We talk a lot about Melani and her “We Do Not Care Anymore” Movement—and yes, we love her! She truly gets it. But this doesn’t necessarily have to mean “letting yourself go.” Sometimes, it’s simply about expressing yourself authentically and reserving your energy for what truly matters to you—by choice, not by default.

For decades, the struggles of perimenopause and menopause—insomnia, hot flashes, brain fog, and mood swings—were often endured quietly, with women suffering in isolation. Today, thanks to Melani Sanders, founder of the We Do Not Care Club (WDNC) on social media, millions of women have a vibrant space to voice their experiences, share relatable challenges, and celebrate the humor and honesty of midlife transitions.

If you spend any time on Instagram, and your algorithm allows, you’ve met Melani. Melani has created a movement that resonates deeply with women navigating midlife, capturing the humor, courage, and liberation that come with embracing authenticity. Known for her distinctive style—often spotted with multiple pairs of readers dangling from her body—she embodies playfulness alongside wisdom, reminding women that self-expression and confidence can coexist at any stage of life. Her work celebrates emotional honesty, boundary-setting, and self-alignment, offering a voice that many women feel mirrors their own inner experience. Beyond trendiness, Melani provides a supportive, validating framework for women to reclaim energy, make intentional choices, and approach life with clarity and confidence.

Samantha (34) is a marketing executive in Manhattan, ambitious and socially active. She has a history of anxious attachment and a high need for certainty in relationships. Daniel (36) is a software developer, calm and introspective, often conflict-avoidant. He values stability and enjoys the predictability of routines. Samantha and Daniel have been together for 3 years. They moved in together last year and have a generally loving relationship, but over the past six months, conflicts have escalated dramatically. The tension is centered around Samantha’s intense doubts about Daniel’s feelings and past interactions, particularly when his words and actions don’t align perfectly.

Are you a woman in NYC navigating the challenges of perimenopause and menopause? Hormonal changes during this transitional stage can bring mood swings, anxiety, fatigue, and heightened stress to the surface. At Holistic Therapy, EMDR & Wellness NYC, I specialize in supporting women through perimenopause with talk therapy support, education,somatic therapy, mindfulness, and other supportive holistic approaches that help manage emotional shifts, release tension, and regain balance.

Perimenopause and menopause can bring major emotional and cognitive shifts that may leave you wondering, “What’s happening to me?”If you’re experiencing mood swings, anxiety, or brain fog, you’re not alone. These symptoms are common and are linked to natural hormonal changes that affect the brain and the body. Mental health challenges during menopause are often overlooked, even though this transitional period can bring increased symptoms of anxiety, depression, mood swings, and struggles with alcohol or substance use. Women with pre-existing conditions such as schizophrenia or bipolar disorder may find their symptoms intensifying during perimenopause and menopause.

In New York City, the fast pace of life can leave both mind and body stressed, anxious, or burdened by unresolved trauma. Somatic therapy in NYC offers a revolutionary approach to mental health, combining traditional psychotherapy with body-centered techniques to promote holistic healing. At Holistic Therapy, EMDR & Wellness NYC, I specialize in somatic therapy, including EMDR (Eye Movement Desensitization and Reprocessing), helping clients release stored trauma, manage stress, and improve emotional well-being.

What Is Somatic Therapy?

Somatic therapy is a form of psychotherapy that focuses on the connection between the mind and body. Trauma, stress, and emotional pain are often stored physically in the body, leading to tension, chronic pain, or behavioral patterns. By observing and working with bodily sensations, therapists help clients process these experiences safely and effectively. The result is whole-body healing, addressing both mental and physical symptoms. If you’ve ever felt that traditional talk therapy only works with your mind and not your body, somatic therapy offers a holistic approach that engages your whole self.

