When everything feels off—and no one has looked at the whole picture

A focused 60-minute session to understand how hormonal changes in midlife may be driving your anxiety, mood shifts, brain fog, and sleep disruption—together, not in isolation.

60 minutesTelehealthOne-time, no ongoing commitment

Why this consultation exists

At some point, things start to feel off. Not dramatically—just differently hard. Anxiety appears out of nowhere. Mood is lower, flatter, or more reactive than usual. Focus that used to come easily now requires real effort. Sleep is disrupted, often at 3am.

Most women are treated for one piece at a time: a therapist for anxiety, a psychiatrist for medication, a gynecologist for hormones. What often gets missed is how much these overlap—and how frequently the common thread is hormonal change.

Estrogen shifts influence serotonin, dopamine, and executive functioning. That can look like anxiety, depression, or ADHD-type symptoms—especially in women who have never struggled with focus before, or who had mild ADHD that becomes more pronounced in midlife. This consultation is a place to look at that whole picture in a clinically grounded way.

Who this is for

Women in their late 30s, 40s, 50s, and beyond who are noticing:

• Anxiety that feels new, heightened, or harder to manage

• Mood changes that don't follow your usual patterns

• Brain fog, distractibility, or possible ADHD symptoms

• Trouble focusing, staying organized, or following through

• Sleep disruption or early waking

• Trauma symptoms that have resurfaced

YOU MAY HAVE

• Been told your labs are normal, but don't feel normal

• Wondered if it's perimenopause, ADHD, or burnout

• Been offered medication without a broader explanation

• Researched this yourself and ended up more confused

• Felt like each provider sees only one piece

This consultation is typically a fit for women in their late 30s, 40s, 50s, and beyond.

Why the connection gets missed

Hormonal changes during perimenopause don't just affect physical symptoms. They affect brain function. Fluctuating estrogen levels influence:

• Serotonin — mood, emotional regulation

• Dopamine — motivation, focus, reward

• Executive functioning — organization, follow-through, mental clarity

• The stress response system

Because of this, hormonal shifts can look like:

• Generalized anxiety or panic

• Depression or low motivation

• ADHD symptoms — distractibility, forgetfulness, difficulty initiating tasks

• Increased emotional reactivity

• Burnout that doesn't improve with rest

These symptoms are often treated separately. You might talk to a therapist about anxiety, a psychiatrist about medication, a gynecologist about hormones—but the connection between them isn't always addressed directly. That's where a lot of confusion comes in, and why many women feel like they're piecing things together on their own.

Estrogen affects brain chemistry

Fluctuating estrogen levels influence serotonin, dopamine, and the stress response—which means hormonal change can look like anxiety, depression, or ADHD.

Symptoms are treated separately

You may see three providers and leave each appointment with only one piece of the picture. The connections between mood, focus, sleep, and hormones often aren't drawn explicitly.

Timing matters

When symptoms began relative to cycle changes, age, and life stress tells a story. Most clinical appointments don't have time to look at that arc carefully.

This isn't ongoing therapy, and it's not medical care. It's a focused consultation to help you understand what's happening and what to do with that information.

I'm a licensed psychotherapist with advanced training in trauma, EMDR, and women's mental health. My work centers on anxiety, mood, and cognitive functioning, with a specific focus on how these are affected during hormonal transitions. I don't prescribe—but I've helped hundreds of women navigate this, and I've trained extensively at the intersection of hormones and mental health.

What I do is help you:

• Understand how hormones—or the lack of them—may be affecting your brain and symptoms

• Sort through overlapping possibilities: anxiety, mood, ADHD, perimenopause

• Think more clearly about treatment options

• Prepare for more productive conversations with your providers, who may be less informed on these connections

This comes from both clinical training and years of working with women in this stage, along with personal experience navigating it.

WHAT WE'LL DO IN THE SESSION

01

Map your full picture — We'll go through your symptoms, patterns, and history—mood, anxiety, focus, sleep, cycle changes, and anything else relevant. Not as a checklist, but as a connected story.

02

Make sense of the overlap — I'll walk you through how these pieces may connect, based on what you're actually experiencing—not in a general way, but specific to you.

03

Clarify your next steps — Whether that's how to evaluate hormone therapy, whether a formal ADHD evaluation makes sense, what to bring to your prescriber, or realistic ways to support focus, mood, and sleep.

04

Written summary — You'll receive a written summary afterward with the main points and recommendations, which you can reference or share with your providers.

COMMON QUESTIONS — FAQ’s

Can perimenopause cause ADHD symptoms?

Yes, in many women. Hormonal changes can significantly affect attention, memory, and executive functioning. For some, this looks very similar to ADHD—and in women with existing ADHD, symptoms often become more pronounced.

How do I know if it's anxiety or hormones?

Often it's not one or the other. Hormonal changes can lower the threshold for anxiety or make it harder to regulate. That's part of what this consultation looks at—the pattern, not just the label.

Is it worth getting evaluated for ADHD in midlife?

In some cases, yes. Part of this session is helping you think through whether that would be useful given your history and what you're experiencing.

Will hormone therapy fix these symptoms?

It can help some women significantly, but it's not a universal solution. That depends on the underlying pattern—which is exactly what we're trying to clarify.

Investment

$350 — one-time, 60-minute telehealth session

No ongoing commitment. No package required. One focused session with everything you need to move forward with clarity. You will leave the session with a wealth of up-to-date information on hormonal health and mental health.

INCLUDES

• 60-minute telehealth video session

• Comprehensive symptom and history review

• Clinical framework for understanding your pattern

• Personalized written summary with recommendations

• Guidance on next steps with your current providers

To schedule your consultation, use the direct scheduling link.

I work with women in Manhattan, across New York City, and throughout New York State, as well as in other locations where coaching services are available.

"I'm a licensed psychotherapist with advanced training in trauma, EMDR, and women's mental health. I don't prescribe—but I've helped hundreds of women make sense of this picture, and I've spent years training specifically at the intersection of hormones and mental health. This comes from both clinical work and personal experience navigating midlife myself."