The Shift
Perimenopause and menopause.
Mood, sleep, identity, rage — the changes no one prepared you for, met with the care you deserve.
Perimenopause is a multi-year mental-health transition, not just a hot-flash inconvenience. Mood shifts, sleep collapse, anxiety, identity work, and the cumulative weight of the years before all show up here. Our peri/menopause-trained therapists and psychiatric providers treat this with the same seriousness as perinatal care.
- Why am I anxious or rageful in a way I never was before?
- Is HRT safe, and could it actually help my mood?
- Where did I go, and how do I find that version of me again?
Self-paced, clinician-built, $49.
Specialists trained for this season — not generalists.
Therapists38
Licensed clinical care, in-network with most major insurers.
Claire Ashcraft
Twinette Brown
Kelsey Caddell
Toshiba Cagle
Kirstie Caiza
Tiffany Chitpanya
Medication management1
Psychiatric providers trained in women's life-stage Rx.
Articles for the the shift season
Mental Health is Heart Health: What Women in Their 30s and 40s Need to Know
Chronic stress and unresolved trauma don't just affect your mental health — they can affect your heart. Here's what women in their 30s and 40s need to know.
Read article →When Is Medication the Right Next Step?
Medication management for women is more nuanced than it's often presented. Hormonal shifts, life stages, and a historically under-researched gender gap all matter — here's what to know.
Read article →How Hormones Turn Up the Volume on ADHD Symptoms
Estrogen affects dopamine, which means ADHD symptoms in women fluctuate across the menstrual cycle, through postpartum, and into menopause. Here's what that actually looks like.
Read article →Ready to find someone who gets it?
We’ll match you to a clinician trained in The Shift, with a first session usually within 5 days.