Therapy and Counselling

We provide individual counselling for people navigating the complexities of health, fertility, grief, and major life transitions. This may include support with infertility, cancer and oncofertility, surrogacy, reproductive loss, perinatal and postpartum challenges, or other life-altering experiences that can leave lasting impacts. My approach is client-centered, trauma-informed, and grounded... Read More

We provide individual counselling for people navigating the complexities of health, fertility, grief, and major life transitions. This may include support with infertility, cancer and oncofertility, surrogacy, reproductive loss, perinatal and postpartum challenges, or other life-altering experiences that can leave lasting impacts.

My approach is client-centered, trauma-informed, and grounded in both professional training and lived experience. Having personally walked through infertility, cancer, and surrogacy, I bring a deep understanding of the emotional weight these journeys carry. Together, we’ll create a space where you can process what you’re carrying, find meaning in your story, and develop strategies that feel supportive for where you are now.

Sessions are held virtually, making them accessible and flexible no matter where you are in your journey.


Surrogacy Counselling

Surrogacy Counselling Defining Journeys offers counselling tailored to intended parents navigating surrogacy in Canada. Services include: • Initial counselling sessions – a comprehensive introduction to the A–Z of surrogacy in Canada, covering legal, medical, emotional, and relational aspects of the process. • Follow-up sessions – for those who have purchased a Surrogacy Counselling Mult... Read More

Surrogacy Counselling

Defining Journeys offers counselling tailored to intended parents navigating surrogacy in Canada. Services include:
• Initial counselling sessions – a comprehensive introduction to the A–Z of surrogacy in Canada, covering legal, medical, emotional, and relational aspects of the process.
• Follow-up sessions – for those who have purchased a Surrogacy Counselling Multipack and wish to continue receiving support throughout their journey.
• One-time sessions – flexible, standalone appointments to address specific questions or situations as they arise.

Whether you are just beginning to explore surrogacy, actively preparing for treatment, or seeking ongoing support, these sessions provide informed guidance and a safe space to process the practical and emotional complexities of the surrogacy journey.


Implications Counselling & Assessments for Intended Parents, Gestational Carriers, and Donors

Defining Journeys offers implications counselling and assessments for individuals and couples pursuing fertility treatment, including IVF and third-party reproduction (egg, sperm, or embryo donation, or the use of a surrogate). These sessions create a safe and supportive space to explore the emotional, ethical, and practical considerations involved, while also meeting the requirements set out b... Read More

Defining Journeys offers implications counselling and assessments for individuals and couples pursuing fertility treatment, including IVF and third-party reproduction (egg, sperm, or embryo donation, or the use of a surrogate). These sessions create a safe and supportive space to explore the emotional, ethical, and practical considerations involved, while also meeting the requirements set out by fertility clinics.

Each service includes one counselling session and one written report, which clients can provide directly to their clinic as part of the approval process. Additional time or fees may apply, and these will always be confirmed in advance.

With extensive experience in the surrogacy and IVF community, I bring both professional expertise and a deep understanding of the unique complexities of these journeys to every session and report.

Marisa Bernardo is the founder of Defining Journeys, a counselling and therapy practice dedicated to individuals and families navigating the emotional complexities of surrogacy, infertility, and health. She specializes in supporting people through trauma infertility, oncofertility, surrogacy, reproductive loss, cancer, and other life-altering health conditions.

As both an intended mother through surrogacy and a cancer survivor, Marisa brings the unique combination of lived experience and professional expertise to every session and support space. Her own journey as an intended parent revealed how overwhelming and isolating the surrogacy process can feel without guidance and support. Out of this experience, Defining Journeys was born, an organization designed to walk intended parents through the surrogacy process from A–Z: receiving ethical education, preparing emotionally, matching, navigating legal and medical systems, and building and sustaining healthy relationships with surrogates. Today, Defining Journeys has expanded into counselling and psychotherapy for those experiencing infertility, oncofertility, reproductive loss, cancer, and other life-altering health conditions.

Marisa’s practice blends counselling, practical surrogacy guidance, and community-building, offering clients not only therapeutic support but also a grounded understanding of the realities of reproductive health and family building. She is deeply engaged in the fertility community as a board member of the Oasis Fertility Support Network, where she runs free support groups, develops accessible resources, and reaches people through education, advocacy, and empowerment on social media.

Marisa approaches her work with compassion, empathy, and a strong commitment to advocacy, helping clients feel seen, supported, and empowered throughout their journeys.

Marisa Bernardo is the founder of Defining Journeys, a counselling and therapy practice dedicated... Read More

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