The anxiety, the interrupted sleep, the irritability, the brain fog. Maybe you've been told it's just part of getting older. You deserve space to talk about how perimenopause and menopause are affecting your life, relationships, and sense of self.
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The hormonal changes of perimenopause and menopause affect mood, sleep, cognition, energy, identity, and relationships in ways that are profound and often minimized. You may have been told that what you are experiencing is normal -- which is true, but is not the same as saying it does not require real support.
Women in midlife are often managing competing demands -- careers, aging parents, children, relationships -- while navigating a transition that gets little clinical attention on the emotional side. The anxiety, irritability, brain fog, and grief that can accompany this time of life are real and deserve more than a prescription and a pamphlet.
"Midlife is not just a physical transition. It is an identity transition -- and the emotional work of it is significant, necessary, and often invisible."
I provide therapy for women navigating perimenopause, menopause, and the broader midlife transition. I take the emotional dimensions seriously, work collaboratively with medical providers when appropriate, and help clients find language for what they are experiencing.
Irritability, mood swings, anxiety, and depression that feel different from what you have experienced before. The hormonal component is real and so is the need for support.
A loss of the version of yourself you knew. Your energy, your confidence, your ability to manage things that used to be manageable. This is disorienting and deserves to be taken seriously.
Midlife often surfaces questions about who you are outside of the roles you have been playing -- partner, parent, professional -- and what you actually want from the second half of your life.
Menopause affects partnerships. Shifts in libido, emotional availability, and the stress of the transition itself can create distance that neither partner fully understands.
PMDD and other cycle-related mood symptoms can have a significant impact on emotional wellbeing, relationships, and daily life. For some women, changing symptoms during the perimenopausal years add another layer of complexity. Therapy can help you recognize patterns, develop coping strategies, and navigate the emotional impact.
The end of fertility, aging, the departure of children, the deaths of parents. Midlife concentrates losses in ways that can feel relentless. Grief this layered deserves real attention.
I bring both clinical expertise and genuine familiarity with the menopause transition to this work. I take the physical and hormonal dimensions seriously while focusing on the emotional, relational, and identity work that the medical system rarely addresses. I collaborate with gynecologists, psychiatrists, and other providers when appropriate.
I work with women across Virginia, Maryland, and Florida via telehealth. Private pay. HSA and FSA accepted. A free 15–30-minute consultation is available.
Virtual therapy across Virginia, Maryland and Florida. Private pay. HSA and FSA accepted.
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Therapy is more than having a place to talk. Together, we identify what matters most to you and practice skills you can use in everyday life.
Develop strategies for anxiety, mood changes, and stress during a changing season of life.
Strengthen boundaries and conversations with partners, family, and healthcare professionals.
Explore identity, relationships, and priorities while finding ways to feel more like yourself.
How we work: We collaborate on goals, check regularly on what is and is not helping, and adjust our approach as your needs change. Progress might mean recovering more quickly from setbacks, communicating more clearly, or feeling more confident in difficult moments.
These are possible benefits of therapy, not promises of particular results. Your experience and goals are individual.
Explore a free consultationPending final office arrangements, Inflection plans to offer in-person individual and couples therapy in Fairfax, Virginia. Virtual sessions remain available for eligible clients in Virginia, Maryland, and Florida.
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