Perimenopause & Menopause Therapy
Specialized Mental Health Support for Midlife Women
Perimenopause and menopause are not just physical transitions — they are neurological, emotional, relational, and identity shifts.
If you’ve found yourself thinking:
“I don’t feel like myself anymore.”
“Why am I suddenly so anxious?”
“My mood swings feel out of control.”
“I used to handle stress better than this.”
You are not imagining it. And you are not alone.
Hormonal fluctuations during perimenopause and menopause significantly impact mood, cognition, sleep, and emotional regulation. Yet many women are told to “push through,” “it’s just stress,” or “this is normal aging.”
You deserve more than dismissal. You deserve informed, compassionate care.
What Is Addressed in Therapy
Perimenopause and menopause can intensify or newly trigger:
Anxiety and panic symptoms
Depression or low mood
Irritability and emotional reactivity
Brain fog and concentration difficulties
Sleep disruption
Loss of identity or confidence
Grief around aging, fertility, or life transitions
Relationship strain
Increased sensitivity to past trauma
For some women, this is the first experience of significant mental health symptoms. For others, it feels like old patterns resurfacing with new intensity.
Therapy provides a place to understand what is happening — biologically and psychologically — while developing practical tools to stabilize and strengthen your nervous system.
My Approach
My work is integrative, evidence-informed, and attuned to the unique physiology of midlife women.
Treatment may include:
Nervous System Regulation
Hormonal shifts can increase stress sensitivity. I use somatic-based strategies to help reduce anxiety, improve sleep, and restore emotional steadiness.
Cognitive & Emotional Processing
I address mood shifts, intrusive thoughts, irritability, and negative self-talk through targeted therapeutic interventions.
Identity & Life Transition Work
Midlife often brings questions about purpose, relationships, career, aging, and meaning. I support this developmental transition with intention rather than crisis.
Trauma-Informed Care
Hormonal changes can resurface unresolved trauma. I work gently and safely to process underlying experiences that may be intensifying symptoms.
Collaborative Medical Support
When appropriate, I coordinate with physicians. Mental health care and medical care work best together.
Why Specialized Therapy Matters
Perimenopause is often misdiagnosed as:
Generalized anxiety disorder
Major depressive disorder
ADHD
“Just stress”
While those conditions can coexist, understanding the hormonal component changes the treatment approach.
Research shows that fluctuating estrogen affects serotonin, dopamine, cortisol regulation, and sleep architecture — all of which influence mood and cognition. Therapy that acknowledges this biology is more precise and effective.
You May Benefit from Perimenopause/Menopause Therapy If:
You are between ages 35–60 and noticing emotional changes
Your anxiety or depression worsened in midlife
You feel more reactive, overwhelmed, or sensitive than before
You feel disconnected from your former self
You want support navigating this transition with strength and clarity
What Healing Can Look Like
Women who engage in this work often report:
Improved emotional regulation
Reduced anxiety and mood swings
Better sleep and stress tolerance
Greater self-understanding and self-compassion
Stronger boundaries and relationships
A renewed sense of confidence and identity
Menopause is not an ending — it is a neurobiological and psychological transition. With the right support, it can also be a period of integration, wisdom, and growth.
Ready to Feel Like Yourself Again?
You do not have to navigate this alone.
Midlife can feel destabilizing — but with informed support, it can also become grounding.
Contact me to schedule a consultation and learn whether perimenopause/menopause therapy is right for you.
