Therapy for
Perimenopause & Menopause
Perimenopause may begin with affecting sleep — interrupted, unrestorative, harder to recover from. Or with irritability that feels slightly out of proportion, or anxiety that no longer responds to what used to settle it.
Over time, what felt like isolated changes can begin to affect how you function, how you relate to others, and how reliably you can access your own internal sense of grounding.
Many women describe a growing sense of no longer feeling entirely like themselves — which is often the moment they begin searching for answers. For those navigating perimenopause anxiety, mood changes, or a loss of emotional resilience they cannot fully understand, that search often leads here.
What Perimenopause Exposes
Perimenopause does not create emotional challenges out of nothing. It changes your internal regulation landscape: how steady you feel, how quickly you recover, and how much you can hold at once.
Hormonal shifts interact with patterns that have often been previously present: anxiety that seemed managed, a self-critical internal voice that felt contained, relationship dynamics that were tolerable when you had more emotional bandwidth.
When the hormonal layer changes, those patterns become harder to contain and more difficult to ignore.
This is why the experience can feel disproportionate to what is happening in the moment. Because it isn't only what is happening now. It's parts of your history are no longer buffered in the same way.
For women who are high-achieving, managing the demands of work, relationships, and family through competence and self-discipline, the loss of that internal regulation can be particularly disruptive. The strategies that worked reliably for most of your adult life may simply stop working — not because something is wrong with you, but because the conditions have changed.
Why Symptom Management Is Only Part of the Story
Perimenopause often coincides with a period of real life complexity — aging parents, shifting family roles, career transitions, children leaving or returning, relationships under strain. Hormonal changes do not cause these pressures, but they can make the accumulated weight of them harder to carry.
What surfaces during this transition often reveals what may have been suppressed for a long time — grief that was postponed, identity questions that were deferred, anxiety that was manageable enough not to seek help for.
Addressing surface symptoms alone is not always enough to create lasting relief. This work offers something more sustained: a space to explore what is being activated beneath your current experience, understand how your history is shaping it, and begin to process what’s unresolved so you can experience greater ease in the present.
How I Approach This Work
I work from a depth-oriented, trauma-informed framework that integrates Brainspotting, EMDR, and parts-based psychotherapy.
This approach is particularly well-suited to perimenopause-related distress because it addresses emotional and somatic material that often sits below the level of conscious awareness — the anxiety that doesn't respond to logic, the grief that has no clear object, the sense of self that feels suddenly uncertain.
This is not short-term symptom management. The focus is on understanding what is being activated and developing a more trusted internal foundation from which to navigate it.
Who This Work Is For
This approach is best suited for women who:
Are experiencing anxiety, emotional stress, or psychological strain related to perimenopause or menopause
Notice that previous coping strategies are no longer sufficient
Can commit to weekly, depth-oriented individual psychotherapy
Want to understand underlying patterns, not only manage symptoms
Are seeking private-pay treatment within a specialist practice
This work is structured as ongoing individual psychotherapy, with attention to deeper patterns rather than short-term symptom relief alone.
Beginning This Work
I offer a complimentary 30-minute consultation for women considering individual psychotherapy.
This conversation allows us to discuss what you’re navigating, review how I work, and determine whether this approach feels appropriate for you at this stage.
If you decide to move forward, we schedule weekly sessions conducted via secure video for clients located in New York, New Jersey, or Florida.
Explore all areas of focus within my practice.