Struggling with brain fog, work overwhelm, and a dip in confidence during perimenopause?

Many women in midlife find themselves suddenly struggling with work overwhelm, a loss of confidence, and the frustrating “brain fog” of perimenopause. If this sounds familiar, you’re not alone—and you’re not imagining it. Dr. Lisa Mosconi’s groundbreaking research in The Menopause Brain shows that declining estrogen levels during perimenopause have a real, measurable impact on the brain. With more than 400 estrogen receptors in the brain, this hormonal shift can disrupt memory, focus, and emotional balance, leading to forgetfulness, difficulty concentrating, and mental fatigue.

For women at the height of their careers, these changes can feel especially daunting. Many describe falling off a “confidence cliff”—suddenly doubting their abilities, feeling overwhelmed by tasks that once felt manageable, and worrying about their performance at work. This is a deeply human response to a very real biological transition.

As a therapist, I want you to know that there is hope and help. At Peritherapy (www.peritherapy.com.au), we work together to create a personalized “Peri Plan” that acknowledges both the science and the lived experience of perimenopause. In therapy, we might explore:

• Cognitive reframing: Challenging unhelpful thoughts and building a more compassionate inner voice

• Mind-body practices: Gentle yoga, breathing exercises, or mindfulness to soothe the nervous system

• Sleep support: Strategies for managing night sweats and insomnia

• Self-compassion: Learning to treat yourself with the kindness you’d offer a friend

• Nutrition tweaks: Exploring foods that support brain health and hormonal balance

You don’t have to navigate this transition alone. Therapy provides a safe, understanding space to process these changes, rebuild confidence, and find practical strategies that truly help. Together, we can turn this challenging time into an opportunity for growth and renewed self-assurance.