Therapy for Perimenopause + Midlife Changes
For the emotional, relational, and identity shifts no one warned you about. In person on Mondays in Echo Park and online throughout California.
"What Is Happening to Me?"
"I'm so much angrier than I used to be, and I'm not sure it's all hormones."
"I cry at things that never got to me before."
"I don't recognize myself. It feels like parts of my personality are gone, and I miss who I was."
"I've put up with things for twenty years and suddenly I can't anymore."
"I want something completely different and I'm scared to say it out loud."
There are the changes everyone talks about. Then there are the ones that make you question your marriage, your work, your friendships, and the person in the mirror.
Can therapy help with perimenopause mood changes?
Yes. Therapy can offer support for the emotional side of perimenopause, including anxiety, irritability, grief, and feeling unlike yourself. In our work, we can explore what’s changing in your relationships, identity, and everyday life, and what you need now. Therapy works alongside medical care, not instead of evaluation or treatment for hormonal or physical symptoms.
Making Room for Who You’re Becoming
Midlife can bring questions about identity, sexuality, aging, purpose, and what you want from the years ahead. It can also bring old family wounds back into focus.
Maybe you want a mother you can call for reassurance, and realize again that you don't have that relationship. Maybe you're caring for aging parents while still healing from how they raised you. Maybe you just know you don't want to live the next chapter by the rules of the first.
You don't have to reduce it to hormones, or pretend hormones have nothing to do with it.
Therapy works alongside your medical care, not in place of it.
What Therapy Can Help With
Rage, irritability, anxiety, and mood swings that feel new
Feeling disconnected from yourself, a partner, or friends
Changes in desire, intimacy, and sexuality
Grief about aging, fertility, or the life you thought you'd have
Caring for parents who hurt you
Old childhood wounds resurfacing
Deciding what you want now, and giving yourself permission to want it
You're Allowed to Reconsider Everything
What you once tolerated may not feel tolerable anymore. Identities that used to fit may feel too small. That isn't falling apart. It can be the clearest you've ever been.
This isn't about changing who you are. It's about remembering who you are.
Perimenopause and Midlife FAQs
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You don’t need to have every explanation figured out before reaching out. We can begin with what feels different or difficult in your life, while a medical provider helps you understand whether hormonal changes or other health concerns may be involved.
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You can bring those feelings into therapy without having to make them sound more acceptable. We can explore what happens around the anger, what you’ve been carrying, and how you want to respond when things feel overwhelming.
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Yes. There is room to talk about desire, intimacy, resentment, distance, and changing needs. You don’t have to decide what those changes mean for your relationship before exploring them.
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We can make room for both what’s happening now and what it brings up from your past. That might include caring for an aging parent, grieving support you never had, or reconsidering boundaries that no longer feel right.
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No. My role is to support the emotional, relational, and identity questions you bring to therapy. Questions about hormones, medication, and physical symptoms belong with a qualified medical provider.
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No. Wanting space to understand yourself is enough of a reason to reach out. You may be questioning familiar roles, wanting something different, or simply noticing that the way you’ve been living no longer feels right.
What Do You Want for This Next Chapter?
Therapy can offer space to understand what’s changing, make room for what you need, and explore how you want to move forward.