The years of perimenopause leading up to menopause can be some of the most disorienting of a woman’s life, and among the least talked about. Your sleep is disrupted. Your mood shifts in ways that feel unfamiliar. You may be experiencing anxiety, depression, rage, tears, grief, or a strange sense of losing yourself. What’s happening hormonally is real, and so is what’s happening emotionally and psychologically beneath it.

Hormonal changes, whether from perimenopause, PCOS, PMDD, POI, menopause, hysterectomy, oophorectomy, cancer treatment, or other causes, don’t just affect the body. They reshape the inner landscape too. Your emotional responses may feel disproportionate, your sense of who you are less certain, and the things that once anchored you may not be working the same way. This work holds all of it.

Menopause brings its own physical changes to navigate. Though it is often treated as an ending, many women find it is also a new beginning. It can be an unraveling of old roles, old identities, and old ways of moving through the world, and a revelation of who you are becoming.

For some women, menopause arrives suddenly through cancer treatment, surgery, or medication, and the changes can feel abrupt and disorienting. This work makes room for that experience too.

Whether you’re navigating the physical changes, the emotional weight, or the deeper questions this passage raises about who you are and what comes next, this work meets you in the fullness of it. That includes not only the symptoms but also the shifts in identity, the grief, and the possibilities that menopause can bring into view.

A cancer diagnosis can change everything, not only medically but also in how you understand time, your body, your relationships, and yourself. The physical reality of treatment is hard enough. The emotional weight deserves its own space too, including fear, grief, anxiety, depression, questions of identity, and uncertainty about what comes next.

For many women, cancer treatment also brings on menopause suddenly through chemotherapy, surgery, radiation, or hormone-blocking therapies. Instead of a gradual transition, the changes can arrive all at once, layered on top of everything else treatment asks of you. This experience is often overlooked, and it deserves informed and compassionate attention.

Whether you are newly diagnosed, in active treatment, in remission, or living in the years after cancer, this work meets you where you are. When appropriate, and with your written permission, I collaborate with your oncology and healthcare team to support a more integrated picture of your care. You don’t have to manage this alone.

Whether you are navigating an autoimmune condition, a complex chronic illness, or a condition that medicine hasn’t yet fully explained or named, you are dealing with something that affects the whole of your life. Living in a body that feels like it’s working against you, or that has suddenly become unfamiliar, is a particular kind of disorientation that deserves direct and thoughtful attention.

Chronic illness carries its own emotional weight, including grief, anxiety, depression, the strain of unpredictability, and the impact on your relationships, work, and sense of the future. Autoimmune symptoms can also shift during perimenopause and menopause, adding another layer to understand.

Whether you are newly diagnosed, in a flare, or learning to live well with an ongoing condition, this work meets you where you are. When appropriate, and with your written permission, I collaborate with your healthcare team. You deserve support that takes the whole of your experience seriously.

Depression during perimenopause, menopause, and other hormonal changes often looks different from what most people picture. It may show up as a flatness that comes about without warning, a loss of pleasure in things that used to matter, tearfulness that feels disproportionate, or a heaviness that doesn’t lift even when life looks fine on the outside. Fluctuating estrogen and progesterone influence serotonin, dopamine, and GABA, key brain systems that help regulate mood. This is not weakness, and you are not imagining it.

Anxiety in midlife can show up as worry that won’t quiet down, a sense that you are always bracing for something, or emotional reactivity that surprises you. It often runs deeper than circumstance. It lives in the nervous system, in old protective patterns, and in a body that has been on alert for a long time. We work with it as information, not just something to manage.

Grief doesn’t only follow death. It follows the end of relationships, the departure of children or the loss of not having children, the loss of a career or identity, the body you used to have, and the future you imagined. Midlife often brings multiple losses at once. This work creates space to grieve what is ending and to find what might be beginning.

You feel things deeply, and sometimes you wonder if it’s too deeply. You may absorb the emotions of people around you, feel easily overwhelmed by noise, conflict, or sensory input, and have spent years wondering why everything seems to affect you more than it does others. High sensitivity is not a flaw. It is a superpower, a way of being that deserves attuned, thoughtful support.

Something has shifted beneath the surface. The life you worked hard to build may feel like it no longer fits. You find yourself asking questions you haven’t asked before about purpose, choices, authenticity, personal agency, what you actually want, and the true self you are becoming. This is not a crisis. It is an invitation and a rite of passage.

I offer trauma-informed and neurodivergent-sensitive support for people who have experienced past trauma and are now in a place of relative stability. Together we explore how past experiences shape present patterns, relationships, and the nervous system. This work is best suited for those who are not currently in active crisis or acute danger. If you are in crisis, please call or text 988, the Suicide and Crisis Lifeline, or call 911 if you are in immediate danger.