Tabitha Bowman

Experiencing brain fog, poor sleep, anxiety, or trouble concentrating during perimenopause? Hormonal changes, insomnia, hot flashes, stress, and mood symptoms can all contribute to cognitive changes in midlife. Learn why menopause brain fog happens, how sleep and mental health are connected, and when symptoms may overlap with ADHD or anxiety. Explore virtual psychiatry and specialized women’s mental health care available throughout North Carolina.

Can women with a history of blood clots safely use HRT? Learn how transdermal estrogen patches may offer a lower-risk option than oral estrogen by avoiding first-pass liver metabolism. Explore the connection between estrogen, perimenopause, anxiety, depression, brain fog, sleep, and overall mental health, and why a personalized, women-centered approach to hormone and psychiatric care matters.

Perimenopause can change far more than your menstrual cycle. Anxiety, depression, insomnia, brain fog, fatigue, and mood changes may emerge during this major hormonal transition, but women are often told these symptoms are simply psychiatric. Learn why a comprehensive approach to women’s mental health can include hormones, sleep, nutrition, medical history, and functional lab testing, and why the conversation around HRT is more nuanced than the headlines suggested.