within the scope of compassionate and informed psychological care

She comes to therapy because she’s suffering, though on the surface, no one would know. Her best friend seems to be sailing through menopause without a hitch, still sleeping soundly, still herself, while she quietly unravels. Her body aches in ways she can’t explain. Anxiety hums beneath everything. Sleep, once reliable, has turned against her. Mornings bring exhaustion; evenings bring dread. She’s lost interest in things she used to love, and she can’t name exactly what’s wrong — only that life feels dimmer, smaller, harder to hold together. Her husband says he misses her. She scrolls through advice columns and doctors’ websites but finds little that truly fits. She now mostly relies on Instagram and Facebook groups for support and additional resources, but it’s a challenge to know who and what to trust. The truth is, every woman’s experience of midlife is different. For some, it’s a gentle recalibration; for others, it’s a full-body scream, a neurological, hormonal, and emotional storm that touches every corner of being. In therapy, we begin by naming what’s happening, lifting it from the realm of shame or mystery and into understanding and knowledge so healing can finally begin.

As a psychotherapist and coach licensed in New York who works extensively with women in midlife and beyond, I see how often confusion, misinformation, and outdated medical narratives add unnecessary suffering to an already complex life stage.

When “Calm Down” Doesn’t Work

For many New York City women, calm feels like a luxury. The body is always half-braced, waiting for the next email, the next crisis, the next demand to prove composure. The nervous system never fully lands. At Holistic Therapy & Wellness NY, I often meet women who say, “I know all the mindfulness tools, and I know how to challenge difficult emotions, but the tools don’t work when I’m actually overwhelmed.” That’s because the nervous system doesn’t regulate through logic — it regulates through felt safety, micro-moments of relief that tell the body, “You’re safe enough to exhale.” These moments are what I call micro-resets — small, strategic practices that restore balance to an over-extended system without requiring an hour-long meditation or a weekend retreat.

The Feminine Nervous System Under Siege

Culturally and biologically, many women’s nervous systems are tuned for attunement and care. We notice cues, anticipate needs, and soften edges to preserve connection. While these are strengths, they can easily become overextensions — a body perpetually scanning for what others feel, while ignoring its own signals.

The result is a subtle yet chronic state of hyperarousal — “wired but tired,” anxious but numb. This pattern isn’t weakness; it’s a survival adaptation. Yet living this way drains the immune, endocrine, and emotional systems over time.

Most women I meet in my New York City psychotherapy practice tell me the same thing: they don’t know how to slow down. They wake up already behind, their nervous systems wired before their feet hit the floor. The pace feels normal until one day it doesn’t — until the exhaustion becomes cellular. Burnout recovery isn’t just about taking a vacation. It’s about retraining your nervous system to believe that rest is safe. And the way we do that isn’t through grand gestures — it’s through micro-resets. These tiny, body-based pauses are how you begin to restore what stress and striving have stripped away: safety, presence, and vitality.

Developing daily practices does not mean that you need to dedicate 30-60 minutes into your already packed day. Science shares that even 5-10 minutes makes a difference!

What Are Micro-Resets?

Micro-resets are small, sensory-based moments of awareness that tell your body, “I’m safe right now.”
They come from somatic psychology, mindfulness, EMDR resourcing, and Somatic Experiencing®, all of which focus on the connection between mind, body, and emotion. When practiced regularly, they help regulate the autonomic nervous system — the body’s built-in stress thermostat — moving you out of fight-or-flight and into calm. Over time, these moments build resilience and make rest feel natural rather than frightening. In my practice, I often teach women recovering from chronic stress, overachievement, or trauma. Each micro-reset takes seconds, but together, they reshape how the brain and body experience safety.

Why They Matter

When you live in constant acceleration, the nervous system forgets what safety feels like.

The City That Never Sleeps Meets the Woman Who Can’t Either

In a city built on ambition, midlife can feel like an existential collision. You’ve spent years building — your career, your family, your identity — and suddenly, something shifts. Your body changes, your hormones fluctuate, and your clarity begins to blur. You find yourself asking questions that feel both urgent and unanswerable: Who am I now? Why am I so tired? Why does everything that used to motivate me now feel hollow?

In my New York City psychotherapy practice, I see this all the time — accomplished, self-aware women who have done everything “right” and still feel like their foundation has cracked. Midlife hits differently here. The pace is unrelenting, the pressure invisible yet constant, and the cultural expectation is that you’ll simply push through. But what I witness, session after session, is how this constant state of striving rewires the nervous system, draining resilience and disrupting hormonal balance. The mind begins to sprint while the body begs for stillness. And beneath it all, there’s often a quiet longing — not just to cope, but to rediscover meaning in a city that never pauses long enough to ask what truly matters.

