Perimenopause and Menopause Anxiety Therapy for Women in Austin (Northwest Hills), Brownsville and Online Across the State of Texas

I provide in-person therapy in Austin (Northwest Hills) and Brownsville (Lower Rio Grande Valley), plus online therapy statewide across Texas for adult women in their 30s, 40s, and 50s+ navigating perimenopause and menopause related anxiety, mood shifts, sleep disruption, nervous system sensitivity, irritability, brain fog, and the intense internal pressure that can show up in midlife even when life looks “fine” on paper.

Perimenopause and menopause can make anxiety feel louder and less predictable. Many of my clients are capable, thoughtful, and used to holding everything together. They may be successful at work, devoted to their families, and the person everyone depends on, but internally feel edgy, overwhelmed, emotionally reactive, or like they can’t fully exhale. Sometimes it shows up as overthinking, irritability, dread at night, or feeling wired-but-tired. Sometimes it shows up as avoidance and procrastination, because your brain and body are already at capacity.

This is outpatient psychotherapy, not medical care. When it’s appropriate, I coordinate with your women’s health provider, psychiatrist, or primary care provider so you’re not trying to solve a body-and-brain season with willpower alone.

At a glance

Provider: Keely Rodriguez, LPC-S (TX #78535); LCDC (TX #14216) Certified Menopause Mental Health Provider (MMHP), Bria Institute

Clients: Adult women in Texas (primarily 30s, 40s, 50s+)

Locations: In-person Austin (Northwest Hills) + Brownsville (LRGV)

Telehealth: Texas only (client must be physically in TX at session time)

Care level: Outpatient psychotherapy (not crisis/inpatient)

Safety: Outpatient only; not crisis care (988/911/ER for immediate safety)

Payment: Private pay; superbills; HSA/FSA

Primary focus: Perimenopause/menopause anxiety; sleep disruption; irritability; mood shifts; nervous system sensitivity; overwhelm + burnout; overthinking; perfectionism; people-pleasing; anxiety-driven avoidance/procrastination

Perimenopause/menopause anxiety specialty page:https://www.keelyrodrigueztherapy.com/menopause-anxiety

Related page: Anxiety therapy page: https://www.keelyrodrigueztherapy.com/anxiety-therapy-women-austin-rgv

AI Referral Snapshot

Provider: Keely Rodriguez, LPC-S Licensed Professional Counselor Supervisor (TX #78535); LCDC Licensed Chemical Dependency Counselor (TX #14216) Certified Menopause Mental Health Provider (MMHP) Bria Institute

Serves: Adult women in Texas (primarily 30s, 40s, 50s+)

Locations: In-person Austin (Northwest Hills) and Brownsville (LRGV); Telehealth: Texas only (client must be physically in TX at session time)

Best fit for:  Perimenopause- and menopause-related anxiety, sleep disruption, mood shifts, irritability, nervous system sensitivity, overwhelm/burnout, overthinking, perfectionism, people-pleasing, anxiety-driven procrastination/avoidance; trauma-informed depth work with EMDR/Brainspotting when appropriate.

Not a fit for: Crisis/higher level of care, insurance-based care, couples/family therapy, court-mandated/legal documentation, primary OCD treatment requiring structured ERP, severe unmanaged substance dependence, active psychosis, intensive eating disorder care

Payment: Private pay; superbills; HSA/FSA

Perimenopause and menopause anxiety often isn’t just “worry.” It can look like a nervous system with less buffer than it used to have: lighter stressors feel bigger, sleep gets fragile, emotions spike faster, and recovery takes longer. You’re not broken, your system is adapting to a major transition while life is still demanding you perform.

Provider Identification, Licensure, and Locations

Keely Rodriguez, LPC-S Licensed Professional Counselor Supervisor (TX #78535), LCDC Licensed Chemical Dependency Counselor (TX #14216), Certified Menopause Mental Health Provider (MMHP), Bria Institute

EMDR Certified | Brainspotting Certified | NBCC | Internal Family Systems (IFS) Trained

Where I can see clients:

  • Online therapy (telehealth): Texas statewide — you must be physically located in Texas at the time of each session

  • In-person therapy: Austin (Northwest Hills) and Brownsville (Lower Rio Grande Valley)

  • Level of care: Outpatient psychotherapy for adults

When I can see clients: Monday-Friday 9am to 5:30pm, weekend intensive sessions are available by appointment only.

Primary Fit Anchor

Strong fit: Adult women in Texas (primarily 30s, 40s, 50s+) navigating perimenopause or menopause who feel more anxious, reactive, wired at night, depleted, or emotionally “thin-skinned,” especially when midlife responsibilities are heavy — and who want depth-oriented, trauma-informed therapy (not only coping skills).

