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Program · 8 Weeks · Self-Paced

The Shift.

Something isn’t wrong with you.
Something is changing in you.

An 8-module mental health program for women 35–58 navigating the anxiety, mood shifts, brain fog, rage, grief, and identity questions of perimenopause and menopause. Clinician-built, research-grounded, and radically honest about what most healthcare gets wrong about this chapter.

Enroll now →$49/month · cancel anytime
The Shift — perimenopause & menopause program
80%

of women experience perimenopause symptoms that disrupt daily life — yet most aren’t diagnosed or treated for years.

7 years

is the average diagnostic delay for perimenopause in the United States. Seven years of being told it's stress, anxiety, or aging.

1 in 4

women report mental health symptoms severe enough to affect their work, relationships, or sense of self during this transition.

If you’re here

You’ve probably been told this is just stress.

01

You used to handle your life with ease. Now small things leave you flattened.

02

Your sleep is different. You wake at 3 a.m. and can’t find your way back.

03

You’re snapping at the people you love most — and you don’t know why.

04

Words you know aren’t there when you reach for them.

05

You feel a grief you can’t name, about a self you’re losing track of.

06

Your anxiety doesn’t map onto anything that’s actually happening.

07

Your doctor ran labs, said they were “normal,” and offered you an antidepressant.

08

You’ve started to wonder if this is just who you are now.

None of this is in your head. All of it is in your endocrine system, your nervous system, and the way our healthcare doesn’t know how to see women over 35.

The Approach

Built on the research your doctor didn’t learn.

STRAW+10 staging.The international standard for mapping where you are in the reproductive transition — from early perimenopause through post-menopause. We teach you to read your own timeline, not guess at it.

The estrogen–serotonin axis.Why your anxiety, depression, and rage aren’t personality flaws. The biology of how falling estrogen destabilizes the same neurotransmitter systems SSRIs target — and what that means for your mental health care.

Reproductive endocrinology, integrated.Sleep, cognition, mood, libido, body composition — all of these are downstream of the hormonal shifts we’ll trace together, so you can advocate for the right care.

Grief work, on purpose.Perimenopause is the second biggest identity shift after matrescence. We name what’s being lost — and what’s becoming possible — with the rigor grief actually deserves.

The Curriculum

Eight weeks. Eight modules. Yours forever.

Week 01

What Is Happening to Me?

The biology of perimenopause — STRAW+10 staging, hormone fluctuations, and why your body feels like it belongs to someone else. Tools to read your own timeline and know where you are in the transition.

Week 02

The Anxiety and Mood Spiral

Why anxiety and depression often peak in perimenopause — the estrogen–serotonin connection, mood vulnerability windows, and how to distinguish hormonal mood shifts from clinical mood disorders. When to seek care, and what kind.

Week 03

Sleep, Brain Fog & Cognitive Changes

Why you can't find the word, why 3 a.m. is your new normal, and how to get both back. The sleep-cognition loop, night sweats, and evidence-based tools for restoring rest — plus honest conversation about what's temporary vs what's not.

Week 04

Body Image, Aging & Identity

The physical changes no one warned you about — weight redistribution, skin, hair, libido — and how to reckon with them without shame. Self-compassion work, cultural script interrogation, and reclaiming a body that's still yours.

Week 05

Relationships, Libido & Intimacy

The intimacy renegotiation this chapter demands. Communication frameworks for partners, honest language for shifting desire, medical options worth knowing about, and how to keep connection intact when the terrain changes.

Week 06

Rage, Grief & the Midlife Reckoning

The rage that surprised you. The grief you didn't expect. Why this is the second biggest identity shift after matrescence — and the psychological work of letting go and letting become.

Week 07

Advocating for Yourself in the System

How to walk into a doctor's office with an agenda, communicate your symptoms clearly, evaluate HRT information, and build a care team that takes you seriously. Includes a self-advocacy script and a provider-conversation worksheet.

Week 08

Designing Your Next Chapter

What becomes possible on the other side. Career, relationships, purpose, embodiment. Integration work and a 90-day plan to move forward with clarity instead of grief.

That’s the whole map. You can start today.

All eight modules unlock the moment you enroll — work at whatever pace this season of your life allows.

Enroll now →$49/month · cancel anytime
The goal of this program
“To walk out of perimenopause knowing more about your body, your mind, and your options — not less.”

Most women finish this transition with a diagnosis they don’t trust, a prescription they didn’t ask for, and a self they don’t recognize. The Shift is built to change that.

Everything Included

The full toolkit. Nothing upsold later.

01
8 clinician-taught video modules

Short, paced for a peri-menopausal attention span (15–20 minutes). Video and audio-only formats — do them on a walk if that's when your brain works.

02
STRAW+10 staging + symptom tracker

A structured tool to track where you are and what's shifting, usable in your next doctor's appointment.

03
Guided audio meditations

8–12 minute somatic and mindfulness practices designed specifically for the perimenopausal nervous system.

04
Self-advocacy scripts

Language and communication tools to help you describe your symptoms and advocate for yourself at medical appointments. Walk in informed, not apologetic.

