Perimenopause - Menopause

Hot Flashes are just the tip of the Iceberg

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A woman standing inside a natural ice arch on a snowy landscape. The image is in contrast to the hot flashes experienced in perimenopause.

What you feel on the surface is only part of the story.

Hormonal shifts affect every layer of your mind and body.

You expected a few hot flashes, maybe some sleepless nights.
But no one warned you about this - the mental fog, the irritability that sneaks up out of nowhere, the tears you can’t explain, the changes in your body or the deep sense that something inside you has shifted.

This isn’t “just hormones.”
It’s a whole-body, whole-life transformation. One that affects your brain, your mood, your sleep, your gut, your energy, your focus, and even your sense of self.

You’re not imagining it — the changes run deep. Let’s help you make sense of

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What’s Really Happening

Perimenopause and menopause aren’t just medical milestones. They’re a neuroendocrine event - meaning your brain and hormones are in constant dialogue.


When estrogen, progesterone, and testosterone fluctuate or decline, they don’t just change your menstrual cycle - they impact every system in your body, and in turn, every aspect of your life.

You’re not “too emotional,” “lazy,” or “losing your edge.”
Your chemistry is changing — and you deserve support that sees the whole picture.

  • Not because you’re “getting old,” but because estrogen fuels memory and attention circuits in your brain.

  • as estrogen and progesterone dip, serotonin and GABA (your calming neurotransmitters) take a hit too. You might feel on edge, and this ripples out into our relationships as well.

  • fluctuating hormones affect body temperature and your circadian rhythm, making deep rest elusive.

  • shifting hormones alter the gut microbiome and digestion, often triggering bloating, sensitivities, or IBS-like symptoms

  • declining estrogen impacts collagen, joints, and tissue repair

  • your stress response system becomes more reactive, making old coping tools less effective

  • the loss of reproductive hormones can also feel like the loss of identity, vitality, or purpose.

  • Shifting hormones can affect desire, arousal, and comfort, often leaving women feeling disconnected from pleasure or intimacy

The Menopause Transition:

Why It’s Been Overlooked

For decades, women’s midlife transitions were under-studied and under-supported.
The medical field often reduced menopause to a few physical symptoms (cue “hot flashes and disruptive sleep”) while missing the complexity of all the psychological, neurological, and emotional layers.

Most women enter perimenopause with no roadmap, feeling like strangers in their own bodies.
That’s why so many end up dismissed, misdiagnosed, or told to “just deal with it.”

You don’t have to.
This chapter isn’t a decline. It’s a recalibration.
And with the right guidance, it can become a time of deep renewal and wisdom..

A woman stands on an empty road in a mountainous area, looking at a large map.  The image symbolizes how women have often felt lost and uninformed about the menopausal transition.
Let's get you pointed in the right direction
More Than Talk Therapy

In my practice, I work with the whole person.


Therapy for women in perimenopause and menopause blends mind-body awareness with practical strategies for:

  • Rebuilding trust in your body

  • Learning how your nervous system and hormones interact

  • Managing mood, anxiety, and brain fog

  • Reconnecting with pleasure, purpose, and identity

  • Supporting sleep, focus, and energy through behavioral and lifestyle changes

  • Easing the emotional weight of aging, caregiving, and shifting roles

Through this integrative approach - drawing from mindfulness, ACT, EFT/Tapping, hypnotherapy, and solution-focused therapy - we work to restore your flow: the sense of clarity, calm, and alignment that may have gone missing.

A logo with a circular background, featuring a stylized bowl with a spoon, and text that reads 'Lisa K, MINT'.
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Myth-busting 101

We’ve been fed a lot of old wive’s tales.

Let’s begin to rewrite the narrative and bring truth, respect, and compassion to the conversation.

  • Truth: Hormonal changes influence every system in your body — brain, gut, skin, joints, mood, and metabolism.

    Estrogen, progesterone, and testosterone are not just reproductive hormones; they help regulate brain chemistry, sleep, inflammation, and even confidence. When they fluctuate, the effects can show up in ways most women were never warned about.

  • Truth: Perimenopause can begin up to 7–10 years before your final period.

    That means symptoms like anxiety, irregular sleep, memory challenges, or PMS that suddenly feels like PMS on steroids can all be early signs.

  • Truth: You should not have to suffer. Support exists you just haven’t been offered it yet.

    Therapy, mind-body techniques, and informed lifestyle strategies can help you re-regulate your nervous system, improve focus, lift mood, and reduce stress sensitivity.
    You don’t have to power through. You can learn to flow through.

  • Truth: The science has evolved — dramatically.


    For many women, hormone therapy (HRT) can be safe and effective when tailored to their unique needs. It’s not the only option, but it’s also not the villain it was once made out to be.


    What matters most is having a whole-person plan that includes both medical and emotional support.

  • Truth: Sure, society hands us black balloons and a sympathy card, but here’s the truth - this can be one of the most powerful chapters of your life.


    Menopause isn’t a loss; it’s an awakening.
    With awareness and support, you can reclaim your focus, your fire, and your freedom from the old cycles that kept you running on empty.

  • Truth: That’s what they’ve always told us - to be grateful, quiet, and graceful while our bodies stage a full-scale renovation.


    But common doesn’t mean simple, and “normal” doesn’t mean easy.


    For centuries, women’s symptoms have been dismissed, labeled “hysteria,” or brushed off with a joke.

    It’s time to retire that old story. You deserve real understanding, real compassion, and real support to move through this chapter with strength and self-respect

The Season of the Sage

A woman standing in a lush green rice field during sunrise with tall trees and sunlight in the background. It represents women in midlife stepping into their wisdom: their Sage Self

Six months from now, you could still be running on empty - your thoughts foggy, your body uncomfortable, your emotions reactive, and wondering if this is how its going to be the rest of your life.


Or you could step into the part of you that’s been quietly forming through all of this - the Sage.

She’s the wise part of you who sees through the chaos and knows there’s more beneath the surface.

She’s been there all along, growing stronger beneath the noise, beneath the roles, beneath the rush - waiting to emerge.

Future You isn’t waiting for life to calm down - she’s creating calm from within.
She’s ready to feel steady, strong, and deeply at home in her own body again.
Start walking toward her today.

Take the first step

You don’t need to keep spinning. Let’s get you grounded and growing into your vibrant Midlife

If you’re tired of feeling dismissed, confused, or like a stranger in your own body, it’s time to get real answers and compassionate support.

Click below to schedule your free consult call.
We’ll talk about what’s been shifting for you - in your body, your mind, and your life - and how this integrative therapy process can help you find balance and flow again.

Schedule your free consult now

Ready to turn the mess into Mastery?

You have too much of your life ahead of you to settle. Being at the crossroads of Midlife can feel overwhelming.

But you don’t have to navigate the journey alone.

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