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Logo for Period Psychiatry. Mental health care for menstrual cycle symptoms, PMS, and PMDD.

Perimenopause is a major, often-overlooked transition that can begin in your 30s or 40s and last for years. From mood shifts to sleep changes, it affects everyone differently — and it’s real. We offer compassionate, evidence-based support for the emotional challenges of this powerful life stage.

Yoga Friends
“I used to wait for others to understand. Now I’m focused on understanding myself.”
“My periods are all over the place—and so are my moods.”
“Some days I feel powerful. Others, I feel like a stranger to myself.
Both are real.”
 “I’ve lost my sex drive, and I feel guilty but also disconnected.”

Let’s talk about perimenopause and mental health — because it’s more than hot flashes.

Hormonal changes during perimenopause can influence mood, memory, energy, libido, and sleep — and may intensify preexisting conditions like anxiety or depression. 

Fluctuating estrogen and progesterone levels directly affect neurotransmitters like serotonin and GABA, which regulate mood and calm the nervous system.​

68% of those in perimenopause

report mood symptoms, including irritability, sadness, and anxiety.

1

Hot flashes raise your risk

of anxiety and depression.

2

Perimenopause doubles the risk of 

developing a new depressive episode compared to premenopausal women.

3

When It Feels Like... 

everything's changing

Perimenopause can feel like an unexpected identity shift—bringing mood swings, fatigue, and mental fog. It’s not a personal failing; it’s biology, stress, and culture intersecting. We’re here to help you make sense of it and find your balance again.

Reconnecting 

Menopause can shift how you relate to others—emotionally, physically, or both. You might feel distant from your partner or peers, or struggle to explain your experience. We’re here to help you reconnect, express yourself, and feel seen.

Drinking Coffee

Honoring
What You Feel

Perimenopause can make your emotions feel overwhelming or hard to explain. You may question yourself or feel dismissed—but your feelings are real and valid. We’re here to help you name your experience, feel seen, and reclaim space for your emotional truth.

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Group dining discussion

You're Still You

Menopause doesn’t take away your strength or worth. You’re still whole and deserving of care. We’re here to support your mental health and help you reconnect with every part of yourself.

Kayakers at Sunset

Permission to Evolve

Perimenopause may disrupt your life—but it also opens space for reflection and growth. Redefining what matters and how you care for yourself is powerful—and you don’t have to do it alone.

Unfortunately, these symptoms are often dismissed as "stress" or "just aging." You deserve mental health care that recognizes perimenopause as both a hormonal and psychological transition—and supports your full well-being. We’re here to help you process what’s happening, make sense of your symptoms, and regain emotional clarity and balance.

Let's connect

OBGYN Psychiatry. Reproductive and perinatal mental health for women

Contact

206-207-7547

206-339-1448 fax

If you are experiencing a psychiatric or mental health emergency, please call 911 or go to your nearest emergency room. 

OBGYN Psychiatry does not provide crisis services or 24/7 on-call coverage.

This policy ensures that you receive immediate and appropriate care in urgent situations.
Postpartum Support International logo – mental health resources for parents

​Offers guidance and hope to individuals and families affected by maternal mental health conditions.

 

Call 800-944-4773

Text 503-894-9453

Free support groups.

postpartum.net

National Maternal Mental Health Hotline logo – HRSA support line for maternal mental health

Confidential support

Resources

Interventions

Available 24/7

Call or text

833-TLC-MAMA

833-852-6262

https://mchb.hrsa.gov/programs-impact/national-maternal-mental-health-hotline

​​Talk to Someone You Trust

If you or someone you know is experiencing postpartum depression or another maternal mental health condition, remember that you are not alone.

 

Support is available, and recovery is possible. Reach out to a trusted friend, partner, family member, or healthcare provider for help.

24/7
Crisis Support

If you are facing an emergency, please visit your nearest emergency room or call for immediate assistance.

 

Suicide & Crisis Lifeline

Dial 988 for free and confidential support.

 

Crisis Text Line

Text HOME to 741741 for immediate support from a trained counselor, available anytime.

National Suicide Prevention Lifeline

Call 1-800-273-8255 or visit suicidepreventionlifeline.org

If needed: Please use these resources for help before we connect:

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