Perimenopause & Menopause Counselling — Edmonton, Alberta
Perimenopause and menopause are profound transitions — not just physical, but emotional, relational, and deeply personal. Our counselling supports women in Edmonton and across Alberta through every stage of this journey, with in-person and virtual sessions available — from a therapist who is also a Registered Nurse and understands the physiology of this transition.
Book a Counselling SessionNot Sure Where to Start? Let's Just Talk.
Book a free 15-minute virtual meet and greet with Leah. Ask your questions, share a little about what's bringing you here, and see whether this feels like the right fit — before committing to anything.
Book Your Free Meet & GreetIt's a conversation, not a therapy session. Video or phone, whichever you prefer.
Counselling at Every Stage of Perimenopause and Menopause
Perimenopause counselling
The hormonal transition leading up to menopause — often beginning in your 40s — can bring mood changes, anxiety, sleep disruption, and a growing sense that something has shifted. Counselling in Edmonton helps you make sense of these changes and find steadiness amid the unpredictability.
Menopause & beyond
The years following menopause bring their own emotional landscape. From identity shifts and relationship changes to renewed purpose and self-discovery, our Alberta-based counselling supports you through all of it — at your pace, in your way.
The Emotional Side of Menopause Matters
For many women in Alberta, perimenopause arrives quietly — a shift in mood, a restless night, a growing sense of not quite feeling like yourself — before it builds into something that touches every part of life. The physical changes are real, and so are the emotional ones. Yet the psychological impact of this transition is still widely underacknowledged.
Counselling for perimenopause and menopause isn't about fixing you. It's about creating a steady, compassionate space to process what's changing — in your body, your relationships, your sense of identity, and your vision for the years ahead. Whether you're in Edmonton or elsewhere in Alberta, virtual sessions mean support is always within reach.
Menopause and Your Mental Health
Menopause mental health deserves the same attention as hot flashes and hormone levels — and rarely gets it. The hormonal shifts of perimenopause and menopause directly affect the brain systems that regulate mood, anxiety, memory, and emotional steadiness. When your mental health changes during this transition, it isn't weakness and it isn't "just stress." It's a real, physiological-and-psychological experience that responds to real support.
Counselling gives the mental health side of menopause a dedicated place: to untangle what's hormonal, what's circumstantial, and what's been building for years — and to rebuild a sense of steadiness in the middle of it all.
Counselling for Perimenopause Anxiety
Perimenopause anxiety often surprises women who have never been anxious before: waking at 3am with a racing heart, a low hum of dread that has no clear cause, new health worries, or a sudden inability to tolerate the chaos you used to handle easily. Falling estrogen affects the nervous system's ability to settle itself — so the anxiety is real, physical, and not your imagination.
In counselling, we work on calming an over-activated nervous system, loosening the anxious thought spirals, and understanding what this anxiety is connected to — so it stops running your days and nights.
Depression and Low Mood in Perimenopause and Menopause
Depression during perimenopause is common, under-recognized, and very treatable. It can look like classic depression — flatness, tearfulness, hopelessness — or something quieter: losing interest in things you loved, feeling like the colour has drained out of life, or a low sense of self that crept in with the hormonal shift. Many women ask, "Is this depression, or is this hormones?" The honest answer is that it can be both — and counselling helps either way.
Whether your low mood is new with perimenopause or an old companion the transition has amplified, therapy offers a place to take it seriously, understand it, and work your way back toward yourself.
Mood Swings, Irritability and Rage
Of all the emotional changes of perimenopause, the rage surprises women most. A shortened fuse. Snapping at people you love over small things. A surge of anger that arrives out of nowhere — followed by shame, because "this isn't who I am." Menopause mood swings and irritability are among the most common and least talked-about experiences of this transition.
Counselling offers a place to bring the anger without judgment: to understand what's driving it, separate the hormonal from the accumulated, repair its effects on your relationships, and find steadier ground — without pretending the feelings aren't real.
You May Be Experiencing...
- Anxiety, irritability or mood swings Feelings that arrive faster and hit harder than they used to, often without an obvious trigger.
- Depression or a low sense of self A flatness or self-doubt that has crept in alongside the hormonal shift.
- Sleep disturbances and fatigue Broken nights and a tiredness that rest doesn't seem to touch.
- Brain fog and memory concerns Losing words, losing threads, and worrying about what it means.
- Loss of identity or sense of purpose Wondering who you are now that the roles that defined you are changing.
