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Menopause and Perimenopause Counselling in the Sutherland Shire

Menopause and perimenopause can bring changes that feel unfamiliar, particularly when mood, sleep, energy, or emotional responses begin to shift. Menopause counselling can provide a space to make sense of these changes and find ways to manage them.

Many women notice increased anxiety, irritability, low mood, or a sense of feeling different to how things were before, often alongside existing responsibilities and pressures.

At Evolving Minds Counselling and Psychology in Menai, our psychologists and counsellors support menopause and mental health, providing counselling for women navigating menopause and perimenopause across the Sutherland Shire and southern Sydney.

What changes can occur during menopause and perimenopause?

 

Hormonal changes can influence both physical and emotional experiences. This may include shifts in mood, disrupted sleep, changes in energy, difficulty concentrating, or feeling more reactive or overwhelmed than usual.

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These changes can also affect concentration, motivation, and how you feel within your relationships, sometimes appearing gradually and sometimes more suddenly.

What can menopause and perimenopause feel like?

 

Some women notice:

  • Increased anxiety or ongoing worry

  • Low mood or irritability

  • Sleep disruption

  • Emotional sensitivity

  • Changes in confidence or identity

  • Brain fog, difficulty concentrating, or forgetfulness

  • Difficulty keeping up with daily demands

Hormonal fluctuations during perimenopause are recognised as a period of increased vulnerability to mood and anxiety changes. For some women this is a new experience; for others it may bring a return of mood or anxiety symptoms experienced at other hormonally sensitive times, such as premenstrually or after childbirth.

When should you consider menopause counselling?

 

Counselling can help when changes during menopause or perimenopause start affecting your daily life, relationships, or sense of self.

Menopause counselling can help you make sense of the emotional and psychological changes you're noticing, and find practical ways to manage them. This may include working through anxiety or low mood, navigating shifts in identity and confidence, and addressing the impact of sleep disruption or brain fog on daily life.

Menopause counselling in the Sutherland Shire

Menopause is a personal experience, and the right clinician matters. At Evolving Minds, Christina Gilto works with women through menopause and perimenopause, supporting them through hormonal change, identity shifts and the emotional impact of this stage of life. You can read more about Christina and the rest of our team on Our Team page.

We see clients from across the Sutherland Shire, including Miranda, Caringbah, Engadine, Sutherland and surrounding suburbs. We also offer secure online sessions for women across Australia.

 

Where helpful, additional support outside of therapy can be found through Jean Hailes for Women's Health, a national women's health service that provides information on menopause and perimenopause.

Getting started

 

Appointments are available in person at our Menai practice and via secure online appointments across Australia.

 

If you’re unsure where to begin, our Client Care Team can assist. Call 02 8519 4197 or use the button below to request an appointment.

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