She Didn’t Choose Adoption. It Was Chosen for Her.

Updated On: October 16, 2026

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What does adoption feel like for the person who never had a choice?

In this episode of Family Twist, Corey and Kendall talk with Leslie Pate Mackinnon, LCSW, a birth mother, therapist, and one of the most respected voices in the adoption and donor conception space.

As a teenager, Leslie placed her two firstborn sons for adoption during a time when young women were often given little say in the outcome. That experience didn’t fade with time. It shaped the course of her life and her work.

For more than four decades, Leslie has maintained a private psychotherapy practice, helping adoptees, birth parents, and families navigate the lifelong emotional impact of adoption, identity, and family secrets. She presents nationally and internationally on issues affecting families formed through adoption and third-party reproduction.

Leslie has been featured on Good Morning America with Robin Roberts, appeared on CNN discussing the impact of the internet on adoption, and was part of Dan Rather’s investigative report Adoption or Abduction. She also appeared on The Katie Couric Show alongside her oldest son, Pete. Her story is included in the book The Girls Who Went Away and the documentary A Girl Like Her.

This conversation goes where many don’t.

Leslie shares what it was like to lose her children without having a real choice, how that experience stayed with her, and what she’s learned after spending decades sitting with others navigating similar truths. She also talks about what therapists still misunderstand about adoption, and why education in this space matters more than ever.

This is a conversation about adoption stories, family secrets, and the emotional reality behind DNA discovery and identity.

If you’ve ever been part of an adoption story, an NPE discovery, or a donor-conceived family, this episode will hit close to home.

Listen now to hear Leslie’s story, and the truth she’s spent a lifetime helping others understand.

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