Perimenopause doesn't usually break a marriage on its own. But it definitely turns up the volume on problems that were already there and takes away the patience you used to have for dealing with them quietly. The hormone part is real, but it's rarely the whole story. This post explains what is actually happening and what helps. Michaela Kozlik, LCPC — Licensed therapist in Illinois specializing in trauma, anxiety, burnout, somatic therapy, and nervous system regulation for wo