holistic
Hormone therapy
At Conscious Psychiatry, we offer personalized hormone therapy options to support your mental health journey with care and expertise.
It's more than just hot flashes. Perimenopause, the transitional phase leading up to menopause, can begin as early as your late 30s—sometimes a full decade or more before your periods actually stop.
Yet despite affecting millions of women, it remains one of the most misunderstood and under-discussed phases of women's health.
And while many people associate menopause with hot flashes and night sweats, the reality is far more complex. The hormonal fluctuations of perimenopause can profoundly impact your mental and cognitive health, often in ways that catch both women and their healthcare providers off guard.
During perimenopause, estrogen levels don't just decline—they fluctuate wildly, sometimes spiking higher than they were in your 20s before plummeting to new lows. This hormonal rollercoaster affects neurotransmitters like serotonin, dopamine, and GABA, which regulate mood, anxiety, and cognitive function.
At Conscious Psychiatry, we understand that perimenopause and menopause isn't just a gynecological issue—it's a whole-person experience that requires comprehensive, compassionate care.
We treat perimenopause as a clinical diagnosis based on your symptoms and lived experience, not just laboratory values.
We believe that when a woman says she feels different, she deserves to be heard and validated. Our approach prioritizes how you feel over what your labs show, because we understand that the most sensitive indicator of hormonal changes is often your own experience.
This doesn't mean we ignore medical testing—we use it as one piece of a larger puzzle that includes your symptoms, medical history, and overall well-being. But we never dismiss your concerns simply because a number on a lab report falls within the "normal" range.
When appropriate, hormone therapy (HT-also known as hormone replacement therapy or HRT) can be transformative for perimenopausal women. However, we approach HT with both scientific rigor and individual care:
The psychological aspects of perimenopause deserve the same attention as physical symptoms. We integrate mental health support throughout treatment, recognizing that this transition can trigger grief, identity shifts, and complex emotions about aging and life changes.
Many women suffer unnecessarily because they don't realize that help is available, or they've been told their symptoms are "just part of aging."
Remember: perimenopause is a natural life transition, but that doesn't mean you should suffer through it.
Perimenopause doesn't have to be endured—it can be navigated with knowledge, support, and appropriate treatment. At Conscious Psychiatry, we're committed to helping women not just survive this transition, but thrive through it.
Our hormone therapy services are led by Sylvia DeLay, WHNP-BC, MSCP - a Menopause Society certified women’s health nurse practitioner who specializes in safe and individualized hormone management.
What to Expect
Initial Hormone Therapy Intake:
A focused 45-minute appointment to review symptoms, medical history, menstrual/menopausal patterns, and treatment goals. You’ll leave with a personalized plan.
Medications:
Visits are cash-pay, but labs and prescription medications can be run through your insurance. We keep costs transparent and discuss options with you.
Follow-Up Plan:
Most patients need 2–4 follow-ups in the first few months. You will be transitioned to annual visits once stable. Your exact plan depends on your symptoms and treatment response.