05
Cancel anytime · come back when you need it

You'll get all content updates and future revisions while your subscription is active. Cancel when you're done — and re-subscribe for $49/month whenever new symptoms arise.

This is for you if
  • ✓You're between 35 and 58 and your body and mind feel different than they used to.
  • ✓You want to understand what's happening to you — not just be handed a prescription.
  • ✓You learn best with structure, but on your own schedule.
  • ✓You want clinical rigor without clinical jargon.
  • ✓You're ready to do the identity work, not just the symptom work.
This isn’t for you if
  • —You're in an acute mental health crisis — one-on-one care is the right starting point, not a self-paced program.
  • —You're looking for prescription-based hormone therapy. That's medicine we don't dispense; this program teaches you how to advocate for it.
  • —You want a wellness program. This is clinical psychoeducation.
  • —You want a quick fix. Eight weeks of honest work is what's here.
Built by clinicians

Not a wellness program.
A clinical one.

The Shift was developed by Mamaya Health’s clinical team — licensed therapists, perinatal mental health specialists (PMH-C), and reproductive-endocrine-aware providers who spend their days with women in this exact transition. Every module is grounded in peer-reviewed research on perimenopausal mood disorders, sleep disruption, cognitive change, and identity reconstruction.

This isn’t a substitute for therapy or medical care. If you’re in crisis or need a licensed clinician, we can match you one-on-one — start intake here.

Questions, answered

Honest answers before you enroll.

Is this a therapy replacement?+
No. This is structured clinical psychoeducation — you'll learn the frameworks, tools, and language of perimenopausal mental health, but it's not a substitute for one-on-one therapy. If you need a therapist, Mamaya offers that too.
I've been told my labs are normal. Is this still for me?+
Yes — and especially for you. Standard labs often miss perimenopause entirely because hormone levels fluctuate wildly day-to-day in this transition. The program teaches you how to track and communicate your symptoms so you can advocate for yourself and have a more productive conversation with your provider.
How long does it take to complete?+
The curriculum is designed to be worked through one module per week across 8 weeks — about 2–3 hours a week. While you're subscribed, you can go faster or slower, and revisit any module. If you finish and cancel, you can re-subscribe later for $49/month whenever new symptoms arise — many members do this through different perimenopause phases.
Is there a live component?+
No — The Shift is fully self-paced. You move through the 8 modules on your own schedule, whenever and wherever works for you.
My symptoms started in my late 30s. Does this still apply?+
Yes. Early perimenopause can begin 10 years before your final period, and the hormonal mental-health changes often appear then. STRAW+10 staging (Module 1) will help you pinpoint where you actually are — which may surprise you.
Will this work for post-menopause too?+
The first 7 modules are most relevant for the peri-to-menopausal transition. Module 8 covers post-menopausal identity and design work in depth. If you're primarily post-menopausal, consider Second Spring (launching soon).
What's your refund policy?+
You can cancel anytime — it's a monthly subscription, not a contract, and you keep access through the end of the cycle you've paid for. And if you decide within your first 14 days that The Shift isn't what you needed, email support@mamayahealth.com and we'll refund that first month in full. No forms, no explanation required.
Is my data private?+
Yes. Mamaya Health is HIPAA-compliant. Nothing about your enrollment, module completion, or assessments is shared outside our clinical team. See our Privacy Policy for specifics.
Now enrolling — The Shift

Instant access to all modules, guided meditations, and workbook PDFs. Work at your own pace.

Program only
All videos, audio meditations + workbooks
$49
/ month
Enroll now — $49
or
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Program + Coaching feedback
Everything above + async 1:1 coaching responses to your reflections
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$79
/ month
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Secure checkout via Stripe · All major cards + HSA/FSA accepted

Three tiers · one system

If a program isn't quite enough.

Async coaching is the entry point — with programs included as an add-on. Step up to therapy or medication management when you need it. One intake, one team, one chart.

Async Coaching

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1:1 support between sessions. Accountability, structure, momentum.

You want a human to show up for you weekly — not clinical care, but real partnership.

Cash-pay · national · no state-licensure limits
Per session · packages available
+ Programs add-on available
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“What I'm navigating is bigger than accountability. I need clinical care.”

Therapy

Next step →

Licensed clinicians specialized in women's life-stage mental health.

You have a mood disorder, trauma history, or clinical need that warrants a licensed therapist.

In-network with most major carriers · TN, TX, AR, FL, AL, GA
Insurance-billed · sliding scale available
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“Therapy alone isn't enough — I think I need medication support.”

Medication management

Next step →

Psychiatric nurse practitioners with perinatal + menopausal expertise.

You've been told to start an SSRI, or therapy has plateaued and your clinician recommends medication.

In-network psychiatric care · coordinated with your therapist + OB
Insurance-billed
Book evaluation

One intake, one care team, one chart. Tier up (or down) without starting over.

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Not sure a self-paced program is the right format for you right now?

If you’re in active crisis, or if what you need is one-on-one care with a clinician who specializes in perimenopausal mental health, start there.

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