You shouldn’t have to spend days in bed or miss out on your life because of cyclical changes.

I help you track your symptoms, understand what’s happening in your body, and create a plan to help you feel more stable throughout the month.

Treatment may include:

• Thoughtful medication management when appropriate

• Targeted supplement recommendations

• Lifestyle strategies to support mood and sleep

• Referrals to trusted gynecology providers who will listen to you and take your symptoms seriously

You don’t have to figure this out on your own.

Starting in your mid to late 30s, you may begin to feel like something is off—what many women describe as “not feeling like myself.”

Many women are told their labs are normal—even when they feel anything but.

You might notice:

• New or worsening anxiety, depression, or panic attacks

• Difficulty sleeping

• Increased irritability or anger

• Changes in weight despite no major lifestyle changes

• Dry skin, unusual physical symptoms, or decreased muscle tone

• A shorter fuse and less patience than usual

For many women, this is the beginning of perimenopause—the 5–15 year transition before menopause. During this time, hormone levels can fluctuate significantly, leading to both physical and emotional symptoms.

How I Can Help

I provide psychiatric care that takes these hormonal changes into account. Treatment may include:

• Medication management for mood, anxiety, and sleep

• Guidance on lifestyle and supportive strategies

• Thoughtful evaluation of how hormonal changes may be impacting your mental health

If hormone therapy may be beneficial, I can connect you with trusted providers who take your symptoms seriously and will partner in your care.

You don’t have to keep pushing through feeling “off.” There are ways to feel more like yourself again.

You want to do what’s best for your baby—and also stay mentally well.

You may be taking medication for anxiety, depression, or bipolar disorder and wondering if it’s safe to continue. You may have even been told to stop a medication that has been helping you feel stable.

Now you’re left weighing an impossible question:
What carries more risk—continuing treatment, or stopping it?

The fear of relapse during pregnancy or postpartum can feel overwhelming.

You don’t have to navigate this alone.

I help you understand the real risks and benefits of each option so you can make informed, thoughtful decisions that support both your mental health and your pregnancy.

Together, we create a plan that may include:

• Continuing, adjusting, or changing medications when appropriate

• Preparing for pregnancy while maintaining stability

• Planning for the postpartum period to reduce relapse risk

If you are planning a pregnancy, we can take a proactive approach—so you feel supported and prepared every step of the way.

Your mental health matters here, too.

Pregnancy and breastfeeding can feel especially challenging for those with bipolar spectrum disorders.

Finding the right medication balance is important for your health and your baby’s well-being.

I’m here to support you—whether you’re pregnant, postpartum, or planning a pregnancy in the future.

We’ll explore all your options together, and if needed, I can consult with a team of perinatal psychiatry experts at no extra cost, so you feel informed, confident, and cared for every step of the way.