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iN-PERSON IN alamo, SAN RAMON & danville | ONLINE THERAPY ACROSS CA

Therapy for women in Perimenopause and Midlife

feel like yourself again through hormonal and life transitions

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Perimenopause is turning your world upside down, and you’re thinking “This isn’t me”

Your body has stopped feeling like your own, and the woman staring back at you feels like a stranger. If you're in your 30s–50s, this is perimenopause — and it shows up in ways that go far deeper than the physical:

  • Your emotions have taken on a life of their own — mood swings, anxiety, sadness, and irritability that feel out of control and come out of nowhere

  • You're barely holding it together — you’re quick to cry, quick to snap, and overwhelmed by things that never used to affect you like this

  • Your mind isn't cooperating the way it used to — the brain fog, the forgetfulness, the loss of focus and motivation that makes you question yourself

  • Your body feels foreign and unpredictable — hot flashes, sleepless nights, and hormonal shifts that leave you feeling disconnected from yourself

When your mind and body feel out of sync, everything else can too. The hormonal, mental and emotional shifts during perimenopause and midlife have a way of rippling into every corner of your life.

You may be noticing it…

  • At work: Staying focused, remembering details, making decisions and keeping up with tasks that used to feel effortless is becoming harder. You’re falling behind, feeling frustrated and doubting yourself and wondering where your sharp, capable self went.

  • In your relationships: You’re finding yourself short with the people you love, and with less emotional bandwidth to connect. You’re pulling away, isolating and withdrawing - even from the ones who matter most.

  • In your body and mind: You’re learning to work around a body that no longer plays by the rules - unpredictable energy, restless nights and physical changes that nobody warned you about.

  • With yourself: Your confidence is shaken, you’re losing pieces of the woman you used to be and feeling unsure of who you’re becoming . You’re quietly wrestling with the complexities of aging, identity and purpose during midlife.

What you’re experiencing has a name, and there’s a path through it. Perimenopause therapy is designed specifically for this season of life — to help you find your footing again, emotionally, mentally, and in who you are becoming.

Therapy for Perimenopause and Midlife helps you…

  • Embrace perimenopause and move through this transition with self-compassion and resilience to meet each wave as it comes

  • Rebuild your confidence as your body, identity and sense of self evolve, so you can show up fully in relationships, at work and at home

  • Make sense of what your body is going through and learn how to work with your hormones instead of feeling hijacked, blindsided and exhausted by them

  • Find your way back to feeling like you - not a stranger in your own life, but a woman who feels steady, grounded and trusts herself again

Why I Do This Work

Over two decades of sitting with women through the hardest seasons of their lives showed me the same thing again and again — women in perimenopause and midlife were struggling deeply, and not getting nearly enough support. The conversation around menopause was almost entirely medical, leaving the emotional, mental, and identity side of this transition largely unaddressed.

That gap is what brought me here. It's what drove me to pursue specialized training in perimenopause, deepen my work with somatic therapy and EMDR, build relationships with OBGYNs and integrative health practitioners who share this commitment, and create workshops where women can find community.

What I bring to this work isn't just clinical training — it's a genuine passion for making sure women in midlife receive the holistic support they truly deserve, so they can navigate this transition with clarity and confidence.

my approach to PERIMENOPAUSE therapy

Change is inevitable, but so is your capacity for growth and resilience

Perimenopause is uncharted territory for most women, I meet you right there - with a holistic, compassionate and collaborative approach that addresses every layer of what you’re going through. Because what you're navigating isn't just hormonal. It's emotional. It's relational. It's a quiet, but profound identity shift, and it deserves more than symptom management.

When we work together, we start by understanding the full picture: your symptoms, your patterns, and the areas of your life that feel most disrupted. What we work on is specific to you, not a one-size-fits-all plan. From there, we work on multiple levels at once, because perimenopause affects your body, your mind, and your sense of who you are — all at the same time.

Reconnecting with your bodySomatic Therapy uses breathwork, mindfulness, and grounding to calm your nervous system and ease physical symptoms like hot flashes, restlessness, disrupted sleep and tension, so you can start to feel at home in your body again.

Building a stronger inner foundation — through CBT (Cognitive Behavioral Therapy) and DBT (Dialectical Behavioral Therapy), you’ll develop practical tools to regulate emotions and shift the thought patterns feeding into self-doubt, stress, and low mood, so you can feel in control of your inner world.

Processing the deeper emotional weightEMDR (Eye Movement Desensitization and Reprocessing) helps you work through what this life stage of significant hormonal and identity shifts can stir, including past experiences that perimenopause has a way of bringing back to the surface when you least expect it.

Navigating the identity shifts of midlife — through Identity-Focused Therapy we'll hold space for the identity work that midlife demands, whether it’s the quiet grief of who you were, the uncertainty of who you're becoming, or finding solid ground in the woman you are right now. This is where some of the most meaningful growth happens and where the real transformation begins.

You don’t have to live like a stranger in your changing body. I can help you move through this season of life feeling empowered and confident

Perimenopause doesn't get to write this chapter. You do.

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questions about therapy for perimenopause and midlife

FAQs

  • Perimenopause affects far more than your body. The most common mental and emotional symptoms include mood swings, anxiety, irritability, sadness, brain fog, difficulty concentrating and a quiet but unsettling sense of not recognizing yourself — all real neurological responses to the hormonal shifts happening in your body during this transition.scription

  • Yes, anxiety and depression are common during perimenopause. The hormonal fluctuations of perimenopause directly affect the brain's mood-regulating chemicals, which is why anxiety and depression can surface even in women with no prior mental health history. What you're feeling is real, and it's treatable

  • If you're in your late 30s to 50s and noticing shifts in your mood, memory, energy, sleep or sense of self, perimenopause may be playing a bigger role than you realize. Its symptoms often overlap with anxiety, depression and burnout. A helpful first step is talking to both your doctor and a therapist who specializes in this transition, so you can get the right support

  • Perimenopause therapy is specifically designed to address the emotional, cognitive, and identity shifts that hormonal transitions bring, not just general stress or life challenges. It draws on specialized approaches like somatic therapy, EMDR, CBT and DBT, tailored to the unique demands of this season of life. Learn more about how I work with women navigating perimenopause and midlife.

  • Yes, therapy gives you the tools to manage the emotional and cognitive shifts of perimenopause, rebuild your confidence, and sense of self. Many women find that specialized support from someone who truly understands this transition makes the difference between barely managing and genuinely thriving. Learn more about how I work with women through perimenopause and midlife.

  • While therapy isn't a replacement for medical treatment, somatic therapy and EMDR are particularly effective at calming the nervous system and easing physical symptoms like hot flashes, sleep disruption, tension and fatigue.

  • Yes, research shows CBT is highly effective for managing anxiety, low mood and sleep problems during perimenopause. It can even help reduce the intensity of hot flashes. It's one of the core approaches I use alongside EMDR and somatic therapy.

  • Simply contact me here or schedule a free consultation to find out if therapy for perimenopause can help you. 

YOU’VE BEEN STRONG FOR EVERYONE ELSE, NOW LET’S BUILD A SEASON OF STRENGTH FOR YOU.