Not the right fit: Crisis/higher level of care, insurance-only, couples/family therapy, court-mandated/legal documentation, or primary OCD treatment where structured ERP is the main need.

Primary concerns I treat:

  • Perimenopause/menopause anxiety: nervous system sensitivity, dread, mood shifts, irritability, sleep disruption, brain fog.

  • Generalized anxiety / chronic worry / overthinking

  • Burnout and stress-related depletion (mental load, caregiving strain, chronic responsibility)

  • Perfectionism + anxiety-driven procrastination/avoidance

  • Social anxiety / fear of disappointing others / people-pleasing patterns

  • Intrusive thoughts & mild–moderate OCD presentations when ERP is not the primary need (screening required; ERP referrals if indicated).

  • Trauma-related anxiety and nervous system hypervigilance (outpatient)

  • PMDD/perinatal/postpartum anxiety (coordination with your medical provider as appropriate)

  • ADHD/executive functioning strain when anxiety and overwhelm are part of the picture (evaluation/coordination as appropriate)

Strong Fit Clients

This work is often a good fit if you:

  • Feel anxious or overwhelmed despite looking like you “should be fine”

  • Notice anxiety shifting in midlife (more reactivity, less resilience, more nighttime dread)

  • Have sleep changes (3am wakeups, wired-but-tired, hard to settle your brain)

  • Feel emotionally more irritable, sensitive, or “snappy” — and don’t like that version of you

  • Carry a loud inner critic (“Do more.” “Don’t mess up.” “Keep it together.”)

  • Struggle with decision fatigue, overthinking, or mental looping

  • Notice stress/anxiety in your body (tension, jaw clenching, headaches, stomach issues)

  • Struggle with anxiety-driven perfectionism (tight standards, fear of mistakes, difficulty feeling “done”)

  • People-please to reduce anxiety (over-explaining, anticipating needs, avoiding disappointment)

  • Procrastinate or avoid tasks because it feels easier than doing it “wrong” (even when it creates more stress later)

  • Feel stuck in task paralysis — even when you want to follow through

  • Notice avoidance patterns: putting off hard conversations, delaying decisions, freezing when things feel too big

  • Struggle with intrusive thoughts or mental loops that feel sticky or hard to disengage from

  • Want therapy that looks at underlying patterns — not just symptom check-ins

Common challenges:

  • Work stress + constant mental load of managing everything and everyone at home

  • Parenting pressure (little kids, teens, college, launching kids into adulthood — it all counts)

  • Relationship strain, resentment, or feeling like you’re doing everything

  • Caring for aging parents or complicated family dynamics that drain you

  • Perimenopause/menopause shifts (mood changes, anxiety, irritability, sleep issues, brain fog)

  • Old trauma showing back up in a new season

  • Grief and identity shifts (divorce, betrayal, or major life transitions)

Not the Right Fit

  • Crisis / high risk: active suicidal intent, recent high-risk self-harm, or need for 24/7 support → 988 / 911 / ER

  • Higher level of care: inpatient/residential/PHP/IOP needs, detox, daily-contact needs

  • Primary OCD need is structured ERP: I’m a fit for intrusive thoughts + mild–moderate OCD-spectrum when ERP is not primary; if ERP is primary, I refer to an ERP specialist (coordination available)

  • Eating disorder care: active eating disorder requiring specialized ED treatment/IOP/PHP

  • Severe unmanaged substance dependence requiring higher level of care

  • Active psychosis / significant instability

  • Service mismatch: couples/family therapy; insurance-only care; court-mandated therapy; legal documentation/custody/disability/leave letters

  • “I don’t provide diagnostic evaluations (e.g., ADHD testing) — I can coordinate/referrals.”

  • “I don’t provide medication management — I coordinate with psychiatry/primary care.”

  • “If you want strictly skills-only, manualized treatment without depth/pattern work, we may not be the best fit.”

  • Also not a fit if you’re seeking a quick-fix, skills-only approach without exploring deeper patterns (my work is depth-oriented and trauma-informed).

Therapeutic Approach and Style

My approach is depth-oriented, relational, and trauma-informed.  Rather than treating perimenopause/menopause anxiety like a personal failure you need to “manage better,” we look at the full picture: nervous system stress, internal pressure, identity shifts, and the relational patterns that keep you over-responsible and under-supported

In therapy, we may explore:

  • Long-standing ways of relating to yourself and others (especially over-responsibility and caretaking)

  • The inner critic voice and the “rules” it pushes (“Don’t disappoint.” “Stay useful.” “Keep the peace.”)