At Holistic Therapy & Wellness NY, I help women unravel this pattern — not by pushing harder, but by learning to regulate the nervous system and reconnect with the body’s innate wisdom. Using a blend of EMDR, somatic awareness, mindfulness, and integrative psychotherapy, we gently untangle the emotional residue of decades spent in survival mode — the perfectionism, the self-sacrifice, the relentless drive to achieve. EMDR is particularly powerful in this stage of life because it helps the brain reprocess stress and trauma that have kept the system in high alert.

The Unseen Exhaustion Behind the Polished Life

In New York City, burnout doesn’t always look like collapse. Often, it looks like achievement. It looks like the woman who runs the meeting, plans the dinner, checks her child’s homework, and answers emails from the back of an Uber — smiling, capable, and quietly unraveling inside. She’s the friend everyone turns to. The colleague who never says no. The woman whose calendar never has white space. And yet, when the city finally sleeps, she lies awake, her nervous system buzzing with invisible static. In my New York City psychotherapy practice, I see this pattern every day — brilliant, successful women who have built extraordinary lives but feel they’re running on fumes. They describe a slow erosion of joy, presence, and vitality. They come to therapy saying things like:

“I’m exhausted, but I can’t rest.”
“I feel detached — like I’m performing my life.”
“I’m successful, but I’m not okay.”

Behind their composure lives a nervous system in constant overdrive — one that has learned to survive on adrenaline and achievement. In a city that rewards perfectionism and punishes pause, these women push through exhaustion until they forget what “rested” even feels like. What they don’t realize, until therapy slows them down enough to notice, is that their brilliance has come at the cost of belonging to themselves.

This is the silent burnout epidemic — a crisis hidden behind competence. It’s not failure; it’s physiology. The nervous system can’t thrive under constant performance. In therapy, we work to quiet the body’s alarm system, reprocess the emotional load it’s been carrying, and teach the mind that safety doesn’t depend on doing more.

Midlife therapy isn’t about symptom management—it’s about reintegration. At my Holistic Psychotherapy & Wellness practice, I combine psychotherapy, EMDR, somatic, and attachment-based work, and mind-body coaching to help women reinhabit themselves—body, mind, and spirit.

“It feels like I’m running on a different operating system than I used to.”

If you’re a woman somewhere in your forties, fifties—or even sixties—you may have noticed that the ground beneath your life has started to tremble in subtle, disorienting ways. Your mind doesn’t feel as sharp. Your skin feels dry and thin, your sleep unsteady. You love your partner, but your libido has disappeared. You find yourself looking at your reflection, wondering where the old “you” has gone. And perhaps, for the first time in a long time, you feel… fragile. Not in the weak sense of the word, but in the way that things feel closer to the surface. The emotions. The memories. The longing. The grief for what used to feel easy.

As a psychotherapist in New York City and midlife coach supporting women through perimenopause and menopause, I see this every day. Women who are strong, intuitive, successful—and utterly bewildered by how unfamiliar their inner world feels. This time of life is not just hormonal. It’s existential. It’s spiritual. It’s about identity, power, and the question that begins to echo through everything:

"Who am I now, and how can i rewrite the script for myself?

Because Healing Isn’t Just About Leaving The Past—It’s About Learning To Love Without Fear

In my therapy practice, I regularly meet people who are trying to learn how to love again—after betrayal, loss, or the slow unraveling of trust. They’re thoughtful, self-aware, and often successful in many areas of life, yet intimacy feels like the final frontier: something longed for, but fraught with fear. Some are recovering from toxic or narcissistic relationships; others are emerging from years of emotional disconnection or avoidance. What unites them is a quiet hope—the desire to feel safe in closeness again, to open without losing themselves. Our work together isn’t about rushing into love, but about relearning how to trust your body, your instincts, and your capacity to be known. Love, when approached through healing, becomes less about finding someone new and more about finding your way back to yourself.

