EXPRESS YOURSELF THERAPY
perimenopause + menopause THERAPY
Perimenopause & menopause therapy — for the transition nobody prepared you for.
Perimenopause and menopause are medical transitions. They are also identity transitions, relational transitions, and — for many people — psychological transitions that nobody warned them about and that the healthcare system is poorly equipped to support. The mood changes, the cognitive shifts, the changes in desire and intimacy, the grief, the rage, the sudden sense of not recognizing yourself — these are real, they are common, and they deserve more than a pamphlet and a referral to your OB-GYN.
Therapy for perimenopause and menopause at Express Yourself Therapy is a space to make sense of what’s happening — in your body, your relationships, your sense of self, and your life. We work with people across the full range of this transition, including those who are relieved, those who are grieving, those who are furious, and those who are all of those things at once. We are affirming of all the bodies and identities that move through menopause — including trans men, non-binary people, and gender-expansive individuals for whom this transition carries additional layers that most providers are not equipped to hold.
Your first call is free and completely confidential.
Perimenopause can begin as early as the mid-thirties and can last a decade or more. The mood volatility, anxiety, sleep disruption, brain fog, and changes in desire that accompany this transition are often misdiagnosed, dismissed, or attributed to stress or depression without anyone connecting the dots. We work with women navigating this transition who want a space to understand what is happening and what to do with it — including how to advocate for themselves in medical settings that are often underprepared.
Women in perimenopause
Menopause is a threshold, not an ending — but it can feel like one, particularly for people whose sense of identity has been tied, consciously or not, to reproductive capacity, youth, or a particular relationship to their body. We work with women navigating the grief, the relief, the identity questions, the relational shifts, and the reorientation that this stage can bring. We also work with the long tail of post-menopause — the years that follow the transition and that deserve as much attention as the transition itself.
Women in menopause and post-menopause
For trans folks, menopause is often a more complicated experience than it is for cisgender women — shaped by testosterone therapy, prior surgeries, the timing and trajectory of medical transition, and the psychological and social complexity of moving through a biological process that is associated with a gender you may not identify with. We hold this complexity with care. We do not assume that menopause is experienced the same way across all bodies, and we do not require you to frame your experience in terms that don’t fit.
Trans Men & Genderqueer Folks
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Mood changes — anxiety, depression, irritability, and emotional volatility that feel out of proportion or out of character
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Grief — for fertility, for youth, for a version of yourself that is changing or gone
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Identity — who am I now, what do I want, what comes next
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Rage — the particular anger that can surface in midlife and that often has years of context behind it
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Cognitive changes — brain fog, memory concerns, and the anxiety those symptoms provoke
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Sleep disruption and the mental health consequences of chronic poor sleep
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Changes in desire, libido, and intimacy — in individuals and in relationships
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Body image and the experience of a body that is changing in ways you didn’t choose
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Relationship strain — the impact of this transition on partnerships, marriages, and chosen family
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Navigating menopause as a trans or genderqueer person — the additional layers of identity and body
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Medical decision-making — HRT, surgery, and the emotional weight of those choices
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Isolation — the sense that no one around you understands what you’re going through
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Redirection and meaning-making — using this transition as an opportunity to reorient toward what matters
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Post-menopause — the years after the transition and the questions they bring