Lori Metz, lcsw

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Lori Metz, lcsw My specialties are fertility & relationships Utilizing a positive psychology approach, that includes

When conversations about surrogacy become louder, it can feel as though your family’s story has suddenly become availabl...
08/19/2026

When conversations about surrogacy become louder, it can feel as though your family’s story has suddenly become available for public discussion.

It hasn’t.

You are not obligated to educate everyone, answer personal questions, defend how you built your family, or engage with every opinion you encounter. You can decide what you share, what remains private, and when a conversation no longer feels helpful or healthy.

Your child deserves honest, age-appropriate conversations about their story—but that does not mean everyone else is entitled to the same access.

Setting boundaries is not avoiding the conversation. It is choosing how to protect your family’s privacy, emotional well-being, and personal experiences.

When is enough... enough?It may be one of the most difficult questions people face during fertility treatment.Medical ad...
08/09/2026

When is enough... enough?

It may be one of the most difficult questions people face during fertility treatment.

Medical advances have created opportunities that didn't exist a generation ago. At the same time, they can make it harder to recognize when continuing treatment no longer aligns with your emotional, physical, financial, or relational well-being.

There isn't a formula that tells you when to stop. And there shouldn't be.

As a fertility mental health professional, I don't tell people whether to continue treatment. I help them explore whether continuing treatment still aligns with their goals, values, and well-being.

Whether you continue treatment, take a break, or choose another path, you deserve support that helps you make decisions from a place of clarity rather than overwhelm.

Sometimes, the most compassionate thing we can do isn't tell ourselves to keep going. It's to create space to ask what we truly need.

07/24/2026

Every family has a story—and this one begins with a dream.

I Dreamed of You is a tender children’s book that helps parents share the story of how their child came to be through egg donation. With gentle, age-appropriate language, it offers families a meaningful way to begin conversations about donor conception.

Available in English, Spanish (Soñé Contigo), and Mandarin, I Dreamed of You honors the many paths families take—and the joy of finally holding a long-awaited child.

📚 Learn more or order your copy at lorimetz.net/book

When you're focused on creating embryos, it's easy to overlook an important part of the journey: deciding what to do wit...
06/30/2026

When you're focused on creating embryos, it's easy to overlook an important part of the journey: deciding what to do with them in the future.

Whether you're pursuing IVF on your own or with a partner, taking time to think through your embryo disposition options now can help reduce stress later and ensure your decisions reflect your values and long-term family-building goals.

These are deeply personal decisions, and there is no one "right" answer. Every family has different circumstances, beliefs, and goals. Take time to learn about your options, talk with your fertility provider, and make the decision that feels right for you.

This Father's Day, we're thinking of the dads who are celebrating today—and the dads who are still waiting. We're thinki...
06/21/2026

This Father's Day, we're thinking of the dads who are celebrating today—and the dads who are still waiting.

We're thinking of the intended fathers navigating treatment cycles, donor conception, surrogacy, adoption, and all the uncertainty that can come with building a family.

We're thinking of those grieving losses while still holding onto hope. And we're celebrating every father who shows up with love, care, and commitment.

No two paths to parenthood look exactly alike, but each deserves compassion and recognition.

As you celebrate today, remember those who may be quietly carrying the weight of infertility, loss, or uncertainty. Check in on the people you love, respect the space they may need, and hold hope with them.

Today is for celebrating fathers—and for supporting those who are still waiting to become one.

Parentage matters more than many people realize.When a child is born through assisted reproduction, their legal relation...
06/15/2026

Parentage matters more than many people realize.

When a child is born through assisted reproduction, their legal relationship with their parents may not always be automatically recognized under state law. Without clear parentage protections, families can face unnecessary uncertainty during medical emergencies, school enrollment, travel, or if a parent dies or the relationship ends.

Understanding your state's parentage laws is an important part of planning your family-building journey.

Consulting with a qualified family law attorney can help you understand the legal steps that may be needed to establish parentage.

Every child deserves the stability and security that comes with legal recognition of their family. 💙

Today, on  , we celebrate LGBTQ+ families and the love, care, and commitment that define them.Every child deserves to fe...
06/01/2026

Today, on , we celebrate LGBTQ+ families and the love, care, and commitment that define them.

Every child deserves to feel proud of their family and to grow up seeing families like their own reflected in the world around them. For children in LGBTQ+ families, visibility matters. Seeing LGBTQ+ families reflected in books, schools, healthcare spaces, media, and everyday life helps children feel seen, valued, and affirmed in who they are and where they come from.

As a therapist who has worked in the family-building space for many years, I believe in celebrating every path to parenthood, including donor conception, surrogacy, adoption, and co-parenting.

Honoring LGBTQ+ families helps create a world where children grow up knowing their families are respected, supported, and valued exactly as they are.

Have you noticed that conversations around surrogacy feel more emotionally charged lately? You aren’t imagining it.Incre...
05/28/2026

Have you noticed that conversations around surrogacy feel more emotionally charged lately? You aren’t imagining it.

Increased media attention, legal disputes, and online misinformation have contributed to stronger public opinions and growing polarization around the topic. Conversations about surrogacy often touch on deeply personal experiences involving infertility, pregnancy, parenthood, identity, and ethics. Social media and political debates can intensify these conversations, making nuanced discussions more difficult.

When topics are this personal, it’s understandable that public debate around surrogacy may feel frustrating, invalidating, or emotionally difficult for families whose lives are directly impacted by these conversations. Highlighting the experiences and perspectives of people with lived experience is critical to fostering more informed, thoughtful, and compassionate conversations.

Creating space for curiosity, empathy, and nuance can help us navigate these conversations with more care and understanding.

Jamie Spiers and I had the opportunity to present at the Jones Foundation Infertility Counseling Conference on something...
05/04/2026

Jamie Spiers and I had the opportunity to present at the Jones Foundation Infertility Counseling Conference on something we’re seeing more and more of in this space: large donor sibling groups.

As DNA testing and registries continue to connect people, donor conceived people and families are navigating relationships that don’t come with a clear roadmap.

In our breakout session, we talked about what happens when a “sibling network” can include dozens—or even hundreds—of people. What these relationships can mean, how they evolve over time, and how parents and professionals can better support children in navigating them.

One of the biggest takeaways: connection is not automatic, and it’s not one-size-fits-all.

These relationships are shaped over time, through choice, boundaries, and shared experiences.

Grateful to be part of these conversations and to continue bringing these insights beyond clinical spaces and into the broader community.

04/27/2026

On International Donor Conception Awareness Day, we honor the many ways families are formed and the importance of supporting donor-conceived people throughout their lives.

In this conversation with Brittany Kelly, LCSW, we talk about what it means to parent with openness, honesty, and intention in donor conception.

From the beginning, the goal is creating space for your child to understand their story in a way that belongs to them, without carrying the weight of what you went through to bring them into the world.

We explore:
- How to talk to children about donor conception in age-appropriate ways
- The difference between secrecy and privacy
- Making room for curiosity, questions, and identity over time
- Why open communication matters more than having all the answers

There is no single roadmap for this journey. What matters most is building a relationship where your child feels safe to ask, explore, and come back to you again and again.

🎧 Listen to the full episode: More Than DNA
https://www.lorimetz.net/life-podcast/more-than-dna

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119 West 57th Street, Suite 1100
New York, NY
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