Clinincal Director

My Education

• Licensed Clinical Social Worker (LCSW)
• Master of Social Work (MSW)
• Qualified Supervisor (QS)