Online therapy in 43 states. Click here to view the list. Enrolling now: Perimenopause Group Therapy.
Perimenopause Anxiety Therapy
If you’ve been feeling more anxious, overwhelmed, or unlike yourself lately, you’re not imagining it. Perimenopause can bring real and significant changes to your mental health
Many women notice:
-
Increased anxiety or panic
-
Mood swings or irritability
-
Trouble sleeping
-
Feeling emotionally reactive or “on edge”
-
A loss of confidence or sense of self
You’re not broken. Your are on a rapidly shifting roller coaster, your body is changing, and specialized mental health support can make a meaningful difference.
What Is Perimenopause Anxiety?
Perimenopause, which can last up to 10 years, is the transitional phase before menopause when hormone levels fluctuate. These changes can directly impact the brain systems that regulate mood and anxiety, making symptoms feel more intense or harder to manage.
How Therapy Helps
In our work together, you’ll learn how to:
-
Understand the connection between hormones and anxiety
-
Regulate your nervous system
-
Reduce overthinking and emotional overwhelm
-
Rebuild a sense of stability and self-trust
My approach is grounded in evidence-based therapies and tailored to the unique needs of women in midlife.
Why Work With a Specialist
I’m a licensed psychologist with over 20 years of experience, specializing in anxiety, OCD, and women’s mental health—including perimenopause. You don’t have to figure this out alone.
FREQUENTLY ASKED QUESTIONS
Can perimenopause cause anxiety even if I've never struggled with anxiety before?
Yes. Hormonal fluctuations during perimenopause can affect brain systems involved in mood, stress response, and emotional regulation. Many women experience anxiety, panic, irritability, or overwhelm for the first time during this transition. More info on the blog topic here.
Why do I feel unlike myself during perimenopause?
Many women describe feeling more emotional, overwhelmed, forgetful, or less resilient than they used to during perimenopause. Changes in hormones, sleep disruption, life stressors, and shifting roles can all contribute.
Is therapy helpful if my symptoms are hormone-related?
Yes. While therapy does not change hormone levels, it can help you understand what is happening, reduce anxiety, improve coping skills, and navigate this transition with more confidence and self-compassion. Dr. Tera works with women in this season of life to navigate all of the identity shifts inherent in this change including relationships, work, and shifts in their sense of vitality.
Can therapy help with perimenopause-related irritability and mood swings?
Absolutely. Therapy with Dr. Tera can include bio and neurofeedback in addition to traditional talk therapy to help you identify triggers, regulate emotions, learn distress tolerance skills, improve communication, and develop strategies for managing difficult and wildly fluctuating moods.
How do I know if what I'm experiencing is perimenopause, anxiety, or something else?
Many symptoms overlap. Therapy can help you explore patterns, understand contributing factors, and determine whether additional medical evaluation or referrals may be helpful.