If your heart is racing, your sleep’s a mess, and your brain feels hijacked, you are not alone. In this episode, I share a patient story that mirrors what so many of us face in perimenopause: sudden anxiety, palpitations, and sleepless nights — sometimes even while on hormone therapy. The big reframe? Symptoms are signals. They’re asking for your attention, not your shame.

Why it feels so wild: hormones don’t decline neatly; they fluctuate. Those swings can drive mood shifts, sleep disruption, and that “I might be losing it” feeling — even when labs look “fine.” Your labs matter, but your lived experience matters more.

Beyond hormones: I’m a fan of appropriate HRT, but midlife asks for the whole-person approach — sleep, nervous-system regulation, food that truly loves you back, movement you enjoy, and honest self-inquiry. On my own path I’ve integrated guided meditation, journal work, and deeper modalities of reflection.

Try this today — three prompts to move you forward:

  1. What is my body trying to tell me right now?
  2. Where am I resisting change that would serve me?
  3. What support do I need today (rest, food, sunlight, movement, connection)?

Sleep is non-negotiable. Protect your bedtime, reduce alcohol (it’s a stealth symptom amplifier), and track patterns without judgment. If symptoms are severe or persistent, get help — not all clinicians are equally trained in menopause care, so choose wisely.

Your reminder: You’re not losing your sh*t. You’re transforming. You’re not unraveling; you’re revealing the truest version of you. Midlife isn’t a solo project — let’s do this together.

Listen & connect:
– 🎧 Listen on all major platforms (Spotify, Apple)
– 📺 Watch on YouTube
– 📖 What’s Your Menopause IQ? Take this free quiz.
– 💜 Work with my team locally at Tula Wellness or via my concierge program