- Changes in relationships or intimacy Feeling distant from a partner, or noticing strain where there used to be ease.
- Grief — for fertility, youth, or roles Real losses that deserve real acknowledgment, even when others minimize them.
- Body image and self-confidence shifts A changing body, and a changing relationship with the mirror.
- Career crossroads or life transitions Big questions about work, direction, and what the next chapter should hold.
- Feeling invisible or misunderstood The sense that what you're going through isn't seen — by medicine, by family, or by the world.
The Nursing Difference
As both a Registered Nurse and a Counselling Therapist, Leah understands this transition from both sides of the clinical picture. A nursing background means recognizing the physical dimensions of perimenopause — the hormonal shifts, the nervous system changes, the sleep disruption — and holding all of that alongside the emotional and relational parts of your experience.
It also means counselling that works comfortably alongside your medical care, rather than in a separate world from it. This is what whole-person care looks like in practice.
A Space Shaped Around You
Listening first
Sessions begin with your story — at your pace, in your words. There is no script, no checklist. Just a warm, unhurried space to be heard.
Whole-person care
We look at the emotional, relational, and personal dimensions of this transition — not just symptoms, but what this season means for your life in Alberta and beyond.
Forward together
Whether you're seeking relief, clarity, or a new sense of direction, we work toward what matters most to you — at whatever stage you're in.
Frequently Asked Questions
Do you offer a free consultation?
Yes. Tully Counselling Psychology offers a free 15-minute virtual meet and greet. It is a short, no-obligation conversation with Leah — a chance to ask your questions, share what is bringing you to counselling, and decide whether it feels like the right fit before booking a full session. It is not a therapy session, and it can be held by video or phone.
What is perimenopause and menopause counselling?
Perimenopause and menopause counselling is specialized mental health support for women navigating the emotional, psychological, and relational challenges of hormonal transition. It addresses mood changes, anxiety, depression, identity shifts, grief, relationship strain, and more. In Edmonton and across Alberta, it is available in-person and virtually.
Do you offer menopause counselling in Edmonton?
Yes. We offer counselling specifically for perimenopause and menopause for women in Edmonton and throughout Alberta. Virtual sessions are available province-wide, so you can access compassionate, specialized support from wherever you are most comfortable.
Can counselling help with perimenopause anxiety?
Yes. Perimenopause anxiety is one of the most common reasons women reach out — including women who have never experienced anxiety before. Counselling helps calm an over-activated nervous system, loosen anxious thought patterns, and rebuild a sense of steadiness through the transition.
Is depression common during perimenopause?
Yes — the risk of depression and low mood rises during perimenopause, even for women with no history of it. It is real, it is common, and it is treatable. Counselling provides dedicated support, whether the low mood is new with the transition or something older that hormonal change has amplified.
Why am I so angry all the time in perimenopause?
Rage and irritability are among the most common — and least discussed — emotional experiences of perimenopause. Shifting hormones affect the brain systems that regulate emotion, which can shorten your fuse dramatically. You are not losing yourself. Counselling offers a place to understand the anger, ease the shame around it, and find steadier ground.
How is menopause counselling different from seeing my doctor?
Your doctor addresses the physical side of menopause — hormone levels, medications, and physical symptoms. Counselling addresses the emotional and psychological side: the anxiety, low mood, identity shifts, relationship strain, and grief that often don't come up in a medical appointment. Many women find both forms of support work powerfully together.
I'm not sure if I'm in perimenopause — can I still come to counselling?
Yes. You don't need a diagnosis or confirmed hormonal stage to benefit from counselling. If you're noticing changes in your mood, sleep, energy, or sense of self and something feels different, that is reason enough to reach out. Many Alberta women come simply because something has shifted and they want support making sense of it.
Is online menopause counselling available across Alberta?
Yes. Virtual counselling sessions are available to women throughout Alberta, including Edmonton, Calgary, Red Deer, Lethbridge, Fort McMurray, and surrounding areas. Online sessions are conducted via secure video call and offer the same quality of care as in-person sessions.
What if I just need someone to talk to — without goals or a plan?
That is completely valid and welcome. Not every session needs a structured outcome. Sometimes the most valuable thing is simply having a consistent, caring presence to help you process what you're going through. We always follow your lead.
This Season Deserves Your Attention
Supporting women through perimenopause and menopause across Edmonton and Alberta — in-person and virtually. Reach out for a warm, confidential conversation, or start with a free 15-minute meet and greet.
Book a Counselling Session