Why Am I Wide Awake at 3 AM? Perimenopause, Anxiety, Hormones, and Sleep Waking up at 3 AM and suddenly feeling wide awake? During perimenopause, changing hormones can affect sleep, anxiety, stress tolerance, and your ability to settle back down. And no, you're not necessarily doing anything wrong. In this article, Dr. Tera explores the connection between perimenopause, progesterone, cortisol, anxiety, and insomnia—and what you can actually do when your brain decides 3 AM is

Perimenopause is rough in many ways, it CAN increase social withdrawal urges because rapidly fluctuating estrogen and progesterone impact mood, anxiety, energy, emotional regulation, ability to deal with stress, and sensitivity to social cues from other people. This is exhausting, no wonder so many women simply don't have the energy to want to be social. Have you recently found yourself declining invitations, withdrawing when you used to be the one keeping everyone laughing,

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.

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