Jennifer L. Ayres, Ph.D., ABPP, HSP

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Adoption

Honoring history while building the home you want.

Adoption brings real joy and real complexity. At Still River Counseling, I support families at two key points: Pre-adoption evaluations for future parent(s) pursuing domestic or international adoption, and Therapeutic support for families and couples before and after children arrive.

Together, we’ll name both anticipated changes and the changes already unfolding, explore how adoption shapes family identity (including navigating a new multi- or bi-racial family structure), strengthen connection with your child or teen, and build routines and boundaries that support everyone in the home.

My approach is integrative and trauma-informed. We focus on settling the nervous system, translating big feelings into words and actions, supporting the family as it establishes a new identity, and helping parents set limits while honoring a child’s history, culture, and family of origin.

You might be experiencing:

Things We Can Work on Together

Evidence-based strategies to build connection and navigate family changes.

Pre-Adoption Evaluation

Attachment & Connections

Emotional Regulation

Sensory & Nervous System Settling

Morning/Evening Routines

Sleep Support

School Stress/Refusal

Learning/Attention Concerns

Identity & Life Story

Adoption-Related Grief

Openness & Birth‑Family Boundaries

Bicultural/Multicultural Care

Limit Setting Without Shame

Parent Coaching

Sibling Dynamics

Family Transitions

Co‑Parenting Alignment

Communication Scripts

Behavior Plans

Trauma-Informed Tools

Collaboration With Schools

How I Can Help

We support families through each step of the adoption process, the pre-adoption evaluation, preparation for a successful transition, and the post-transition adjustment. We’ll explore anticipated concerns and generate practical solutions. Once your child arrives, we’ll start with what’s hardest right now, behavior, routines, school, or connection, and map how past experiences may be shaping today’s struggles.

I use an integrative, trauma-informed approach tailored to your child’s developmental stage, integrating CBT skills, behavior supports, mindfulness, and parent coaching to build steadier days.

Parents receive practical tools: when to step in versus when to step back, realistic expectations about attachment, limit-setting that protects dignity, ways to incorporate a child’s background and identity into the family’s new identity, and language that honors that history. We’ll clarify openness boundaries, support cultural and identity needs, and coordinate with schools when helpful.

The focus is on changes you can see, calmer routines, clearer expectations, and more connection.

For adoption, we often focus on:

Payment & Pricing

I offer in-person sessions in Central Austin and secure telehealth sessions for clients located in states where I’m licensed to practice and in participating PSYPACT states. I am not in-network with any insurance companies, but I can provide a superbill for you to submit to your plan if they reimburse for out-of-network services, or for use with your HSA/FSA.

  • Integrative Psychology: As a licensed psychologist, Dr. Ayre’s fees qualify for out‑of‑network reimbursement under nearly all insurance plans. Her fees are within the usual and customary range (UCR). It is highly recommended that clients contact their insurance company to obtain information about reimbursement prior to scheduling if this is an area of concern.
  • FSA/HSA Accounts: We accept Flexible Spending Accounts (FSA) and Health Savings Accounts (HSA) to pay for both visit fees and in-office supplements. FSAs and HSAs can also be used to purchase supplements on Fullscript. Any letters of medical necessity, supporting documentation, or communication with your insurance company and/or FSA/HSA carrier will be billed by the minute at your hourly rate.  
  • Payment Methods: We accept all major credit/debit cards, including FSA/HSA cards and Venmo. We do not accept cash. A card is required on file at the time of scheduling. If that credit card on file is an FSA or HSA card, a backup card is also required to be on file.

real support

Trauma-Informed, Culturally Sensitive Caregiving and Planning

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Let's take the first step together.

Share a few details and I’ll follow up with a quick call to see what your family needs and whether we’re a good fit.

Frequently Asked Questions

It means I understand adoption’s unique impacts (attachment, identity, grief, trauma) and tailor care to honor a child’s history and family of origin. 

As a child trauma psychologist, I have worked with foster, kinship, and adoptive families for more than 25 years. I also have personal experience as a foster parent and completed the required training and coursework to foster, foster-to-adopt, or adopt children through the DCFS/CPS system. This combination of clinical and lived experience informs the support I provide to families throughout the adoption process.

Both. Adoption work typically involves a combination of individual counseling, family counseling, and parent coaching, based on the family’s specific needs. We’ll decide together what mix of support best strengthens connection, routines, and stability at home.

I use an integrated approach that combines realistic expectations with consistent limit-setting, natural consequences, and communication that supports a growth mindset and self-compassion. My goal is to avoid shame, both toward the child and toward their birth family, while helping caregivers build structure, predictability, and emotional safety at home.

Yes. We’ll explore the challenges and benefits of open adoption and work together to navigate birth-family contact in a way that supports the child, honors both families, and maintains healthy boundaries.

We explore the challenges of blending cultures within a family and identify practical ways to honor a child’s culture at home and school. We also discuss how to build connections with supportive community resources so your child can see their identity reflected and affirmed in daily life.

Yes, when helpful and with signed consent. I can collaborate with teachers and school staff to explore accommodations, support behavior and emotional needs, and discuss strategies for managing learning or cognitive challenges.

I provide therapy, supports, and pre-adoption evaluations. I do not offer broad psychological testing for autism, learning disabilities, or neuropsychological concerns. I do offer ADHD evaluations for diagnostic clarification and provide strategy sessions that translate results into specific, practical tools you can use in daily life.

Yes. For younger children and many teenagers, in‑person is usually more effective.

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