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About Alyssa

Alyssa Koch, Clinical Social Work/Therapist, LCSW

I’m Alyssa Koch, LCSW, a licensed clinical social worker in private practice. My work centers on women who are childless not by choice and women who are childfree by choice, two experiences that are different, but often misunderstood in similar ways.

I created this focus intentionally. Women without children frequently fall through the cracks in traditional therapy spaces. Grief can be minimized. Freedom can be pathologized. Regret can feel shameful. Confidence can be judged. In our work together, nothing about your reproductive status is assumed, romanticized, or dismissed.

I bring a blend of clinical training, research-informed practice, and deep respect for the complexity of women’s lives. Therapy with me is thoughtful, grounded, and honest with room for both humor and hard conversations.

My Story

I Work With Individuals, Couples, & Groups

Our Client Testimonials

“I came to therapy feeling like I had quietly failed at something everyone else seemed to achieve so naturally. Being childless not by choice affected my marriage, my friendships, and how I saw myself as a woman. This work helped me name the grief I had been carrying for years without even realizing it. I no longer feel ashamed of my story. I feel steadier in my relationships and more at peace with who I am.”

Laura: Age 47

“In my early 50s, I was still grieving the life I thought I would have. Baby showers, holidays, even casual conversations felt isolating. Therapy gave me a space where my loss was taken seriously. I learned how to care for myself without self-blame and how to rebuild a sense of purpose that wasn’t tied to motherhood. I feel more connected to my husband and less triggered in social situations. That has changed everything.”

Denice: Age 52

“I thought by my 60s I would have ‘gotten over it.’ Instead, I was carrying decades of unspoken grief and resentment that were impacting my closest relationships. This was the first place where I didn’t have to minimize my experience. I’ve learned how to live alongside the loss rather than fight it. I feel more authentic with friends and more open to joy than I have in years.”

Marline: Age 61

“Infertility took a toll on my confidence and my marriage. I felt broken and disconnected from other women my age. Through this work, I began to understand that my grief was real and valid. I’ve rebuilt a kinder relationship with myself and found new ways to experience meaning and connection. I no longer feel defined by what didn’t happen. I feel grounded, hopeful, and more secure in who I am.”

Stephanie: Age 44

We also offer Telehealth/Virtual Therapy & Counseling

Insurance Plans We Accept:

UMR

AETNA

CIGNA

EVERNORTH

MAGELLAN

OPTUM

OSCAR HEALTH

UNITED HEALTHCARE

BLUE CROSS

Contact Us For Your Free Consultation

Ask a question or book an appointment below.