Hormonal changes can impact more than just your body—they can affect your mood, sleep, energy, focus, and sense of self. We’re here to help you feel like you again.
Whole-Body. Whole-Mind. Whole You.
Hormonal changes can impact more than just your body- they can affect your mood, sleep, energy, focus, and sense of self. We're here to help you feel like you again.
Perimenopause (the years leading up to menopause) and menopause can bring a wide range of physical and emotional changes due to fluctuating hormones-especially estrogen and progesterone.







Our integrative, personalized approach addresses the root causes of your symptoms so you can feel balanced, energized, and in control again.

We look beyond symptoms and get to the root-hormonal, nutritional, lifestyle, and mental health factors.

Evidence-based options may include medication management, supplements, lifestyle adjustments, and hormone therapy referrals.

We collaborate with your other providers to ensure comprehensive, whole-body care that supports both mind and body.

We're here for you with continuity of care, check-ins, and adjustments as your needs evolve.

We believe in education, advocacy, and equipping you with tools to thrive in every season of life.

We look beyond symptoms and get to the root-hormonal, nutritional, lifestyle, and mental health factors.

Evidence-based options may include medication management, supplements, lifestyle adjustments, and hormone therapy referrals.

We collaborate with your other providers to ensure comprehensive, whole-body care that supports both mind and body.

We're here for you with continuity of care, check-ins, and adjustments as your needs evolve.

We believe in education, advocacy, and equipping you with tools to thrive in every season of life.

Functional Wellness is about helping you create a healthier foundation for your mind, body, and future.
Perimenopause is the natural transition leading up to menopause, during which hormone levels fluctuate and symptoms such as anxiety, mood changes, sleep disturbances, brain fog, and irregular periods may begin. Menopause is officially diagnosed after you've gone 12 consecutive months without a menstrual period. Both stages can significantly affect mental health and overall well-being, and effective treatment options are available.
No. You do not need a referral to schedule an appointment with Good Mood Integrative Psychiatry. Whether you're experiencing new symptoms, seeking a second opinion, or looking for specialized care during perimenopause or menopause, you can book directly with our office. If you're using insurance, we'll verify your benefits before your appointment whenever possible.
We begin with a comprehensive psychiatric evaluation that considers your medical history, hormone-related symptoms, lifestyle, and mental health history. When appropriate, we may recommend laboratory testing to evaluate factors such as thyroid function, nutrient deficiencies, inflammation, or hormonal changes, allowing us to develop the most effective, personalized treatment plan.
Can perimenopause make my existing anxiety, depression, or ADHD symptoms worse?
Yes. Hormonal changes may contribute to changes in mood, anxiety, attention, sleep, and emotional regulation, which can make existing symptoms feel more difficult to manage. At Good Mood, we consider both your psychiatric history and where you may be in the menopause transition when developing your treatment plan.
Perimenopause most often begins in the 40s, although some women notice changes earlier. The timing and experience can vary considerably from person to person, and symptoms may begin several years before menopause.
What happens during a perimenopause or menopause mental health evaluation?
Your evaluation looks at the whole picture including your mood, anxiety, sleep, concentration, menstrual and reproductive history, medications, medical history, and current concerns. Together, we’ll explore how hormonal, psychiatric, medical, and lifestyle factors may be contributing to how you feel and develop personalized next steps.
Yes. If you are already taking psychiatric medication but notice that your symptoms have changed during perimenopause or menopause, we can review your current treatment and response. When appropriate, we can discuss medication adjustments or other strategies to better support you during this stage of life.
Yes. Changes in estrogen and progesterone can affect brain chemicals that regulate mood, making some women more vulnerable to anxiety, depression, irritability, panic attacks, difficulty concentrating, sleep problems, and emotional overwhelm. At Good Mood, we take an integrative approach to identify the underlying contributors and create a personalized treatment plan tailored to your needs.
While we specialize in the psychiatric and functional mental health aspects of perimenopause and menopause, we work closely with your primary care provider, gynecologist, or menopause specialist to coordinate care. When appropriate, we can recommend laboratory testing and collaborate with your medical team to ensure your treatment plan addresses both your physical and mental health.
What mental health symptoms can occur during perimenopause and menopause?
Hormonal changes during perimenopause and menopause can affect mood, sleep, concentration, and emotional well-being. Some women experience increased anxiety, low mood, irritability, mood changes, brain fog, difficulty concentrating, or changes in sleep, even when these symptoms are new.
Can perimenopause cause brain fog or difficulty concentrating?
Yes. Changes in memory, concentration, mental clarity, and word retrieval are commonly reported during the menopause transition. Because similar symptoms can also occur with ADHD, anxiety, depression, sleep difficulties, and other medical conditions, we take a comprehensive approach to understanding what may be contributing.
Can I still be in perimenopause if my periods are regular?
Yes. Changes in mood, sleep, cognition, or other symptoms may occur before menstrual cycles become noticeably irregular. Having regular periods does not necessarily mean that you have not begun experiencing changes associated with the menopause transition.
Treatment is personalized and may include psychiatric medication management, psychotherapy recommendations, sleep and lifestyle strategies, and coordination with your other healthcare providers. When hormone-based treatment may be appropriate, we can collaborate with your OB-GYN, primary care provider, or other women’s health specialist as part of your care.
Yes. With your permission, Good Mood can collaborate with your OB-GYN, primary care provider, therapist, or other members of your healthcare team. Coordinated care can be especially valuable when both hormonal and mental health factors may be contributing to your symptoms.
Whether you're seeking answers, navigating a life transition, or simply ready to feel more like yourself again, we're here to provide compassionate, evidence-based care designed around you.

Modern Psychiatry for Women
Evidence-based mental health care and functional wellness designed to help you feel your best.
© 2026. All rights reserved. Managed by Good Mood Management, Inc.
If you are experiencing a medical emergency or crisis, please dial 911 or visit your nearest emergency room immediately.
Developed & Maintained with 🤍 by THRILLING TECH