Gestalt therapy is a therapy designed to focus on the holistic approach to the client. Gestalt therapy focuses on the here and now, or how the client’s issues are affecting them in the present moment. Gestalt technique looks not only at the problem, but at the actions, reactions and triggers the problem is causing within the client. The client and therapist have a special relationship in Gestalt therapy that is explored together within each moment. Gestalt therapy is unpredictable and neither the therapist nor the client knows where the session will go next. The following example is a case study:
John, 9 years old placed in foster care at age 2 and adopted by his foster parents at age 4, came to therapy because he was demonstrating sudden aggressive behavior, both at school and at home. During the initial session, he expressed his wish to have a picture of his birth mother. Because he was adopted from a local agency, the therapist arranged for the entire family to make a visit to obtain more non-identifying information. In the family session prior to meeting with the agency, the therapist and John’s parents helped him to compile a list of questions. Unfortunately, a picture was not available and John still felt frustrated. In the next family session, John and his parents created a picture of his birthmother based on the non-identifying information. After several more sessions, John’s parents reported that his behavior at school and home had improved significantly .
This example wonderfully illustrates how Gestalt therapy can be used to help an adoptee discover some of the missing information from their past. This therapist worked with the moment and allowed John to create what he so desperately wanted. Many adoptees will not have access to a picture, knowledge of one or both of their biological parents, or they may not even know when their actual date of birth is. By working with the adoptee and seeing what they need in the here and now to help with these types of concerns that have been ailing them the process may offer a resolution to their concern.
Gestalt therapy can be used along with grief therapy “Grief therapy is used when the grief is excessively prolonged, exaggerated, creating somatic reactions or in some other way influencing a subconscious or even conscious impediment in an individual’s normal functioning” . The following example is a letter from an anonymous birthmother to her son:
The one thing I always wanted most in life, was to have a baby boy. I’m so sorry I placed you, everyday there’s increased feelings of regret. It just wasn’t the right time for us to be together. I miss you more with every waking moment. Endlessly empty… so hollow and bitter I’ve become. I never expected adoption to destroy me like it has. So filled with blackness, this heavy heart hangs with loneliness. I miss you, my son. But because you’re living a great, happy, healthy life with all your desires and needs… I am content to live this way. For you, I would do anything. Love is selfless. When you love someone, it doesn’t matter how bad you hurt, as long as your loved one is happy. Please never forget me. I will never forget you. The way I’d play with your feet when you pushed my belly. Our connection and bond was so strong, and you weren’t even born yet. I love you so much my dear boy… 
“Grief therapists trained in Gestalt use many techniques to help clients to express, disentangle and eventually accept the loss with which they are grappling”. Talking, psychodrama, dream work, movement, and bodywork are a few gestalt techniques that may help this birth mom deal with her grief in the here and now, and be able to process what this means for her. Traditional gestalt techniques such as the empty chair technique may be helpful for her to process what she would like to say to her son. This birthmother is in desperate need of closure towards her decision to place her son for adoption. The therapist should work with this birthmother to reach goals in therapy including closure with her decision to place, increasing her appreciation for herself and her decision, promoting responsibility towards making a decision that she believes was good for her son, and promoting a sense of self worth and self esteem after her selfless decision to place her child.
 Singer, Ellen. (2004). Post-adoption counseling. (pp. 1-2). Burtonsville, MD: Center for Adoption Support.
 Hector, M. (ned). Grief and the mindfulness approach. Retrieved from http://www.buddhanet.net/psygrief.htm
. Unknown. (2009, October 18). My beautiful baby boy. Retrieved from http://forums.adoption.com/dedication-my-child/366196-my-beautiful-baby-boy.html
 Haze, E. (2005). Working with grief from a gestalt perspective.