menopause Therapy
for couples & individuals
Only in recent years has focus turned to the experiences and impacts of women going through perimenopause and menopause. For generations, medical research was minimal to non-existent in understanding the symptomatic impacts of those stages of life, often lasting 10+ years. As recent conversations about menopause have exploded, driven by renewed research into Hormone Replacement Therapy (HRT), social media, and women 40-65 talking to each other, so has the one over-riding question: What do I do about this?
As a mental health professional, my focus is on the impact the perimenopause and menopause experience has on symptomatic distress like anxiety, panic attacks, depression and insomnia, as well as sense of self. Brain fog may have you feeling like you don’t have access to the brain self you felt you knew. Irritability may have you reacting in relationships in ways you wouldn’t have before, with painful consequences. Lack of sexual desire or new pain during intercouse may have you feeling like a part of yourself has disappeared and has become an obstacle in your physical intimacy and partnership. Physical body changes including signs of aging, skin dryness, new aches and pains, weight gain, exhaustion and so on may leave you feeling “your age”, ushering in distress about where the time has gone and what’s available to you and what to do with the next chapter ahead.
menopause & mental health
the new menopause
Additionally, the current generation (GenX/Millenials) reaching the menopausal stage also typically started families at a later age. You may be finding yourself navigating your own hormonal cyclone at the same time you’re parenting your tween/teen/young adult through theirs. That can be a recipe for distress, particularly when tried and true emotional management techniques begin to fail you.
Through a menopause-informed approach, I am familiar with the many, many intricate (and often surprising!) symptoms of perimenopause and menopause, and their impacts on mental and emotional health and well-being. I am informed on the medical interventions available, including HRT, that may be provided by your physician, and can provide resources to explore those if you don’t have or haven’t found a provider that will. When HRT is not available or medically appropriate for you, I can provide cognitive behavioral therapy (CBT) for menopausal symptoms (particularly hot flashes and anxiety).
Primarily, we will navigate through therapy the grief and loss around the self that seems left behind, address new healthy and effective ways to manage emotional and relational distress, and explore identity shifts and meaningfulness looking into the future to help turn that direction from one of anxiety and despair, to agency and purpose.
Menopause-Informed Individual THerapy
Menopause brings profound shifts, many of which can feel disorienting, frustrating, and even distressing. Therapy can be a space to explore and navigate these changes with compassion, clarity, and support. Whether you are struggling with a loss of sense of self and identity, heightened anxiety or depression, emotional dysregulation, distress over changing body or the impact of sleeplessness and hot flashes on your daily life, you are not alone in this journey. Menopause symptoms that can benefit from therapy include:
Insomnia
Reactivity/Lack of patience
Exhaustion
Lowered self esteem
Relationship distress including disconnection and arguing
Disconnection with friends, family and other support members
Dissatisfaction with work
Hot flashes
Anxiety
Depression
Mood fluctuations
Lowered libido/low sex drive or responsiveness
Grief over regrets or missed opportunities
Distress with physical changes including aging and weight gain
Together, we will work on strengthening your emotional resilience, helping you rediscover a sense of self beyond the roles you’ve carried for so long. We will explore how menopause is impacting your interpersonal relationships—whether with family, friends, or colleagues—and work on establishing healthy boundaries and communication strategies. Most importantly, we will focus on self-acceptance and learning to embrace yourself in this new phase of life, not as someone who has lost something, but as someone stepping into a new version of herself with wisdom, agency, and purpose.
Menopause-Informed couples THerapy
Menopause doesn’t just affect the individual experiencing it—it has a significant impact on relationships as well. Many couples find themselves struggling with increased conflict, miscommunication, or a sense of emotional distance as they navigate these changes together. Menopause can bring mood fluctuations, energy shifts, and lowered libido, all of which can create strain if not openly discussed and understood.
Impacts on intimate relationships by the symptoms and experiences of menopause include:
Feelings of disconnection, lack of emotional intimacy
More arguing/tiffs/disagreements
Poor communication
Feeling misunderstood
Loneliness in the relationship
Feeling unsupported
Dissatisfaction with sexual intimacy
Lack of physical and sexual intimacy
Uncertainty over the future
Grief or sense of loss of the relationship bond
Anxiety over the future of the relationship
Confusion over how to offer support
In couples therapy, we will work on improving communication, fostering mutual understanding, and developing strategies to navigate these changes together. We will explore the ways menopause may be influencing conflict dynamics and intimacy and create space for both partners to express their needs and concerns. Whether the challenge is a diminished or absent sex life, a lack of emotional connection, or uncertainty around how to offer support, couples therapy provides a structured and compassionate space to work through these issues together.
Menopause is a transition, not an ending. It can be a time of rediscovery, deeper connection, and new ways of being—both individually and in your relationships. Therapy offers the opportunity to move through this phase with greater awareness, self-compassion, and partnership. You don’t have to navigate it alone.

olivia wright, lmft 142796, ma
Office Location:
970 Reserve Drive, Suite 170 Roseville, CA 95678
Olivia@MagnoliaTherapyServices.org
By appointment only
In person and online throughout California
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