Individual Counseling for Women · Virtual · Limited Availability
Therapy for Women Navigating Midlife Transitions & Relationship Change
For Women Who Know Something Needs to Change
Limited availability · Consultation required before booking.
"From the outside, your life may look stable. But internally, something is not lining up."
Leah Weiss, PhD · Stanford
From the outside, your life may look stable. You are functioning, managing responsibilities, and doing what needs to be done. But internally, something is not lining up.
You may feel it as exhaustion that does not resolve, disconnection in your relationship, or a consistent feeling of worry about the life you have built has taken root. Your sense of purpose may feel off, your mood may be down and a feeling of dis-ease may have entered your thinking.
This is not a phase or something to just push through. If you are a midlife woman, more than likely this is a signal that something deeper is asking for support.
WHO REACHES OUT
When the life you built no longer fits
the direction you're headed.
Midlife rarely announces itself clearly and doesn’t arrive for most of us inside of a dramatic moment. More often, it shows up as a series of signals. Your energy shifts. Your relationships change. The work that once made sense begins to feel misaligned. The roles you have been playing and living no longer feel aligned with what is in front of you.
There isn’t a single problem to fix, there are multiple parts of your life pulling you in different directions. Your body, your work, your relationships, and your sense of meaning are no longer aligned. The friction becomes difficult to ignore.
You cannot think your way out of this alone. You cannot rely on insight without change. You need a way to understand what is happening and a structure that allows you to move forward differently.
How therapy works with me
Midlife therapy is not about us sitting back and having a chat. It may be symptom management for a timebeing, but it’s more of an active discussion between you and I about the place you’re in and what it means for your life. We cannot turn back the hands of time, nor can we stop what’s ahead of us. Because of those two very facts, midlife therapy with me is not passive. I am not sitting back while you talk; I’m actively engaged with you, tracking your nervous system and how your emotions are feeding into the experience you’re having.
I pay close attention to patterns that repeat, moments where you disconnect or override yourself, and the tension between what you say you want and how your life is currently structured. I am also tracking how stress is showing up in your body, because much of what feels confusing at the surface becomes clear when you understand what your nervous system is doing.
The goal is not just to understand yourself better. It is to see clearly enough that you can begin to make different decisions.
The process
Therapy follows a clear structure. It is not open-ended and it is not only reflective. The goal is to move from understanding into meaningful change.
We typically move through three layers.
Starting with the body
We begin with your nervous system. Most women arrive here having spent years thinking their way through problems while their body has been carrying the load. Until your system settles, clarity is limited.
Getting clear on what is happening
Once there is enough stability, we look directly at the patterns and dynamics shaping your life. This includes how you respond to stress, where you are out of alignment, and what is driving your current situation.
Translating insight into action
Insight without action changes very little. We identify specific shifts that can be applied in your daily life so that what we do in session begins to change how you live, decide, and relate.
What we work on together
Most women come in with a sense that something is not working, even if they cannot fully explain it. These are not isolated issues. They are signals that something in your life needs to change.
This can include:
Burnout and depletion
You are tired in a way that does not resolve with rest. The pace you have been maintaining is no longer sustainable, and your body is no longer willing to carry it the same way.
Life transitions and identity shifts
Your role or sense of self may be changing. What once defined you no longer feels accurate.
Financial pressure and future planning
Decisions about money and the future become more complex and tied to your values.
Anxiety and mental looping
Your mind stays active and it is difficult to settle. You may overthink, anticipate, or try to resolve things that never fully resolve.
Work, purpose, and direction
Your relationship to work may be shifting. What once felt meaningful may no longer feel aligned.
Relationship strain and disconnection
Something in your relationships feels off. This may show up as conflict, distance, or imbalance, even when things appear stable on the surface.
Meaning and purpose
Larger questions about purpose and direction become harder to ignore.
Here’s the truth, these areas do not operate independently. A shift in one affects all the others. The work focuses on understanding these connections so that change is integrated and sustainable.
Individual therapy
In individual therapy, we focus on where you are out of alignment and what needs to shift. Most women I work with are capable and high-functioning, but internally off. They are managing a lot while questioning whether this version of life is sustainable. You may be feeling deeply anxious or depressed. You may be deeply reflective of where your career is at and what you want for the future. Wherever you are, we start there, moving between understanding patterns, working with the nervous system, and identifying clear next steps. The goal is not more insight. It is change that shows up in how you live.
Some clients want to do this work quickly or want to jumpstart the process. For either need, I offer intensive work designed to get the healing process started right away. You can learn more about intensive therapy here.
Couples and relationship therapy
In couples work, the focus is on the dynamic between you and your partner. Many couples come in because something has shifted or fallen apart between them. Whether you’re experiencing a communication breakdown, a crisis stemming from infidelity or a breach of trust or you’re simply questioning if your relationship can be repaired or if you need to break up, we can do that work together.
How to Get Started
Our work follows three specific steps:
Initial Consultation
We begin with a brief consultation to understand what is bringing you in and whether this is the right fit.
Intake Session
If we move forward, we begin with a 75 to 90 minute intake session to understand your patterns and where things are out of alignment.
Ongoing Sessions
Structured prompts — not journaling for journaling's sake. Leah assigns specific questions designed to prepare you for Phase Two's mapping work.
You do not need to know all of the answers to get started
If something in your life or relationship has been asking for attention, you do not have to keep managing it alone.
We can start with a conversation and see what becomes clear.
Limited availability · Consultation required before booking.
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No. Most people don’t come in with a clear label for what’s wrong. They come in because something feels off, unclear, or unsustainable. Part of our work is making sense of what you’re experiencing and finding a way forward that fits you.
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The first session is a 90-minute intake. It’s more structured than a typical session and gives us time to understand what’s going on in your life, how long it’s been happening, how it’s impacting you, and what you’re hoping for from counseling. It’s thorough, but it’s not what ongoing therapy feels like session to session.
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Ongoing sessions are more focused and flexible. We’ll work through what’s most relevant in the moment while also paying attention to patterns over time. The goal is not to cover everything at once, but to create enough clarity and space so change can actually happen.
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Most clients meet weekly or every other week. We can adjust frequency depending on what you need and what’s most helpful at different points in the process.
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Yes. All sessions are held virtually. This allows for consistency and continuity, especially for clients who travel, relocate, or live internationally.