Receiving mental health treatment during perimenopause or menopause is especially important because hormonal changes can significantly affect mood, cognition, sleep, and emotional regulation. Fluctuations in estrogen and progesterone are linked to increased risk of depression, anxiety, irritability, brain fog, and sleep disturbances—even in women with no prior mental health history. These symptoms are real, biological, and not a personal failure or “just stress.”

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Dr. Sandra Rodriguez-Siuts provides validation, early detection, and targeted support during a vulnerable transition. Therapy can help women understand what’s happening in their bodies, develop coping strategies, and reduce shame or self-blame. 

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Mental health symptoms during perimenopause or menopause are often dismissed or misdiagnosed, which can worsen distress, strain relationships, and impair work and daily functioning. Timely treatment improves quality of life, helps preserve a sense of identity and confidence, and empowers women to navigate this life stage with resilience rather than isolation.