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Emotional Health & Wellness Tips From The Therapy Couch And Other Places

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When Everything Shifts: Therapy for Women in Perimenopause and Menopause in New York City

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?

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