The menopause transition has many pathways, and few therapists understand its complexity. I work with the stress-menopause connection (the neuroendocrine changes occurring through the menopause condition) to help you navigate this vulnerable window.

Together, we'll work to help you understand how biological changes, stress load, and life stage intersect so that you can regain steadiness, confidence, and clarity.

Research shows that the hormonal fluctuations occurring during perimenopause and menopause can affect:

• Emotional regulation
• Stress sensitivity
• Sleep quality
• Cognitive skills, such as concentration and memory
• Sensitivity to anxiety and depressive symptoms

Changes in estrogen, progesterone, and testosterone levels affect the neurotransmitter systems that regulate mood, concentration, motivation, and stress management. This is why many high-functioning women report feeling more reactive, easily overwhelmed, disconnected from their identity, and generally "stuck." However, psychotherapy during this season of life can help you reconnect with yourself and rebuild your self-trust.

A Nervous System–Informed Clinical Approach

Rather than focusing solely on symptom reduction, my approach integrates traditional psychotherapy with emerging research on hormonal transitions and nervous system regulation. Our sessions emphasize strengthening a sense of internal stability and psychological flexibility.

Together, we'll work to:

• Map emotional patterns alongside this hormonal phase,
• Identify sources of nervous system activation and burnout
• Grow your coping strategies to manage stress in real time better
• Addressing perfectionism, identity shifts, and changing self-expectations
• Shift negative self-beliefs that are eroding your confidence and sense of self-worth

How This Approach Differs from Traditional Psychotherapy

While traditional therapy may address anxiety or depression broadly, menopause-informed care considers:

• Neuroendocrine influences on mood and cognition
• The effects of vasomotor symptoms (hot flashes) and sleep disruption
• Identity and change in roles that often occur during midlife
• The cumulative stress load many women carry during this stage

This perspective helps clients move away from self-blame and toward informed self-understanding.

Embracing the changes of perimenopause and menopause can present an incredible opportunity for personal growth, where you discover new strengths, become more insightful, and solidify your self-confidence.

Frequently Asked Questions

Is psychotherapy only for severe symptoms of perimenopause and menopause?

No. Anyone seeking support in managing the effects of the psychological symptoms of menopause or adjusting to this new season of life will benefit from therapy.

Do you coordinate with medical providers?

Coordination with other providers can help to improve the outcomes of your care. At your request, and with your signed authorization, I would be happy to coordinate with other providers, as appropriate.

Is menopause therapy evidence-based?

Yes. Research increasingly highlights the psychological impact of hormonal transitions and the effectiveness of psychotherapy during this stage.

Where can I learn more about perimenopause and menopause symptoms?

In addition to your provider, there are many amazing organizations dedicated to providing information and supporting individuals through menopause. For example, the Menopause Society provides a wealth of educational resources, including guides, videos, and podcasts specifically for patients.