Integrative Mental Health Care for Perimenopause, Menopause, Mood Changes, and Nervous-System Regulation, including education, resources, counseling & limbic system restoration for Midlife women, 40+

As a clinician with over two decades of experience working with midlife women, I have helped hundreds of clients navigate the emotional, cognitive, and physical challenges of perimenopause and menopause. Anxiety, depression, irritability, brain fog, sleep disruption, and relationship stress are common symptoms that emerge during this hormonal transition — and I understand this journey from the inside.

Having lived through perimenopause myself, I bring clinical expertise, personal experience, and real-life compassion to every client I work with. My training includes extensive study with menopause expert clinicians and ongoing review of the latest research, ensuring that the care I provide is both evidence-based and hormone-aware.

Holistic, Integrative Approach to Women’s Mental Health

At Holistic Therapy & Wellness NYC, my approach goes beyond traditional talk therapy. I integrate:

• Evidence-based psychotherapy (EMDR, CBT, trauma-informed therapy, somatic approaches)

• Lifestyle interventions (nutrition, sleep support, stress physiology, movement, mind-body tools)

• Hormone education (perimenopause, menopause, hormone replacement therapy guidance)

This whole-person perspective addresses the root causes of midlife mental health challenges rather than simply managing symptoms, allowing women to move from confusion and overwhelm to clarity, stability, and renewed confidence.

Common Symptoms During Perimenopause & Menopause

Many women experience:

• Anxiety, panic, or irritability

• Mood swings or depression

• Brain fog, memory loss, and concentration issues

• Sleep disruption, insomnia, or night sweats

• Low libido and sexual changes

• Fatigue and low energy

• Weight changes or metabolic shifts

• Joint pain, headaches, or digestive issues

• Emotional triggers from unresolved trauma

• Shifts in identity or self-concept

If these symptoms are affecting your quality of life, therapy and wellness coaching can help you regain emotional balance and confidence.

How Hormonal Changes Affect Mental Health

Hormones like estrogen, progesterone, and testosterone play a central role in emotional regulation. Fluctuations during perimenopause can impact:

• Brain chemistry: Serotonin, dopamine, and GABA levels influence mood, focus, motivation, and emotional stability.

• Nervous system: Reduced stress tolerance and heightened emotional sensitivity can intensify reactions.

• Sleep and metabolism: Disrupted sleep patterns and blood sugar regulation affect energy, mood, and cognitive function.

Understanding the biological roots of midlife emotional changes helps normalize your experiences and opens the door to effective, targeted interventions.

Why Perimenopause Can Bring Unresolved Trauma to the Surface

Hormonal changes during perimenopause and menopause often amplify emotional sensitivity and stress responses. Experiences that were once manageable — including past trauma or survival patterns — can resurface due to:

• Nervous system dysregulation

• Reduced emotional resilience

• Increased intensity of memories or body-based responses

Trauma-informed, hormone-aware therapy supports emotional processing, nervous system regulation, and restoration of safety and stability. Modalities I use include:

• EMDR (Eye Movement Desensitization & Reprocessing)

• Somatic therapy and body awareness practices

• Mindfulness-based interventions

• Supportive, evidence-based psychotherapy

Hormone-Aware Therapy & Lifestyle Protocols

1. Hormone-Informed Psychoeducation

Learn how perimenopause and menopause affect mood, cognition, and stress responses. Understanding your hormonal landscape is the first step to regaining control.

2. Collaborative Care & Resources

Work alongside healthcare providers to integrate hormone therapy, functional health strategies, and lifestyle interventions.

3. Nervous System Regulation

Learn breathwork, grounding techniques, and somatic exercises to manage stress and restore emotional equilibrium.

4. Trauma-Informed EMDR Therapy

Process unresolved trauma that may reemerge during hormonal transitions to rebuild resilience and emotional stability.

5. Cognitive Behavioral Strategies (CBT)

Reduce anxiety, manage mood swings, and develop coping tools that strengthen daily emotional regulation.

6. Sleep Support

Address insomnia, night sweats, and circadian rhythm disruption with evidence-based interventions.

7. Self-Compassion & Resilience

Build confidence and restore your sense of self through boundaries, self-care planning, and empowerment work.

My Perimenopause & Menopause Expertise Includes

• Anxiety and depression during perimenopause

• Hormonal mood changes

• Sleep disruption and insomnia

• Cognitive changes and brain fog

• Irritability, overwhelm, and emotional regulation

• Stress management for women 40+

• Holistic mental health care

• Hormone education and lifestyle guidance

• Relationship challenges and couple support

• Changes in libido, arousal, and sexual comfort

Women’s Mental Health & Burnout in NYC

Professional, high-achieving women often enter perimenopause already carrying years of chronic stress, caregiving responsibilities, and high performance demands. The combination of fast-paced urban life and hormonal changescan intensify burnout, anxiety, brain fog, and emotional overwhelm.

With menopause-informed therapy and nervous system regulation, women can:

• Restore balance

• Protect mental health

• Maintain professional performance

• Reclaim clarity, energy, and emotional resilience

Sexual Health & Intimacy Support

Hormonal transitions can affect libido, sexual comfort, and relationship intimacy. My approach provides compassionate, nonjudgmental guidance for:

• Low desire or sexual energy

• Pain during intercourse

• Difficulty reaching orgasm

• Recovery from sexual trauma

• Body image and dissociation

• Communication and intimacy challenges

Finding the Best Perimenopause/Menopause Support in NYC & Worldwide

When seeking support, prioritize:

• Hormone-aware clinicians familiar with midlife transitions

• Evidence-based modalities (EMDR, CBT, somatic therapy)

• Experience with mood, cognitive, and nervous system changes

• Telehealth options for clients outside NYC

• A provider whose style resonates with you

Finding someone with expertise and empathy is foundational to healing during this stage of life.

