Manhattan Wellness

Perimenopause Support in New York City

Navigate Hormonal Change With Compassionate, Evidence-Based Therapy at Manhattan Wellness

Perimenopause — the transitional period leading up to menopause — can feel as unpredictable emotionally as it is physically. Fluctuating hormones often create shifts in mood, anxiety, cognitive clarity, sleep, and identity — even while life keeps demanding your best. At Manhattan Wellness, we understand how deeply this transition can affect your mental health and sense of self, and we’re here to support you through it with warmth, expertise, and individualized care.

Perimenopause is the natural hormonal transition that typically spans several years before menopause. During this time, changing estrogen and progesterone levels can cause irregular periods and a wide range of emotional and physical symptoms — from mood swings, anxiety, and sleep disruption to cognitive fog and low libido.

This phase is not just “stress” or “aging” — it’s a biologically real shift that can impact brain chemistry and daily functioning, contributing to mood changes, anxiety, or even depression.

What Is Perimenopause and Why Support Matters

Why Therapy Can Help

While medical care — including hormone therapy or other interventions — may be part of your overall plan, psychotherapy provides critical emotional and psychological support during this transition. Therapy can help you:

  • Understand and process mood swings, anxiety, or depression linked to hormonal change. 
  • Improve stress responses when emotional or physical symptoms feel overwhelming.
  • Strengthen coping strategies for sleep disruptions, brain fog, or identity shifts.
  • Navigate relationship and self-esteem challenges that often arise during midlife transitions.

Therapy isn’t about dismissing what you’re experiencing — it’s about validating it, helping you regain clarity and confidence, and equipping you with tools to live fully through this change. 

What to Expect at Manhattan Wellness

At Manhattan Wellness, our therapists specialize in working with women through life transitions that include hormonal and identity shifts like perimenopause. Sessions may involve:

Collaborative Exploration
We help you understand how emotional patterns and hormonal shifts intersect, and how they show up in your daily life — emotionally, mentally, and in relationships.

Evidence-Based Therapies
We draw from practices such as:
  • Cognitive Behavioral Therapy (CBT) to shift unhelpful thought patterns,
  • Mindfulness and emotion-regulation tools for stress and anxiety,
  • Acceptance and Commitment Therapy (ACT) to build resilience, and
  • Relational approaches for navigating identity or self-esteem changes. 


Personalized Care
Every woman’s perimenopause experience is different — and therapy should be too. We tailor sessions to your symptoms, goals, and current life challenges, creating a supportive space where you’re heard, validated, and empowered. 
You might consider therapy if you’re experiencing:

  • Persistent mood swings, anxiety, or low mood
  • Sleep interruptions or fatigue
  • Brain fog or difficulty concentrating
  • Sudden shifts in identity, confidence, or self-worth
  • Relationship stress related to emotional changes
  • Feeling overwhelmed by physical symptoms or life roles

These emotional and cognitive symptoms often accompany hormonal changes during perimenopause and are not something you have to navigate alone.

Signs You Might Benefit From Perimenopause Support

Begin Your Journey With Support

Therapy during perimenopause isn’t about “managing stress” — it’s about understanding yourself in a new chapter, gaining tools that help you adapt with resilience, and reconnecting with the life you value.

Ready to talk?
 Whether you’re curious about therapy, overwhelmed by symptoms, or ready to start healing, our team at Manhattan Wellness is here to help — always with empathy, collaboration, and clinical expertise. Manhattan Wellness

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Our therapists understand that figuring out your "enough" can be a journey. It can be made even more complicated when your inner critic keeps creeping in and causing other issues to arise. We offer a variety of services to ensure you get the support, care, and guidance necessary to reach your end goals. The therapy services we offer are Depression Treatment, Marriage Counseling, and Therapy for Dating. As well as therapy for college students, support for maternal mental health, and so much more. Are you feel like you're not living the life you want and need to make changes? Let's talk about it.

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