Psychiatrist for Perimenopause in Trumansburg, NY

Helping women understand what’s changing—and what can actually help.

Schedule A Consultation
Close-up of cream-colored fabric with soft texture and subtle folds.
A person dressed in black, sitting on a textured white floor, holding a lit candle in a white container with both hands.

You’ve started questioning whether this is your “new normal”...and that thought feels terrifying.

You’ve achieved so much of what you wanted—career, relationships, family life—but you still find yourself wondering,

“Is this really how life is supposed to feel?”

You’ve been thinking about things you “used to” do. You used to laugh more easily, have patience, and get a good night’s sleep. It was more natural for you to feel sharp, present, motivated, and connected to yourself (and the people around you).

But now, you’re completely overwhelmed, exhausted, forgetful, irritable…the list goes on. Sure, there’s part of you that wonders if you’re just burned out or “hormonal,” but it also feels like something is genuinely off. One minute you’re sweating through a conversation with someone for absolutely no reason, the next you’re lying awake at 3 am with your brain running a marathon of worst-case scenarios. 

You weren’t prepared for this, and more than anything, you just want to feel like yourself again.

Person taking notes at a wooden table with a black mug, a laptop, and a notepad, in a well-lit room.

Perimenopause can look like…

  • Wondering why you suddenly have zero patience for things that never used to bother you
  • Desperately needing some sort of rest, but somehow still unable to shut your brain off
  • Walking into a room and completely forgetting why you went there in the first place
  • Feeling emotionally “raw” all the time—like your reactions are suddenly bigger, faster, and harder to control
Exploding at your partner or kids and immediately thinking, “That didn’t even sound like me”
  • Struggling to focus, find words, or keep up in conversations (or at work) the way you used to
  • Feeling like everyday life became dramatically harder almost overnight
  • Wondering if you’re burned out, anxious, depressed, developing ADHD…or just losing yourself altogether
Person sitting at a table with a notepad, pen, glass of water, and a notebook, holding a pencil with hands clasped.

HOW I CAN HELP

Feeling unlike yourself for long enough can start to feel permanent. It doesn’t have to be.

Some women benefit from estrogen or progesterone support, while others don’t—and part of this work is figuring out what’s likely to help without throwing ten different interventions at you all at once.

You shouldn’t have to accept feeling so terrible as “just part of getting older.”

My goal is to help you stop spiraling through conflicting advice, understand whether hormones may actually be contributing to how you feel, and create a clear plan that helps you feel like your best self.

A woman with long wavy blonde hair holding a brown ceramic cup of coffee in front of a laptop, with a cinnamon roll on a plate on the desk.

A lot of women come in confused and frustrated about what’s happening to them. They know something feels “off” or out of sync, but they can’t truly pinpoint what. That’s where we start.

Together, we’ll step back and look at the bigger picture—not just what’s happening right now, but the patterns across your life. We’ll explore your mental health history, your experiences with hormones over time, how your body and moods responded during different transitions (like periods, pregnancy, postpartum, or birth control), as well as your sleep, stress levels, and the symptoms affecting your quality of life most right now.

From there, we’ll build a thoughtful, step-by-step plan that actually makes sense for you. Depending on your needs, that may include:

  • Hormone therapy

  • Psychiatric medication

  • Therapy

  • Lifestyle changes

  • Supplements

  • Sleep support

  • A combination of approaches

Schedule a Consultation
A woman with long, wavy hair lying on her side on a blanket outdoors, holding a bouquet of small flowers, with sunlight shining brightly behind her, creating a warm, glowing atmosphere.

The goal here isn’t perfection or a solution that solves everything. We’re looking for relief.

With the right kind of treatment plan, over time, many women notice…

  • Their minds feel clearer and sharper again

  • They feel more proud of how they’re acting and more like themselves

  • Sleep becomes more restorative and predictable

  • Less fear around hormones, treatment, and “getting it wrong”

  • More confidence in their own body and decisions

  • Less pressure to keep piecing this together entirely alone

  • More understanding and clarity around what’s actually happening

Your hormones don’t exist separately from your mental health—and your care shouldn’t either.

Schedule a free consultation

Questions?

FAQs

  • That’s actually one of the most common experiences women describe. Many of my patients are high-functioning, capable women who are still getting things done—but internally feel exhausted, emotionally reactive, mentally foggy, disconnected from themselves, or like everyday life and the normal stuff suddenly requires far more effort than it used to.

  • Yes, absolutely. Many women come in feeling nervous about side effects, weight gain, emotional blunting, or worsening moods from hormonal treatments or psychiatric medications. We’ll talk carefully about risks, benefits, and your past experiences so you can make informed decisions that feel right for you. You can learn more about my approach to medication HERE.

  • Hormones are complex, and “normal” lab values don’t always tell the full story. That’s why I look at your symptoms, history, hormonal patterns over time, and overall health—not just whether a number technically falls within range.

  • Perimenopause is the transitional phase leading up to menopause, when hormone levels begin fluctuating, and many women start noticing physical, emotional, and cognitive changes. This stage can last for several years and often includes symptoms like anxiety, sleep disruption, brain fog, irritability, mood changes, heavier or irregular periods, and feeling unlike yourself. Menopause technically begins once you’ve gone 12 consecutive months without a menstrual period.

    One of the most frustrating parts of perimenopause is that many women are still having periods and are often told they’re “too young” for hormones to be part of the picture—even while experiencing very real symptoms that are affecting their quality of life.

  • Yes. Hormonal shifts can significantly impact pre-existing anxiety, depression, ADHD symptoms, PMDD, or mood regulation difficulties. Part of our work is understanding whether symptoms are new, worsening, or interacting with other factors already present.

  • That depends on your symptoms, medical history, hormonal history, goals, and concerns. For some women, hormone therapy can be incredibly helpful. For others, psychiatric medication, therapy, lifestyle changes, or a combination approach makes more sense. My role is to help you sort through the options thoughtfully instead of throwing everything at the wall at once. You can learn more about my approach to medication HERE.

  • This is a very common concern—especially for women who’ve had difficult experiences with hormones in the past or who already struggle with anxiety, depression, PMDD, or mood sensitivity. Many women come in feeling stuck between wanting relief from symptoms like heavy bleeding and being afraid of what a hormonal IUD, birth control, or other treatment might do to their mental health.

    Together, we’ll look carefully at your hormonal and mental health history over time so we can make more intentional decisions about what’s likely to help, what may not be a good fit, and how to approach things in a way that feels measured instead of overwhelming. I can help you make informed, individualized decisions with a clearer understanding of the potential benefits, tradeoffs, and options available to you.

  • Hormone therapy is one possible tool for supporting women through perimenopause and menopause-related changes. Depending on your symptoms, history, and goals, treatment may involve estrogen, progesterone, testosterone, or other hormonal options—including both bio-identical and synthetic hormones.

    There’s no one-size-fits-all approach, which is why I spend time understanding your mental health history, past experiences with hormones or birth control, mood patterns, sleep, and the symptoms affecting your quality of life the most. Some women benefit significantly from hormone support, while for others, a different combination of interventions makes more sense.