
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.”

DBT Skills: Observe Your Thoughts, Reduce Your Anxiety
A Mindfulness Practice to Calm the Mind and Soothe the Nervous System
Mindfulness is the practice of being present—fully and non-judgmentally—with whatever is happening in the moment. It's about gently noticing your breath, your thoughts, your emotions, and your physical body, without trying to fix, change, or escape anything. When practiced consistently, mindfulness has been shown to reduce symptoms of anxiety, depression, anger, and overwhelm.
If you're someone who struggles with racing thoughts, chronic stress, or emotional reactivity, this simple daily mindfulness exercise can help you create space between stimulus and response, allowing your nervous system to reset.
This is a foundational practice I often share with clients at Holistic Psychotherapy & Wellness NY, especially those seeking relief from anxiety, panic, trauma, or the emotional effects of chronic stress. It’s especially useful when paired with psychotherapy, EMDR, somatic therapy, or integrative coaching.
Step-by-Step Guided Mindfulness Practice
Find a quiet and comfortable spot to sit or lie down. Let your body settle.
Soften your jaw. Unclench your hands. Allow your shoulders to drop. Close your eyes if that feels safe and comfortable.
Begin with the breath
Gently bring your attention to your breath.
Notice the rhythm of your inhalation and exhalation.
Feel the air as it moves in through your nose and fills your lungs.
Exhale slowly, letting your body sink more deeply into support.
There’s nothing you need to change or fix. Just observe the movement of your breath. Imagine that you are riding the wave of your breath, flowing in and out with ease. You are safe in this moment.
Shift your awareness to your thoughts
Now bring gentle attention to your thoughts.
You are not your thoughts. You are the observer.
Notice whatever arises—without judgment, without effort.