Dr Clay and his wife experienced their own infertility journey, an experience that tested them deeply but ultimately brought them closer together.
That outcome sparked a defining question: Why do some couples grow closer after infertility or pregnancy loss, while others grow apart?
Pursuing this question, Dr. Clay studied more than 1,000 couples navigating infertility and reproductive loss. His findings identified four consistent factors—the Four Pillars of Connection—that predict resilience in relationships facing reproductive trauma.
His research has informed clinical practice, been published in leading journals, and is now used by therapists and couples worldwide. To serve local clients, he founded Shiloh Counseling in Ballwin, Missouri, specializing in reproductive grief and relationship counseling.
Dr. Clay Brigance, PhD, LPC, is a licensed professional counselor, researcher, and nationally recognized specialist in couple therapy for infertility and reproductive grief. He is the founder and clinical director of Shiloh Counseling, a group practice specializing in relationship therapy for couples navigating infertility, miscarriage, and perinatal loss. He is also the host of the podcast “Love and Infertility”.
For over a decade, Dr. Brigance has worked almost exclusively with couples facing reproductive trauma. His clinical and research work has included more than 1,000 individuals and couples experiencing infertility and miscarriage, informing his integrative approach to treatment. He has published in some of the top journals for couples work, including Marriage and Family Therapy, Couple and Relationship Therapy, and The Family Journal, among others. His model draws from interpersonal mindfulness and evidence-based couple therapy approaches, including the Gottman Method and emotion-focused principles, to help couples reduce conflict, process grief, and rebuild emotional connection.
Dr. Brigance is also a researcher examining the role of interpersonal mindfulness, stress biomarkers, and relational resilience in couples navigating infertility. His work seeks to better understand how couples can maintain closeness under chronic stress and how therapeutic interventions can foster long-term relational growth following reproductive loss.
In addition to his clinical practice, Dr. Brigance trains therapists nationally and speaks on the relational impact of infertility and reproductive grief. His work is deeply informed not only by research and clinical experience, but also by his own journey through infertility. As someone who has personally navigated the uncertainty, loss, and strain that reproductive grief can bring to a marriage, he brings a grounded empathy to his work that resonates with both clinicians and couples.
Dr. Brigance lives in the St. Louis area with his family. His work is devoted to helping couples move from silent suffering toward connection, clarity, and resilient love in the face of disrupted dreams of parenthood.
FIND HIM HERE:
WEBSITE AND SOCIAL MEDIA:
Website: https://www.drclaybrigance.com/
Instagram: https://www.instagram.com/dr_claybrigance/
Facebook: https://www.facebook.com/people/Shiloh-Counseling-LLC/100090955350701/
LinkedIn: https://www.linkedin.com/in/clayton-brigance-phd-lpc-99a4381a4/
YouTube: https://www.youtube.com/@Dr.ClayBrigance/featured
Podcast: https://open.spotify.com/show/326IpwHCa0diGyJIz4QgZj?si=51d3e3c2e386477a&nd=1&dlsi=1651f7262f41401b