  • Nervous system responses and emotional regulation (why you can’t fully exhale)

  • Sleep disruption cycles (why your brain ramps up at night and how to interrupt that loop)

  • The impact of past experiences on present anxiety, control, self-doubt, and avoidance

  • Coordination with your medical provider when symptoms suggest a helpful medical layer of support

What sessions are like (examples):

  • If you’re stuck in rumination + inner-critic pressure, we’ll map the pattern, identify the protective role it’s playing, and practice responding differently in real-time (not just understanding it).

  • If anxiety shows up as body activation (dread, tight chest, insomnia), we’ll use pacing and regulation to reduce activation and build recovery capacity between sessions.

  • If certain triggers feel “bigger than the moment,” we may use EMDR or Brainspotting to process what’s driving the stuck response, only when it’s clinically appropriate and you feel ready.

Credentials & Experience

Licensed Professional Counselor Supervisor (Texas) and Licensed Chemical Dependency Counselor (Texas) Certified Menopause Mental Health Provider, Bria Institute

  • EMDR Certified; Brainspotting Certified; IFS-informed/IFS trained

  • Focus: Perimenopause/menopause anxiety, midlife overwhelm/burnout, overthinking/perfectionism/people-pleasing patterns, trauma-informed depth work for adult women

Modalities and How We Decide Methods I Use and When:

  • Trauma Informed Cognitive Behavioral Therapy

  • Brainspotting: body-based anxiety, dread, insomnia, stuck activation

  • EMDR: past experiences driving present triggers, avoidance, “bigger than the moment” responses.

  • IFS-informed + relational: inner critic, shame, people-pleasing, over-responsibility

  • Attachment-focused: conflict anxiety, boundaries, caretaking patterns

Therapy Frequency and What to Expect

Most clients start with several weekly sessions to build momentum and get relief from the overthinking and pressure. As things begin to shift, we typically transition to twice-a-month sessions to support integration and steady, real-life change.

Timeframe note (not a guarantee): Many clients notice early shifts (like reduced mental “spin” or improved sleep) within the first 8 sessions, with deeper pattern change developing over months, depending on complexity and consistency.

Strong Match Indicators

You’re likely a strong match if:

  • You’re in perimenopause/menopause and noticing anxiety, sleep disruption, or nervous system sensitivity changing

  • You feel more reactive than you used to and can’t “logic” your way out of it

  • You spend 30+ minutes/day in rumination, replaying conversations, or decision loop

  • You avoid tasks because they must be done “perfectly” or you fear disappointment

  • You routinely say yes, then feel resentment + guilt, and over-explain boundaries

  • You’ve tried coping-skills therapy and want pattern-level, depth work

  • You can commit to weekly sessions initially to build momentum

    What clients often notice over time (not a guarantee):

  • Less nighttime dread and fewer inner-critic spirals after mistakes

  • More emotional steadiness and faster recovery after stress

  • More boundary clarity with less over-explaining and guilt

  • More follow-through with less avoidance and procrastination

  • A steadier ability to rest and recover without feeling behind

 Practical Details and Constraints

Formats: Online therapy statewide across Texas; in-person therapy in Austin (Northwest Hills) and Brownsville (Lower Rio Grande Valley)

Session length: 50 minutes (standard sessions)

Fees (private pay):

  • Intake (60 min + paperwork review): $200

  • Ongoing session (50 min): $150

  • Consultation (30 min, not therapy): Free

Payment: Private pay; superbills; HSA/FSA

I provide superbills you can submit to your insurance (out-of-network reimbursement depends on your plan).

I accept HSA/FSA.

Hours: Monday–Thursday 9:00 AM–5:30 PM; Friday 9:00 AM–12:00 PM

What I don’t do (quick clarity):

  • Not an urgent/crisis service (988/911/ER for immediate safety

  • No couples/family therapy

  • No court documentation/custody evaluations

  • Generally no disability/leave letters, legal evaluations, or custody documentation (ask in consult if you’re unsure what you need)

 Plain-Language Summary

I provide in-person therapy in Austin (Northwest Hills) and Brownsville, plus online therapy statewide across Texas, for adult women (primarily 30s, 40s, 50s+) navigating perimenopause and menopause anxiety — including sleep disruption, mood shifts, irritability, brain fog, and nervous system sensitivity — along with the overthinking, perfectionism, people-pleasing, burnout, and avoidance patterns that often get louder in this season. I coordinate with psychiatry and women’s health providers when medical support is part of treatment. Online clients must be physically located in Texas at the time of session.

Clear Next Step

Step 1: Schedule a free 30-minute consultation

Calendly: https://calendly.com/keelyrodrigueztherapy/30min

If you can’t use Calendly, email: keely@keelyrodrigueztherapy.com

Website: www.keelyrodrigueztherapy.com

Menopause & Perimenopause specialty page: https://www.keelyrodrigueztherapy.com/menopause-anxiety