Perimenopause doesn't feel like what you expected.
You know yourself reasonably well. The work you've done on yourself is real. This season just turned out to be a lot harder than you could have imagined.
You've already tried the sleep hygiene, supplements, maybe therapy before this. It helped a little. It still left you managing symptoms instead of understanding what's actually happening to you.
Slowly, you started to believe this is just what this age feels like. That you should be able to push through it the way you've pushed through everything else.
I’m in this season myself, which means I understand it from the inside. The hormonal and physical piece, identity confusion, grief, anger, and disorientation... All of it.
What if there was a way to actually meet yourself in the middle of this season instead of white-knuckling through it until it's over?
The hormonal and physical changes are real. But for many of us, perimenopause also brings up things that were always there: grief, old pain and trauma that got managed instead of healed, questions about identity and worth, and desires that were set aside during decades of doing and giving and holding it all together.
Most women have been moving too fast to feel it. Perimenopause slows you down whether you want to or not.
This work doesn't ask you to just wait it out. It goes to where the anxiety, anger, depression, and grief actually live — in the body, in your relationships, in the beliefs you formed about yourself and other people, in the protective strategies that made sense once and are costing you now.
That support can look like weekly sessions, or a dedicated therapy intensive when you need more time and space than weekly sessions.
—— WHY I DO THIS WORK
I know this territory. I'm moving through it, too.
A few years ago, I noticed myself in the same place many of my clients describe with anxiety that came out of nowhere, a sense of who I was starting to dissolve. I tried pushing through it the way I always had. Nothing quite worked until I let myself actually meet what was happening instead of managing around it.
This is not something I figured out years ago and stopped doing. I'm still living this season right now, alongside the women I work with, which changes how I show up in the therapy room with them.
What makes my perspective different is that I don't treat perimenopause as a set of symptoms to manage. I understand this as an identity transition, because I'm inside one myself, and because my training was built for exactly this kind of depth work.
Why therapy can help during perimenopause
You don't need someone to convince you to think more positively.
You probably already know how to function, keep going, and take care of everyone else.
What many women need during this season is a place where they no longer have to hold everything together.
We begin by slowing things down enough to understand what your mind and body have been trying to tell you.
Together we explore:
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why anxiety (and life) suddenly feels overwhelming
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why you cannot seem to recover from stress
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why your emotions feel bigger than they used to
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why you're still struggling with perfectionism and people-pleasing
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why your relationships may be changing
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why old trauma sometimes returns during this season
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why you feel disconnected from you
There is no single explanation for why one woman experiences perimenopause as a manageable transition while another suddenly finds herself overwhelmed by anxiety, panic, grief, or a deep sense that she has lost herself.
Hormones are part of the picture. So are your nervous system, your life experiences, your relationships, your stress, your history of trauma, and the ways you’ve learned to cope over a lifetime.
That is why I don't believe in treating symptoms in isolation. I believe in understanding the whole person.
You are not starting over
One of the things I hear most often is, “I just want the old me back.”
I understand that feeling, but I also think there is a kinder question.
Instead of asking how to become who you were before, what if we became curious about who you are now?
Perimenopause asks many women to stop living entirely from obligation, performance, and endurance.
It asks different questions.
What actually matters to you? What are you tired of carrying?
Where have you abandoned yourself to keep everyone else comfortable?
What would your life look like if it reflected who you are today, not who you’ve spent years trying to be?
Those questions can feel unsettling, but they can also become the beginning of something more honest.
—— WHAT HAPPENS IN SESSION
Perimenopause is a deep transition.
Talking about it is not always enough.
Perimenopause is a nervous system, identity, hormonal, and relationship transition all at once. The approaches I use are chosen because they reach all of those layers, not just the thinking mind.
Somatic Therapy
Your nervous system is in the middle of a real physiological shift. Somatic work means we pay attention to what your body is holding.
Parts Work (Internal Family System)
The anger, grief, numbness, or the part that still wants to hold it together even when everything is shifting are all parts of you doing their best. Together we get curious about what each part is carrying, what it’s protecting you from, and slowly offering it something different.
Nervous System Work
Perimenopause changes the nervous system. Things that didn’t used to bother you now send you into overwhelm because your system is in a real transition. We work with that directly, building capacity rather than just managing symptoms.
Attachment & Relational Patterns
Midlife surfaces things you thought were settled. Old relationship patterns, wounds, old ways of responding that you thought you'd worked through. We trace these patterns back to understand what is being activated and why, and to give you more room to respond rather than react.
Depth-Oriented Relational Therapy
The therapeutic relationship itself is part of the treatment. A lot of women in this season have never had someone sit with them in it without trying to fix it. This is a space where the full complexity of what you're going through gets to be real, without anyone trying to resolve it before it's ready.
Identity & Meaning-Making
Perimenopause is a big, extended identity transition. The question of who you are on the other side of this is real and important work. We hold it seriously as an invitation to know yourself more fully than you have before.
—— WHAT CHANGES
What starts to shift
01
The constant low-level reactivity calms down. You have more space between what happens and how you respond.
02
The anxiety becomes something you understand rather than something that runs you. That understanding is also felt in the body, not just the head.
03
You stop getting triggered into old patterns and start relating to your history with more compassion and more choice about what you do with it.
04
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You find your footing or solid ground in the transition. Not on the other side of it but inside it. Moving through with support changes the whole experience.
05
You get curious about who you’re becoming. This is usually when things really start to open up because you stopped fighting the transition.
06
You stop carrying it alone, which turns out to be the thing that changes almost everything else.
Extended therapy sessions for more intense work.
Rather than spreading the work across months of weekly sessions, an intensive creates a dedicated block of time to go deeper without the week-long gaps that can slow momentum. It’s not faster therapy, but a different kind of space.
Half Day
3–4 hours. A focused dive into a specific area — a stuck pattern, transition, resurfaced wound.
Good for those already in therapy who want to go deeper on something particular.
Full Day
Not a long appointment, but an actual dedicated day. With a break so you can breathe, eat, come back. Long enough to move through more than one layer, without having to stop right when something starts to open up.
Multi Day
2–3 consecutive or closely spaced days. This one takes the most time and often does the most work. Two or three days, with breathing room built in between for the things you've been carrying the longest.
Intensives can stand alone or run alongside ongoing therapy. If you're not sure which format fits, we can figure that out in a consultation.
You have managed it long enough.
You came here because some part of you knows this phase of life is not just something to push through.
STAYING WHERE YOU ARE
More of the same — the reactivity, the disorientation, the loneliness of doing this without anyone who really gets it.
MAKING THIS DECISION
Finding out, with no pressure, whether this could actually be different — weekly therapy, intensive, or both.
If you're ready for support that matches what you're going through, click below to book a free consultation.