Adoption is often spoken about as a joyful, new beginning – a story of love, belonging, and hope. And while these things can be true, they are only a part of a complex, intricate story. Another truth is that adoption cannot exist without loss. For an adoptee, that loss can be preverbal or stored in explicit memory, understood early or only later in life, and it is real and worthy of care. Supporting a child’s adoption grief requires honesty, emotional humility, and a willingness to sit with complexity—both the child’s experience and the parents’ experience, who are raising them.
At the Center for Adoption Support and Education (C.A.S.E.), we offer specialized services to support adoption grief and loss.
Every adoption exists due to a profound, impactful separation from a child and their birth/first family. Even in the most loving, ethical, and intentional adoptions, something important was lost: familiar voices, sensory experiences, rhythms, genetic mirrors, cultural continuity, or imagined futures.
Children may not have the words to explain this loss, and they may express it indirectly—through anger, sadness, withdrawal, anxiety, questions about identity, or big feelings that seem to come “out of nowhere.” These expressions don’t mean that anything is “wrong” and no amount of love from an adoptive family can change the fact that this loss happened and is a part of their story. Importantly, a child can deeply love their adoptive parents and still grieve their losses. These experiences are not opposites; they coexist.
When adults rush to frame adoption only as a “gift” or a “better life,” children may learn that their grief is unwelcome, invalid, or disloyal when what they often need most is permission to feel everything and to be seen in their complexity.
Adoptive parents inevitably bring their own emotional experiences into adoption—hope, joy, fear, gratitude, infertility grief, privilege, longing, or anxiety about doing things “right.” These feelings matter, although they require careful processing so they do not compete with or overshadow the child’s emotional world.
When a parent has not made space to grieve their own losses or examine their expectations, it can become difficult to tolerate a child’s pain and to see them for who they really are. A child’s sadness may feel like rejection, ingratitude, or a threat to attachment when in reality, it is a healthy response to loss.
One of the most important tasks for adoptive parents is to separate their own emotional needs from the child’s needs. When parents take responsibility for their own processing whether through reflection, adoption-competent therapy, and/or a supportive community, they create more room to truly see and support their child.
Attunement means paying attention to who your child actually is—not who you hoped they would be, and not what mainstream adoption narratives dictate they should be. Each adoptee experiences loss differently based on temperament, age, culture, trauma history, and personality.
Some children ask many questions. Others go quiet. Many revisit adoption grief at different developmental stages, especially during adolescence. This is during a time when identity becomes a focal point during the transition into young adulthood and society says they’re ready to launch into the “real world.” Supporting adoption grief is not a one-time conversation; it is an ongoing relationship of noticing and responding.
Seeing the child for who they are also means honoring all aspects of their identity—racial, cultural, genetic, and personal—without minimizing or reshaping it to fit adult comfort.
Children do not need their grief fixed or reframed into positivity. They aren’t broken. They need it acknowledged, in the context of a safe and trusted relationship.
Validation sounds like:
Validation does not require having all the answers. It requires presence, curiosity, and a willingness to listen without defensiveness. When children feel believed and emotionally met, their grief becomes less frightening and more manageable.
Open communication builds trust. This means letting adoptees know—explicitly and repeatedly—that their questions, feelings, and mixed emotions are welcome. It also means being willing to revisit conversations as children grow and their understanding deepens.
Openness looks like:
When communication is open, children learn that their inner world is safe to share and that they are inherently worthy of being seen.
When birth parents are spoken about with blame, dismissal, or silence, children may internalize shame about where they came from. Even when birth family circumstances were unsafe or painful, children benefit from narratives that are honest, compassionate, and developmentally appropriate.
Respecting does not mean ignoring harm. It means acknowledging complexity and humanity. Adoptees deserve to know that their story did not begin with abandonment or failure, but with circumstances that were often shaped by inequality, lack of support and resources, and/or difficult choices.
When birth parents are treated with dignity, adoptees are more likely to feel whole rather than divided.
Supporting a child’s adoption grief is not about choosing between gratitude vs. grief, love vs. loss, joy vs. sadness. It is about holding the full story with compassion and grace without blaming, minimizing, or projecting.
When adoptive parents do their own emotional work, validate their child’s experience, stay attuned, honor birth family connections, and keep communication open, they send a powerful message: You are allowed to be fully yourself here. All of you belongs.
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Due to traumatic life experiences and compromised beginnings, many children who are adopted, who are being raised by relatives (kinship care), or have experienced foster care have higher risks for developmental, health, emotional, behavioral, and academic challenges.
Individuals and participating family members received Adoption Competent Therapy in 2024.
Parents and professionals registered for the Strengthening Your Family (SYF) Webinar Series in 2024.
Children and families have received adoption-competent mental health services since 1998.