Midlife can be a transformative period for women—full of growth, reflection, and new opportunities—but it also brings emotional and physical challenges, especially for those balancing demanding careers, parenting, and the fast pace of Manhattan life. Hormonal transitions, including perimenopause and menopause, affect not only the body but also mood, focus, and energy levels. Hot flashes, disrupted sleep, mood swings, brain fog, and fatigue are common, yet many women feel these changes acutely while trying to keep up with work deadlines, school drop-offs, and social commitments.

In my private Manhattan practice, I frequently work with midlife women who are thriving professionally and personally, yet feel depleted, emotionally reactive, or disconnected from their own well-being. Traditional medical approaches often focus only on symptoms, leaving women without tools to manage stress, anxiety, or the subtle emotional shifts that accompany hormonal changes. Holistic therapy—integrating EMDR, somatic approaches, and mind-body techniques—offers a pathway to balance, emotional regulation, and resilience amid the challenges of city life.

Why Hormonal Transitions Affect More Than Mood

Hormonal shifts during perimenopause and menopause influence multiple systems in the body: