The Seasons · The Shift

The Shift

Perimenopause and menopause.

Mood, sleep, identity, rage — the changes no one prepared you for, met with the care you deserve.

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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.

Questions women in The Shift bring us

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?

Programs for The Shift

Self-paced, clinician-built, $49.

The Shift

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

An 8-module perimenopause and menopause mental health program for women 35–58. 80% of women have symptoms; the average diagnosis delay is 7 years. Built on STRAW+10 staging, the estrogen–serotonin axis, and the intersection of mental health with reproductive endocrinology.

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Care for The Shift

Specialists trained for this season — not generalists.

Therapists41

Licensed clinical care, in-network with most major insurers.

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Theresa Abbott

Graduate Intern

CBT · Dialectical Behavior (DBT) · Domestic violence

Accepting new clients

Twyla Becker

Graduate Intern

CBT · Dialectical Behavior (DBT) · IFS

Accepting new clients

Twinette Brown

Acceptance & Commitment (ACT) · CBT · Cognitive Processing (CPT)

Accepting new clients

Corrin Brown

Acceptance & Commitment (ACT) · CBT · Cognitive Processing (CPT)

Accepting new clients

Kelsey Caddell

MMT, MT-BC, LPC-MHSP

Acceptance & Commitment (ACT) · CBT · IFS

Accepting new clients

Kirstie Caiza

Acceptance & Commitment (ACT) · CBT · Dialectical Behavior (DBT)

Accepting new clients

+ 35 more in therapists · view full roster →

Medication management1

Psychiatric providers trained in women's life-stage Rx.

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Osarugue Richards

Perinatal psychiatry · Postpartum depression · Postpartum anxiety

Accepting new clients

Other seasons

Not quite the right fit?

Tweens, teens, and twenties.

When the path is uncertain.

Pregnancy and the fourth trimester.

The years when everything needs you.

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.

Take the matching quiz →Browse all providers