Perimenopause & Menopause Anxiety Therapy Austin, Texas

In Person in Brownsville & the Rio Grande Valley · Online for Women in Austin & Across Texas

In Person Therapy Intensives Austin & Brownsville

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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.

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

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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.

““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, LPC-S, BRIA Certified.
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What I work on with women like you:

Ongoing work in Austin is online. For deeper trauma, grief, or betrayal work, in-person intensives are available by appointment, details here.

  • Perimenopause and menopause anxiety

  • Trauma Processing with EMDR and Brainspotting

  • Betrayal trauma

  • Grief and midlife loss

  • High-functioning overwhelm

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Frequently Asked Questions

Do you offer therapy in Austin?

Yes. Ongoing therapy with Austin clients is online. In-person therapy intensives are available in Austin by appointment for focused trauma, grief, or betrayal work, but not weekly in-person sessions.

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?

Fifteen 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.

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