Women’s Mental Health and Perimenopause and Menopause
For many women, this season of life brings unexpected emotional, physical, and identity changes. You may feel unlike yourself, overwhelmed, exhausted, anxious, tearful, irritable, or disconnected. Therapy offers a grounded space to understand what is happening and to feel supported through the transition.
Understanding Perimenopause and Menopause
Perimenopause can begin years before menopause and is often marked by fluctuating hormones that affect mood, sleep, focus, energy, and emotional regulation. Many women are unprepared for how intense these changes can feel especially when they are also managing careers, relationships, caregiving, parenting, and aging parents.
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You may notice:
• Increased anxiety or panic
• Low mood or mood swings
• Irritability and emotional sensitivity
• Brain fog, forgetfulness, or focus issues
• Sleep disruption and fatigue
• Loss of confidence or sense of self
• Changes in motivation, desire, and identity
• Increased overwhelm and burnout
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These experiences are real. They are not a personal failure.
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Why This Time Can Feel So Hard
This phase of life often arrives alongside:
• Career pressure or transition
• Parenting children, teens or launching adult children
• Caregiving for aging parents
• Relationship changes
• Health changes
• Identity shifts
• Unprocessed grief or unresolved trauma
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For women with ADHD, these changes can feel even more intense due to shifts in executive functioning, emotional regulation, and energy. Many describe feeling like everything they once relied on to cope has stopped working.
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Therapy provides a space to slow down, make sense of what is happening, and rebuild support in a way that fits who you are now.
How Therapy Can Support You
My approach is practical, compassionate, and trauma-informed.
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We work together to understand the emotional and nervous system changes occurring during this transition and to develop tools that feel realistic and sustainable.
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Our work may include:
• Understanding the emotional impact of hormonal shifts
• Support with anxiety, depression, and mood changes
• Nervous system regulation and grounding
• Burnout recovery and energy management
• Boundary setting and people pleasing
• Identity shifts and redefining your sense of self
• Grief for what has changed
• Self-worth and compassion-based work
• Support for ADHD related challenges during this stage
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You will never be told to simply push through or minimize what you are feeling.
ADHD, Perimenopause, and Menopause
For many women with ADHD, perimenopause and menopause can intensify:
• Brain fog and memory challenges
• Emotional reactivity
• Overwhelm and burnout
• Sleep disruption
• Feelings of failure or shame
• Difficulty with organization and follow through
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You are not losing your abilities. Your nervous system and hormones are shifting. Therapy helps you adapt with understanding instead of self-criticism.
You Are Not Meant to Do This Alone
Many women arrive in this phase already exhausted from years of over functioning, caregiving, people pleasing, and putting themselves last. This stage of life often demands a different pace, different boundaries, and a different relationship with yourself.
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Therapy becomes a space to:
• Pause
• Listen
• Recalibrate
• Restore
• Reconnect with who you are becoming
Who This Works
This support may be a good fit for you if you:
• Are in perimenopause or menopause
• Feel emotionally overwhelmed or burned out
• Are questioning your identity or life direction
• Are navigating mood changes or anxiety
• Feel disconnected from your body or sense of self
• Have ADHD and feel like things have become harder
• Want compassionate, grounded support during this transition