One of the standard requirements for gestational surrogates in Minnesota is completing a mental health evaluation. Surrogacy agencies and clinics usually perform screenings to ensure a surrogate does not have mental health conditions that could jeopardize their well-being or the pregnancy. 

If you wish to be a surrogate, here is what to expect during the evaluation:

Who conducts it?

A licensed mental health professional (a psychologist or therapist) trained in third-party reproduction conducts a mental health evaluation on surrogates following guidelines by health organizations, such as the American Society for Reproductive Medicine (ASRM).

How is it done?

The psychological screening is conducted to assess readiness, motivation, and the availability of support. It ensures the surrogate:

  • Understands the emotional, medical, legal and social aspects of the process and the potential risks 
  • Is not facing emotional pressure or coercion
  • Is emotionally prepared for the physical and psychological challenges, including fears of attachment
  • Gives informed consent

Clinical interviews and standardized tests are conducted during the evaluation. The common tests performed are the Personality Assessment Inventory (PAI) and the Minnesota Multiphasic Personality Inventory (MMPI). PAI evaluates personality traits, emotional functioning and stress responses, whereas MMPI mainly screens for major clinical concerns and assesses one’s readiness for surrogacy.

The primary format used in the PAI test is a 4-point Likert scale, whereby questions have four ordered response options, for example, “Agree,” “Somewhat Agree,” “Somewhat Disagree” and “Disagree”. The MMPI typically uses a binary response format, such as “Yes/No,” “True/False” or “Like/Dislike.”

What about the intended parents?

The intended parents also undergo a mental health evaluation to manage their expectations, improve communication and prevent conflicts. In most cases, a psychologist or therapist will conduct individual and joint sessions between the intended parents and the surrogate. 

Becoming a surrogate is a critical decision. It’s vital to be adequately informed about what to expect from the very beginning.