Keely Rodriguez, M.Ed., NCC Licensed Professional Counselor-Supervisor

BRIA Certified Menopause Mental Health Provider

Perimenopause & Menopause Anxiety Therapy for Women in Austin, Texas

EMDR + Brainspotting In person in Austin's Northwest Hills

You were fine. Then you weren't.

You've been the one who holds it together, at work, at home, in your family, in your marriage. The person everyone leans on.

But something shifted in the last year or two. Your sleep is off. You wake at 3am and your brain immediately starts cataloguing everything that could go wrong. Your patience is shorter. You've snapped at people you love and felt genuinely confused by your own reaction. Your focus isn't what it was, you've reread the same email four times to make sure it was fine.

You've tried pushing through. Staying organized. Managing harder. The old tools are not working the way they used to.

It might sound like this inside your head:

  • Is something actually wrong with me?

  • Why can't I calm down the way I used to?

  • Will this ever stop?

For a lot of women, the answer to that last one is: not on its own. Perimenopause and Menopause anxiety doesn't always fade when your period stops or you get on HRT. Sometimes it softens. Sometimes it hangs around for a long time.

The reason this is happening? It may be Perimenopause or Menopause.

When estrogen starts dropping, your brain chemistry changes, and anxiety that used to be manageable suddenly isn't. For some women it resolves as hormones settle. For others, the anxiety outlives the hot flashes, because the nervous system has learned a pattern it doesn't know how to unlearn on its own.

It's not you. It's biology.

That's where the right kind of therapy makes a difference.

Nobody's talking about this part.

There's a lot of conversation about perimenopause and menopause right now, hot flashes, HRT, supplements, sleep. Almost none of it is about mental health. Which is strange, because the anxiety, the brain fog, the 3am dread, the self-criticism, those are the parts that quietly run women's lives.

“Most of my clients are capable women in midlife whose anxiety stopped responding to the tools they used to rely on. We use EMDR, Brainspotting, and direct, practical conversation to get beneath the overthinking, the self-criticism, and the 3am loop, and build something sturdier in its place.”
— Keely Rodriguez, M.Ed., LPC-S, BRIA Certified

What I work on with women like you:

In person in Austin's Northwest Hills, or virtually across Texas:

  • Perimenopause and menopause anxiety

  • Trauma Processing with EMDR and Brainspotting

  • Betrayal trauma

  • Grief and midlife loss

  • High-functioning overwhelm

Frequently Asked Questions

Do you offer therapy in Northwest Hills Austin?

Yes. My office is in Northwest Hills, easy off Mopac. Quiet building, free parking, elevator access. I also see women virtually across Texas.

Does menopause anxiety go away?

Sometimes. For some women, anxiety softens once hormones settle. For others it stays, either because the nervous system is still recalibrating, or because the anxiety has built into a pattern that outlasts the hormonal shift. Therapy addresses both.

I've been to therapy before and this feels different. What changed?

You did, and your biology did. Perimenopause and menopause change how the nervous system regulates anxiety, and that requires a different kind of support than what worked in your 30s. EMDR and Brainspotting reach places talk alone can't.

Does HRT fix this?

HRT can help with some symptoms, but it doesn't consistently address the anxiety patterns that have built up around the hormonal shift, the rumination, the hypervigilance, the self-criticism. That's where therapy adds something HRT cannot.

Do you take insurance?

I'm private pay. I can provide a superbill for out-of-network reimbursement, and HSA and FSA funds are accepted.

How does a free consult work?

Thirty minutes, by Zoom. You tell me what's going on, I tell you how I'd approach it, and you decide if we're a fit. No pressure.

You don't have to figure this out alone.

Keely Rodriguez Therapy — Austin

6850 Austin Center Blvd, Suite 320 Austin, TX 78731 737-412-9296