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Many adults touched by adoption, whether adoptees, first family members, or adoptive family members, seek mental health support at significantly higher rates than the general population. Research shows that individuals connected to adoption engage in mental health services 2.5 to 3 times more often than the general U.S. population, yet the majority struggle to find clinicians who truly understand adoption-specific experiences.

In a recent nationwide survey:

• 86% of respondents reported engaging with mental health services, with rates above 89% among adoptees, adoptive parents, and birth parents.

• But only about 21–25% said the clinicians they worked with were adoption competent.

This gap means many people end up in therapy that doesn’t fully address the psychological and identity-related facets of adoption, and some even report experiences that felt ineffective or counterproductive.