Menopause & Perimenopause Counselling Brisbane

Psychological Support Through Menopause & Perimenopause

Menopause and perimenopause involve far more than physical changes. For many women, this stage of life can bring unexpected changes in mood, emotional regulation, concentration, memory, confidence, and overall wellbeing. While these experiences are common, they can also feel confusing, isolating, and difficult to manage without support.

At Axis Within Psychology, evidence-based psychological therapy is available for women experiencing the emotional and psychological challenges associated with menopause and perimenopause. Therapy provides a supportive space to better understand these changes, develop practical coping strategies, and navigate this transition with greater confidence and self-compassion.

Appointments are available in person at New Farm Wellness Centre, Brisbane, and via secure Telehealth Australia-wide.

Common Challenges During Menopause & Perimenopause

Every woman's experience is different. Some notice subtle emotional changes, while others experience significant shifts in their mental wellbeing and day-to-day functioning.

You may be experiencing:

• Increased anxiety or worry

• Brain fog or difficulty concentrating

• Forgetfulness or memory changes

• Emotional overwhelm

• Irritability or increased anger

• Reduced stress tolerance

• Feeling unlike yourself

• Difficulty managing work or family demands

• Sleep-related fatigue

• Low mood or reduced confidence

• Changes in motivation

• Burnout

Menopause, Brain Fog & Cognitive Changes

Many women describe experiencing "brain fog" during menopause or perimenopause. You may notice difficulty concentrating, forgetting words, losing your train of thought, or feeling mentally slower than usual.

These cognitive changes can be unsettling, particularly for women who have always relied on their organisational skills, memory, or professional competence. Therapy cannot eliminate hormonal changes, but it can help reduce stress, improve emotional wellbeing, and develop practical strategies to support everyday functioning during this transition.

Perimenopause, Anxiety & Emotional Regulation

Hormonal changes during perimenopause can influence emotional wellbeing, often contributing to increased anxiety, irritability, overwhelm, or emotional sensitivity. Many women describe feeling as though their emotional responses are stronger or less predictable than they were previously.

Psychological therapy provides a space to understand these changes while developing practical strategies to improve emotional regulation, manage anxiety, and respond more effectively to life's demands.

ADHD, Menopause & Perimenopause

Many women first begin questioning whether they may have Attention-Deficit/Hyperactivity Disorder (ADHD) during perimenopause or menopause. Others who have an existing ADHD diagnosis notice that previously effective strategies no longer seem to work as well.

Hormonal changes may affect attention, executive functioning, working memory, emotional regulation, and organisation, making ADHD-related challenges more noticeable.

Therapy can help you better understand how ADHD and menopause may interact, identify your strengths, and develop practical strategies that support everyday functioning.

Burnout During Midlife

Many women reach menopause while balancing demanding careers, caring responsibilities, ageing parents, relationships, and significant life transitions. The cumulative effect of these demands, together with hormonal changes, can contribute to burnout.

Therapy can help you recognise the signs of burnout, establish healthier boundaries, develop sustainable coping strategies, and reconnect with the aspects of life that matter most to you.

How Can Therapy Help During Menopause?

Psychological therapy cannot stop menopause, but it can help you better understand your experiences while developing practical ways to navigate them.

Therapy may help you:

• Better understand the emotional impact of menopause

• Improve emotional regulation

• Reduce anxiety and overwhelm

• Develop strategies for brain fog and executive functioning difficulties

• Strengthen self-compassion and confidence

• Manage changing relationships and life roles

• Reduce burnout

• Improve overall psychological wellbeing

Why Choose Axis Within?

• Evidence-based psychological therapy

• Registered Psychologist

• Particular interest in women's mental health

• Support for menopause and perimenopause

• Experience working with anxiety, burnout and ADHD

• In-person appointments at New Farm Wellness Centre, Brisbane

• Secure Telehealth appointments Australia-wide

About Anna

Anna Kelm is a Registered Psychologist with a particular interest in supporting women experiencing anxiety, burnout, Attention-Deficit/Hyperactivity Disorder (ADHD), and the emotional and cognitive changes that can occur during perimenopause and menopause.

She understands that many women arrive at this stage of life feeling unlike themselves—struggling with increased anxiety, brain fog, emotional overwhelm, executive functioning difficulties, or discovering long-standing neurodivergent traits that had previously gone unrecognised.

Anna's approach is warm, practical, collaborative, and evidence-based, helping women better understand what they are experiencing while developing realistic strategies that support their wellbeing, relationships, work, and everyday life.

Frequently Asked Questions