Why Choose Holistic Therapy & Wellness NYC

I combine clinical expertise, advanced training in women’s mental health, and lived experience to help women navigate perimenopause with confidence. Through holistic therapy, lifestyle protocols, and integrative coaching, clients move from overwhelm to clarity, regain emotional balance, and develop tools to thrive long-term.

I support women who are ready to:

• Heal unresolved trauma

• Reduce anxiety and depression

• Improve sleep and cognitive function

• Strengthen resilience and self-compassion

• Navigate hormonal changes with confidence

• Restore sexual health and relationship satisfaction

Whether you’re in New York City, elsewhere in NY State, or worldwide, I offer personalized, hormone-aware therapy and wellness coaching tailored to your unique needs.

FAQs: Frequently Asked Questions About Perimenopause Therapy, Coaching & Education in New York City

What is perimenopause?
Perimenopause is the transitional phase leading up to menopause, during which ovarian hormone production becomes more variable. This stage can begin years before the final menstrual period and is often associated with fluctuating estrogen and progesterone levels.

What mental health symptoms can occur during perimenopause?
Perimenopause can be associated with:

• Anxiety and panic

• Mood swings or irritability

• Depression or low mood

• Sleep disturbance or insomnia

• Brain fog or cognitive changes

• Increased emotional sensitivity

• Reduced stress tolerance

• Worsening of pre-existing mental health conditions

How is perimenopause-related distress different from typical anxiety or depression?
Hormonal fluctuations can amplify nervous system sensitivity and emotional reactivity. Symptoms may feel sudden, unfamiliar, or disproportionate to circumstances and may not resemble a person’s prior mental health history.

What is perimenopause-informed psychotherapy?
Perimenopause-informed psychotherapy integrates mental health treatment with an understanding of hormonal transitions, midlife stressors, identity shifts, and nervous system changes. Therapy focuses on both psychological and physiological contributors to symptoms.

What is the difference between therapy, coaching, and education in perimenopause care?

• Therapy involves mental health treatment provided by a licensed clinician and may include assessment, diagnosis, and psychotherapy.

• Coaching focuses on goal-setting, lifestyle change, and skill-building and is not psychotherapy.

• Education provides information about perimenopause, hormones, and evidence-based wellness concepts.

These services may be offered separately or in combination, depending on your needs.

What concerns can perimenopause therapy address?
Perimenopause therapy may help with:

• Hormone-related anxiety or mood changes

• Sleep disturbance

• Stress and burnout

• Identity shifts and midlife transitions

• Relationship strain

• Cognitive or concentration concerns

• Health-related anxiety

• Grief related to aging or fertility changes

Do you prescribe or manage hormones?
No. I do not prescribe or manage hormone therapy. When appropriate, I may recommend collaboration with medical providers who specialize in women’s hormonal health.

Can perimenopause therapy be combined with medication or hormone treatment?
Yes. Many clients engage in psychotherapy while also working with gynecologists, endocrinologists, or other medical providers. Care coordination may occur with your consent.

What therapeutic approaches are used?
Depending on your needs, perimenopause therapy may integrate:

• Psychodynamic therapy

• Cognitive Behavioral Therapy (CBT)

• Trauma-informed psychotherapy

• Attachment-based therapy

• Mindfulness-based approaches

• Somatic-informed strategies

• Integrative psychotherapy

Is perimenopause therapy evidence-based?
Yes. Therapy relies on established, research-supported mental health approaches. Education is grounded in current medical and psychological understanding of midlife hormonal transitions.

What is included in perimenopause coaching?
Coaching may focus on:

• Stress regulation strategies

• Sleep hygiene and routines

• Lifestyle structure and habit formation

• Boundaries and energy management

• Mindfulness and nervous system support

• Goal clarification and accountability

Coaching does not replace medical or mental health treatment.

Is perimenopause “all in my head”?
No. Perimenopause involves real physiological changes that can influence brain chemistry, stress hormones, and emotional regulation.

How long does perimenopause last?
Perimenopause length varies widely and may last several years.

Is perimenopause therapy short-term or long-term?
Some clients benefit from short-term support around specific symptoms or transitions. Others choose longer-term therapy for deeper work.

Do you work with high-functioning and professional women?
Yes. Many high-functioning women seek perimenopause-informed care due to sudden changes in mood, performance, confidence, or stress tolerance.

Do you offer perimenopause therapy via telehealth?
Yes. Perimenopause therapy, coaching, and education are offered via secure, HIPAA-compliant telehealth for clients in Manhattan, Brooklyn, Long Island, and throughout New York State. Coaching is worldwide

Is perimenopause therapy appropriate if I still have regular periods?
Yes. Many women experience perimenopausal symptoms even when cycles appear regular.

How do I know if my symptoms are hormonal or psychological?
Often, symptoms involve both physiological and psychological factors. An initial consultation can help clarify contributing elements and determine next steps.

Is this service only for perimenopause?
No. You may also seek support for menopause, postmenopause, or other midlife mental health concerns.

How do I get started?
You may request an initial consultation to discuss your concerns and determine whether therapy, coaching, education, or a combination is the best fit.

Take the First Step

You don’t have to navigate perimenopause or menopause alone. Expert, compassionate support is available to help you reclaim your emotional balance, physical vitality, and sense of self.

Book a consultation today to begin your journey toward holistic, hormone-aware mental health and wellness.