After surviving an emotionally abusive or traumatic relationship, the idea of loving again can feel impossible.
Part of you may crave connection, while another part wants to run at the first sign of closeness. You may long for intimacy—but fear the loss of autonomy. You may trust your heart, yet doubt your instincts. This ambivalence isn’t a flaw; it’s a nervous system learning to trust again. Healing from relationship trauma isn’t only about letting go of the past—it’s about relearning how to love in a way that feels safe, mutual, and fully alive.

Why Loving After Trauma Feels So Complicated

Because the Body Remembers What the Mind Tries to Forget

When a relationship leaves you anxious, hypervigilant, or numb, it’s not just heartbreak—it’s your nervous system remembering pain. Even long after you’ve left an unhealthy dynamic, your body may still brace for conflict, shrink at raised voices, or tense up when someone gets too close.

That’s because trauma—especially relational or attachment trauma—doesn’t just live in the mind. It lives in the body: in your breath, posture, heart rate, and gut. Somatic therapy helps you reconnect with the body’s wisdom, teaching it that safety, love, and trust can coexist again.

Why Trauma Healing Must Begin in the Body

Over the years, I’ve come to trust what neuroscience, attachment theory, and countless clients have shown me: you can’t think your way out of trauma. Traditional talk therapies and CBT-based approaches can offer insight and temporary relief, but trauma isn’t stored in logic—it’s stored in the body. It lives in the muscles that tighten, the breath that shortens, the stomach that clenches each time safety feels uncertain.

That’s why my bias—if you can call it that—is toward somatic healing. The body tells the truth long before the mind can find words. And until the body feels safe, no amount of cognitive reframing can create lasting change.

These days, everyone seems to be talking about trauma bonds, and while the term has become part of pop-psychology vocabulary, the lived reality is far more complex than a viral headline. A trauma bond isn’t just an emotional attachment to someone who’s hurt you; it’s a physiological tether formed through cycles of fear and intermittent reward. In therapy, we move beyond labels to understand what’s actually happening in your nervous system—why breaking free can feel impossible, and how healing that bond requires compassion, safety, and time.

If you’ve ever left a toxic or emotionally abusive relationship and found yourself missing the person who hurt you, you’re not alone—and you’re not broken. You may feel confused by your own emotions, ashamed that you still care, or angry that part of you longs for their approval. But this reaction isn’t weakness—it’s wiring. Trauma bonds are powerful, involuntary connections formed through cycles of affection, fear, and uncertainty. They’re psychological and physiological—woven into the body’s stress response and attachment system. Understanding how trauma bonds form is the first step in breaking free—not just from a person, but from the emotional conditioning that keeps you tied to pain.

Ethan is 42, a creative director at a Manhattan agency. He came to therapy describing himself as “burned out,” though what he really felt was hollow. His relationship, once passionate and all-consuming, had become a constant emotional negotiation. He found himself apologizing for things he didn’t remember doing, second-guessing his tone, his memory, even his reality. His partner alternated between affection and criticism—lavishing him with warmth when he met her expectations, withdrawing or accusing him of being selfish when he asserted a boundary. Over time, Ethan learned to anticipate her moods, smoothing over conflict before it began. He stopped bringing up concerns for fear of escalation. He thought if he just worked harder—was kinder, more patient, more available—it would bring back the person he fell in love with. When he finally reached out for therapy, he said, “I feel like I’ve been erased. I don’t even know what’s true anymore. How did I let this happen to me?”

In my New York City private psychotherapy practice, I see this pattern often—high-functioning, insightful clients who begin to doubt their own reality after months or years of emotional manipulation or gaslighting. Many come to therapy confused, anxious, and self-critical, wondering how they “lost themselves” in a relationship that once felt so connected.

After leaving a relationship shaped by manipulation, control, or narcissistic abuse, the silence can feel deafening.
For months—or sometimes years—you may have been told who you were, what to think, how to feel, or what was “real.”
Now that it’s over, you’re left staring at a mirror that feels blurred, wondering: Who am I, without their voice echoing in my head? This is the work of reclamation. And though it’s tender, confusing, and often nonlinear, it’s also where real healing begins.

