1. Grief, separation and loss While it may be difficult for parents to understand, most adopted children experience some feelings of grief and loss related to their adoption. They may suffer the loss of their birth parents as well as siblings, grandparents and extended family. Older children who were adopted later in life may grieve the loss of foster families, friends and familiar schools or neighborhoods. 2. Self Esteem and identity Adoption can present some challenges for children as they work through the identity formation process, especially as adolescents. Adoptees with limited information about their birth families and the reasons their birth parents chose adoption may especially experience difficulties in identity development. Identity development issues may surface as adopted children struggle to find their place in their adoptive family. 3. Attachment issues, school challenges and other mental health challenges Children who were adopted at an older age and w...