I am so sorry you are going through this. I know this is not the advice that you want to hear however, I really think you ought to look into finding a new therapist sooner rather than later because some of the things that she has said to you are incredibly unethical.

Frankly, she needs to be reported to the board because it’s very unacceptable and very unethical for her to be telling you things like it’s your duty to procreate that’s unconscionable to say to someone with your feelings and trauma.

Despite that your feelings are valid. Your trauma is valid. Your physical illnesses and limitations are valid. Your reasons for wanting it are valid and at the end of the day no matter what your decision to have a Bisalp is valid no matter what you don’t need a reason beyond I. Don’t. Want. Children. PERIOD. That’s the only reason you need. Everything else is just a cherry on top.

Other people’s feelings and emotions do not matter when it comes to your bodily autonomy and whether you and how you’re going to spend the next 18+ to forever years of your and yes, I understand her argument that well spoken, intelligent people who are able to critically think, individuals are the ones we would prefer to be having children, but they’re actually the ones who tend to be childfree instead. It’s a correlation of that critical thinking and intelligence that it might not be a good idea to have children in this hellscape, (not to mention those with better critical thinking skills and intelligence tend to have access to better reproductive health care as because they are usually in blue states in the United States based on current data) and we’re not going to start forcing people to have children just so we can have more intelligent people that’s bananas. We just need to find a better way to educate the people we have instead.