Find a therapist for perimenopause & menopause

The psychological effects of perimenopause and menopause are often underestimated or attributed to other causes.

Common signs

• Depressive episodes or persistent low mood that may be new or a worsening of previous difficulties
• Anxiety, irritability, or mood swings that feel disproportionate or difficult to account for
• Significant sleep disturbance, including difficulty falling asleep or waking early
• Cognitive changes, including difficulty concentrating, memory lapses, or brain fog
• Loss of libido or significant changes in sexual experience
• A sense of losing a familiar sense of self, identity, or relevance

Other common experiences

• Increased sensitivity to stress, with less tolerance for demands that were previously manageable
• Heightened awareness of mortality or the passage of time
• Relationship strain as a result of mood changes, reduced libido, or the emotional weight of the transition

Only a qualified medical or mental health professional can assess whether these experiences are related to perimenopause or menopause and determine what combination of support is most appropriate.

Psychological support for perimenopause and menopause works alongside medical care, addressing the emotional, identity, and cognitive dimensions that hormonal treatment alone may not resolve.

• CBT (Cognitive Behavioural Therapy) CBT adapted for menopause has a good evidence base for managing mood difficulties, sleep problems, and the psychological impact of vasomotor symptoms such as hot flushes.
• Menstrual coaching Menstrual coaching supports women in understanding and working with the hormonal rhythms of the transitional period, developing approaches to daily life that accommodate fluctuating capacity.
• Counselling Counselling provides space to process the identity and life-stage questions that menopause often surfaces, including questions about ageing, purpose, relationships, and what comes next.
• Mindfulness Mindfulness-based approaches help manage anxiety, sleep disturbance, and the physical discomfort of symptoms, building a more stable relationship with difficult bodily and emotional experience.
• Somatic coaching Somatic coaching attends to the body's role in the menopausal transition, supporting a more compassionate and informed relationship with physical change.

Choosing an approach isn't something you have to do alone. IC's matching can pair you with a therapist whose approach suits your situation. Get matched.

It's Complicated is a therapist-founded mental health platform connecting clients with verified practitioners across Europe and globally, in over 60 languages. We work with over 2,500 vetted therapists, with in-person availability in Berlin, Amsterdam, Barcelona, Lisbon, Vienna, and other major cities, alongside online sessions worldwide. It's Complicated is free to use, and you pay your chosen therapist directly at rates they set. Finding a therapist who takes the psychological impact of perimenopause and menopause seriously, and who understands it as a physiological transition rather than a mood problem, makes a meaningful difference. Our matching service is built to remove that friction. You complete a short survey, our psychologists combine data-driven insights with human judgement to identify the right therapists for your situation, and you choose from a shortlist of strong candidates. You can also browse our directory directly if you'd prefer to choose yourself. Get matched with a therapist who specialises in perimenopause and menopause, or browse the directory.