I hate to admit it, but I used to brag about being a perfectionist. For a long time, I thought it was a compliment. Being a perfectionist meant I cared. I worked hard. I was responsible. I got the best grades. I showed up. I tried so hard to do everything well. I thought perfectionism was part of what made me successful. After decades of living, studying, becoming a full-fledged adult, and becoming a clinical psychologist to boot, I see it differently now. What I once called

GLP-1 medications like semaglutide and tirzepatide have become increasingly common. One in 5 American women ages 50-64 have taken a GLP-1 for weight loss, according to a recent report from RAND. It can feel like everyone is on these prescriptions, compounding the pressure to be thinner, as we see our friends literally shrinking. Our diet and body obsessed culture has long fed us (pun intended) the idea that fat is the worst thing we can be-especially as women. Many women st

Through PSYPACT authorization across 43 states, Dr. Tera provides telehealth therapy for locum tenens physicians, travel nurses, healthcare professionals, and high mobility leaders specializing in anxiety, OCD, burnout, parenting stress, chronic illness, and identity work.

Understand boundaries, why it is a a challenge to set them, the purposes they serve, and practical tools to set more effective limits honoring our values.

Connect with a psychologist who gets it, born and raised in the Dakotas providing online therapy in 43 states, including the underserved areas of the rural Great Plains.

This blog features findings from the WHI study published in 2022, debunks myths about hormone replacement therapy and provides insights about treatment for the mental health issues associated with perimenopause

Suicide Risk in Women Peaks in Midlife A 2022 narrative review by Mendez-Bustos, et al. Life Cycle and Suicidal Behavior Among Women ,...

This blog shares the science behind anxiety increases in perimenopause, treatments, and support with online individual and group therapy

Cougar puberty, aka perimenopause is a challenging time, especially when you are parenting a teen who is on their own hormonal roller coaster, aka the "first puberty". Dr. Tera gets it because she is navigating the same things and has 20 years of experience as a clinical psychologist. Reach out to connect, therapy works, you don't have to do this alone.

Feeling worn out and misunderstood in perimenopause. This is a transition that can be unsettling to say the least and at worst, a mental health crisis. Both individual and group therapy available for support in 43 US states. Dr. Tera invites you to reach out and see if individual or group therapy might just be the help you need to navigate this time with your wits intact.

Learn about PSYPACT, a multistate compact allowing licensed doctoral level psychologists to provide telehealth across state lines.