Top Tip

We’ve talked about cortisol. We’ve talked about metabolism. But today, I want to talk about you. The woman behind the symptoms.

The hardest part of perimenopause for "The Overachiever" isn't the hot flashes. It’s the feeling that you are losing your edge. It’s the moment you snap at your teenager and instantly regret it. It’s the moment you’re in a boardroom, and you can’t find the word you’re looking for. It feels like a loss of identity.

I want to validate this for you right now: You are not crazy. Your brain has estrogen receptors. When estrogen dips, your neurotransmitters Serotonin (happiness), Dopamine (focus), GABA (calm) misfire. This is Neuro-Inflammation. It is a biological mechanic, not a personality flaw. And because it is biological, it can be optimized.

Identify Your #1 Perimenopause Roadblock: Take a moment to clearly name the single biggest symptom or challenge that is bothering you most right now (e.g., "my energy crashes every afternoon," "I can't sleep through the night," "my anxiety is through the roof").

• Why: This action moves you from generalised overwhelm to focused clarity. By identifying your most pressing roadblock, you empower yourself to seek targeted solutions and realise that change is possible when you know precisely what you're working on, rather than trying to fix everything at once. It's the first step in asking for the right kind of support.