The Confusion That Follows Emotional Manipulationsadman

A significant part of my New York psychotherapy practice is devoted to helping couples and individuals navigate the painful dynamics of narcissism and emotional abuse. I work with partners caught in patterns of control, defensiveness, or emotional disconnection—often where one or both struggle with traits of narcissism, perfectionism, or deep insecurity masked by power. For individuals recovering from toxic or narcissistic relationships, therapy becomes a space to process the trauma, rebuild trust in their own perception, and learn to love without fear or self-abandonment. Using an integrative, trauma-informed approach that blends EMDR, somatic therapy, and attachment-focused work, I help clients understand the psychological and physiological roots of these dynamics—transforming survival patterns into self-awareness, boundaries, and emotional freedom.

Leaving a relationship with a narcissistic or emotionally abusive partner can feel both empowering and devastating. You may know, logically, that it was the right choice—but emotionally, your body and mind can remain entangled in confusion, guilt, or longing. You might find yourself replaying conversations, doubting your memories, or wondering why you still care about someone who caused so much pain. That’s not weakness—it’s trauma. Healing after narcissistic abuse isn’t just about getting over someone. It’s about reclaiming your nervous system, your voice, and your sense of self after being chronically invalidated or controlled.

Understanding The Impact Of Narcissistic Abuse

Lydia is 47. From the outside, her life looks composed — a stable marriage, two teenagers, a successful career in marketing. But lately, something feels off, and she can’t name it. She wakes up each morning with a subtle dread, a hollowness she tries to fill with coffee, lists, and relentless doing. Her sleep is light and fitful. She startles easily, cries unexpectedly. Some days, she feels invisible — to her husband, her kids, even to herself. Other days, she’s furious, not sure at whom. Her body feels foreign — her energy is erratic, her patience thin, her desire gone. Her thoughts loop between “What’s wrong with me?” and “Is this all there is?” She tells herself she should be grateful — she is grateful — but gratitude doesn’t reach the ache beneath her ribs. There’s a quiet grief she can’t articulate: grief for the woman she used to be, the one who dreamed, flirted with possibility, laughed easily. She misses her own aliveness.

When She Finally Reaches Out For Therapy, She Says:

“I don’t even know what I’m looking for. I just know I can’t keep doing this version of my life. It looks fine, but I feel like I’m disappearing.”

Clinical Framing

Lydia’s story embodies what many midlife women bring into therapy:

We hear it everywhere: “You just have to love yourself.” It sounds lovely, even wise, but for many people, especially those navigating anxiety, depression, or trauma, that advice can land like salt on a wound. For a multitude of complex reasons, it’s just too difficult. When you’ve spent years battling your own mind, when shame or perfectionism has become your inner soundtrack, or when trauma has taught you that safety is conditional, loving yourself can feel impossible. And forcing it often only deepens the divide. What if we replaced the goal of self-love with something gentler, something that doesn’t require us to feel warm and fuzzy toward ourselves every moment? What if, instead, we focused on self-compassion—a practice that begins exactly where you are, no matter how unlovable you feel?

Why Self-Compassion Matters for Healing

From a psychological and neurological standpoint, self-compassion is not just a soft, sentimental idea—it’s a radical rewiring of the brain’s threat and safety systems.
When you respond to your own suffering with understanding rather than criticism, the brain’s amygdala (its alarm center) begins to quiet. Over time, this lowers cortisol levels, stabilizes mood, and increases emotional resilience.

For those living with anxiety, depression, trauma, and other difficult life circumstances, self-compassion acts as a stabilizing anchor. It helps regulate the nervous system, softens chronic self-attack, and interrupts the cycle of avoidance and shame that often keeps us stuck.

We’ve all been there—agreeing to something (again) that we knew wasn’t right for us. Now we’re stuck, overwhelmed, and resentful. How many times do we need to abandon our own needs, ignore that quiet inner voice, or sideline our authentic self before we realize it’s a pattern? The truth is, it often takes hitting that emotional breaking point—getting truly fed up with ourselves—before we’re ready to stop people-pleasing and start exploring why we keep putting ourselves last.

