Menopause and Perimenopause Counselling
in Sydney and 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.

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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.

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

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What can menopause and perimenopause feel like?

 

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.
 

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

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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.

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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.

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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.

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Menopause counselling in Sydney and the Sutherland Shire

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

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We see clients from Menai, Miranda, Caringbah, Cronulla, Kirrawee, Engadine, Sutherland and surrounding suburbs. We also offer secure online sessions 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.

 

​​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.