Well+Being Holistic Mental Health
Emotional Health & Wellness Tips From The Therapy Couch And Other Places
Mental Health Challenges For Women At Perimenopause & Menopause
I just finished reading “Women Have Been Mislead About Menopause” in the New York Times. As a licensed psychotherapist with a private practice in New York City, this is one of the best articles that I have read about menopause in a very long time. Because as a psychotherapist, I see women who are menopausal, or soon to be, suffering from impactful mental health symptoms related to these hormonal changes. Of course women have other life events that may coexist with any hormonal changes, and that’s why it’s important to let a professional help you sort things out, and this can inform your counseling and wellness plan. Because, when your hormones are all over the place, unbalanced or deficient, it also makes it harder to cope with the usual demands of life. I have had my own personal experience with hormonal changes and failing ovaries, and my own ongoing journey has opened my eyes and informed my psychotherapy practice.
Did I learn about mental health and hormones in graduate school? Absolutely not. And this means that patients seeking counseling help are likely not receiving education and comprehensive care from their psychiatrists, psychologists and other mental health professionals who should be knowledgable about the impact of hormonal changes and mental health.
According to the article, about 85 percent of women experience menopausal symptoms. Rebecca Thurston, a professor of psychiatry at the University of Pittsburgh who studies menopause, believes that, in general, “menopausal women have been underserved — an oversight that she considers one of the great blind spots of medicine. It suggests that we have a high cultural tolerance for women’s suffering,” Thurston says. “It’s not regarded as important. Women’s symptoms are often minimized or dismissed; they are told it’s “just a natural part of aging” and they will have to learn to “deal with it.”
Virtual EMDR Therapy: A Modern Option For Lasting Healing
If traditional talk therapy has left you feeling discouraged with your healing progress, EMDR might be the solution that finally leads to symptom reduction. Many psychotherapists who are skilled with EMDR therapy are successfully working with their patients online using virtual EMDR. Many of us discovered that we could begin or continue EMDR Therapy virtually during the pandemic.
As a specialist in trauma therapy and an advanced level II EMDR practitioner in New York City, I have been helping patients heal and address challenges through online EMDR therapy. Many feel better after just a handful of sessions and will say “why didn’t my therapist tell me about this sooner?” Not everyone is trained in EMDR, but those who practice this modality know just how effective EMDR therapy is. EMDR is most commonly known to resolve PTSD and trauma. It’s also very effective for getting to the root cause of anxiety, depression, chronic sadness, addictions, compulsions, eating disorders, fears, phobias, grief, performance enhancement, and so much more.
EMDR therapy uses a process called Bilateral Stimulation to facilitate healing. Virtual EMDR therapists help patients process trauma using self-administered BLS by tapping on the knees, butterfly hug tapping or online software that stimulates rapid eye movement such as remotEMDR. Eye Movement Desensitization and Reprocessing (EMDR) focuses on reducing the impact that episodic distress, anxiety, fear, depression, phobias, triggers, negative emotions and traumatic memories have on your life.
On Well-Being
Human well-being and the ability to flourish is only possible when we feel safe and secure in the world. When this basic need to feel safe is not met, our sympathetic nervous system is activated, and we default to and inhabit a “fight or flight” stress response. In flight-fight, anything not essential for immediate survival is turned off—this includes the immune system, the digestive system, the human growth and reproductive systems. When these systems are turned off for too long, or are turned on and off too frequently, they break down, leading to the illnesses of modernity: diabetes, heart disease, infertility, obesity, anxiety, depression, autoimmune diseases, sleep disorders, and on.
This activated stress response can lead to detrimental changes in the structure of the brain and negatively impact emotional regulation, attention, concentration, and memory. Psychologically, when in the stress response, we pre-consciously sense our very survival is at stake, and in this activated state, the natural state of being open, relaxed, and receptive is not available to us. Instead, we are vigilant and tense, psychologically defensive and contracted. In
Lifestyle Changes To Reduce Chronic Pain, Inflammation And Depression
Understanding the Link Between Depression, Inflammation, and Mind-Body Healing
As a holistic psychotherapist in New York City, I frequently work with high-functioning professionals, creatives, and individuals navigating emotional and physical symptoms that overlap. Many clients come to therapy reporting concerns such as fatigue, low energy, insomnia, body aches, loss of interest in daily activities, reduced libido, social withdrawal, and appetite changes.
While these symptoms often resemble depression, the underlying cause isn’t always psychological. Chronic inflammation and physiological stress can also manifest as mood changes and emotional distress. At Holistic Psychotherapy & Wellness NY, I take an integrative approach—helping clients address emotional pain while exploring contributing physical and lifestyle factors.
What Is the Connection Between Depression and Inflammation?
Emerging research reveals a strong, bidirectional relationship between inflammation and depression. According to the American Journal of Psychiatry, chronic inflammation can contribute to depressive symptoms—and depression itself may activate inflammatory processes in the body.
Inflammation plays a role in several chronic health conditions, including:
Type 2 diabetes
Cardiovascular disease
Metabolic syndrome
Rheumatoid arthritis
Multiple sclerosis
Asthma
Psoriasis
Chronic pain syndromes
These conditions are also associated with an increased risk of depression and anxiety.
What Causes Chronic Inflammation?
Inflammation is the body’s natural response to injury, trauma, or infection. However, when inflammation becomes chronic or systemic, it can create a cascade of physical and emotional health problems. Contributing factors include:
Chronic stress and elevated cortisol
Poor diet and blood sugar instability
Hormonal imbalances
Food allergies and intolerances
Environmental toxins
Hidden infections
Sleep deprivation
Over- or under-exercising
If you experience persistent depressive symptoms, pain, or fatigue—and lab markers such as C-reactive protein (CRP) are elevated—it may be time to address inflammation as part of your wellness plan.