The issue of people-pleasing is one of the most common reasons people seek therapy. It’s more than just a habit—it’s often a deeply ingrained survival strategy, shaped by early experiences and reinforced over time. Because of this, it can feel almost hard-wired into your nervous system, which is why it’s so resistant to change through willpower alone.

If you frequently find yourself prioritizing other people’s comfort over your own, saying yes when you genuinely want to say no, or shrinking your needs to avoid conflict, you’re not just being “too nice”—you’re likely caught in a long-standing pattern that once kept you safe, but now keeps you stuck.

Therapy offers a space to explore where that pattern began, why it persists, and—most importantly—how to begin choosing yourself without guilt or fear.

People-pleasing isn’t just about being nice or agreeable. It’s often a survival strategy shaped by early life experiences, where maintaining harmony and avoiding conflict became essential to feeling safe, loved, or accepted. What may have once protected you has now become an exhausting, self-erasing habit.

At Holistic Psychotherapy, EMDR, and Wellness NY, I specialize in helping clients untangle these patterns—so you can stop living for others and start living for yourself.

As an experienced stress and anxiety therapist with nearly 20 years of experience, I’ve worked with countless high-achieving professionals who are respected, successful, and outwardly composed—but who feel overwhelmed, anxious, and exhausted on the inside. If that sounds familiar, you are not alone.

At Holistic Psychotherapy, EMDR, and Wellness NY, I offer virtual therapy designed specifically for professionals who appear to be thriving but are silently struggling. Whether your anxiety shows up as perfectionism, burnout, or a constant fear of not being good enough, there is support available that actually works—and fits into your life.

This blog post explores how anxiety uniquely affects high-functioning individuals, how therapy can help, and what to expect if you are ready to start your healing journey.

The Hidden Face of Anxiety in High Achievers

Anxiety is not always loud or dramatic. For high performers, it often hides in plain sight—masked by ambition, accomplishment, and self-discipline.

You might be:

• Meeting deadlines but mentally drained

• Leading teams while secretly doubting yourself

• Maintaining a polished image but feeling like an imposter

• Working late not because you have to, but because you can’t relax

These patterns often go unrecognized because they are rewarded in professional environments. But just because they are common doesn’t mean they are healthy—or sustainable.

The Cost of Untreated Anxiety

When anxiety is left unchecked, it can impact every aspect of your life, including:

Many New Yorkers carry more than they realize — old wounds, unresolved stress, or difficult memories that continue to shape daily life. For many, therapy has been part of their journey — but sometimes, talking alone doesn’t feel like enough. Old patterns resurface, memories remain raw, and the relief they hoped for feels out of reach. EMDR therapy (Eye Movement Desensitization and Reprocessing) offers a different path. It’s designed not just to manage symptoms, but to resolve them at the root. And with secure telehealth platforms like SimplePractice, you can now experience the full benefits of EMDR therapy virtually — no matter where you are in New York State.

What Is Virtual EMDR Therapy?

Virtual EMDR is for those moments when you’re ready to drop the armor, stop circling the same conversations, and finally get serious about healing. Virtual EMDR therapy uses the same evidence-based principles as in-person sessions, but is delivered online through video conferencing. Bilateral stimulation—whether through eye movements, sounds, or tactile cues—can be easily facilitated through specialized tools and techniques designed for remote sessions. Clients often find that doing EMDR in their own space adds an extra layer of safety and comfort, allowing them to open up more fully.

Why New Yorkers Are Turning to Virtual EMDR

Life in New York doesn’t slow down, and finding the time to prioritize your mental health can feel impossible. Virtual EMDR therapy eliminates many barriers:

• Convenience: No commuting, no subway delays—just log in from home or a private office.

• Privacy: Sessions take place in a secure, confidential online environment.

• Accessibility: Whether you’re in Manhattan, Brooklyn, Queens, the Bronx, Staten Island, or upstate New York, EMDR is available with just a click.

• Continuity of Care: Frequent travel or unpredictable schedules don’t have to interrupt your progress.