Perimenopausal and Menopausal Medication Management

Medically Reviewed By:

Medical Director:Dr. Samuel “Joe” Cross-Sarvis DNP, FNP-C, PMHNP-BCPsychiatric Mental Health Nurse Practitioner

What We Treat

If You Don't Feel Like Yourself Anymore, There May Be a Reason

Sudden anxiety that wasn’t there before. Rage over small things. Crying spells, brain fog, or sleep that falls apart around 3 a.m. For many women, perimenopause brings mood changes that are easy to dismiss as stress or burnout, and that are often left untreated because no one connects them to hormones.

Perimenopause can begin in your late 30s or 40s, years before your periods stop, and hormonal fluctuations during this time can trigger new mental health symptoms or intensify existing ones.

Common symptoms include:

New or worsening anxiety, irritability, or anger
Low mood, tearfulness, or loss of interest
Brain fog, forgetfulness, or trouble concentrating
Insomnia or night-time waking, often with night sweats
Mood symptoms that shift with an increasingly irregular cycle
A return of depression or anxiety you’d previously managed well

Reach Out Today

Premenopausal and Menopausal Medication Management

At Synchronous, our providers specialize in the mental health side of this transition. Every patient starts with a psychiatric evaluation that looks at your mood history, cycle changes, sleep, current medications, and past experiences like postpartum depression or PMDD, which can raise the risk of perimenopausal mood symptoms.

From there, your provider builds a medication plan aimed at your specific symptoms. That may include antidepressants or other medications that can ease mood swings, anxiety, and irritability, and some of these can also help with hot flashes and sleep disruption. If you’re already taking a psychiatric medication, we’ll review whether it still fits your needs as your hormones change.

Approach + Philosophy

Care That Works Alongside Your Other Providers

Hormone therapy is an important option for many women and is typically managed by an OB/GYN or menopause specialist. We coordinate with your other providers so your psychiatric medication plan and any hormone treatment work together rather than in isolation.

Get Help With Recovery Costs

Accepting Most Major Commercial Insurance Plans & are Available for New Patient Evaluations

Our Process

How To Get Started

1. Book Online

Choose a time that works for you

2. Complete Your Evaluation

Meet with a licensed provider from home

3. Start Feeling Better

Get a personalized treatment plan and ongoing support

Testimonials

Stories of Growth, Strength and Discovery

Synchronous Mental Health has completely transformed how I care for myself. My therapist helped me reconnect with myself in ways I never expected.

Emily H

Synchronous Mental Health has completely transformed how I care for myself. My therapist helped me reconnect with myself in ways I never expected.

Emily H

Frequently Asked Questions

Can perimenopause really cause anxiety and depression?

Yes. Fluctuating estrogen and progesterone affect brain chemistry, and perimenopause is a recognized window of increased risk for mood symptoms, even in women with no prior history.

Do I need to be in menopause to get help?

No. Many patients come to us during perimenopause, often years before their final period.

You Don't Have to Push Through This

Schedule a telehealth evaluation to find out what’s driving your symptoms and what treatment could help you feel like yourself again.

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