Menopause Mental Health Support
Supporting women through each stage of life
You Have Been In A Fog Lately
You’ve spent months trying to push through the fatigue, mood swings, irritability, & sleepless nights. You’re doing your best — but you’re exhausted.
Maybe you’ve brought it up to your doctor, only to feel dismissed, rushed, or reduced to a checklist of symptoms. That fog hasn’t lifted — it’s only gotten heavier.
What if your doctor made space for you — your lived experience, your strengths, and your real concerns?
Here, your mental health concerns during perimenopause & menopause are met with expertise, empathy, & a plan that actually fits your life.
How I Support You
You deserve care that’s thoughtful, personalized, and grounded in your real life.
Here’s what working together looks like:
Whole-person evaluation – mood, sleep, reproductive health, lifestyle, and more.
Collaborative treatment planning – therapy, medication, or collaboration with your healthcare team.
Socio-culturally attuned care – your story and identity are centered, not overlooked
Maybe Its Not Hormonal —Or Maybe You Aren’t Sure.
Not everything happening in midlife is tied to perimenopause. Burnout, trauma, anxiety, depression, ADHD, and relationship stress often emerge during this same life stage.
Whether your symptoms are clearly tied to menopause or feel harder to name, you deserve care that considers the whole picture.
I work with women navigating:
Major life transitions & identity shifts
Stress, emotional exhaustion & burnout
Grief, loss & life changes
Career pressures & people-pleasing patterns
Parenting & caregiving overload
Long-standing mood disorders or ADHD
If something just feels off — mentally, emotionally, or physically — we can figure it out together.
Practice Specialties
ADHD in Women
- Expert diagnosis, even when complicated by co-occurring conditions like anxiety or depression
- Comprehensive medication evaluation and management tailored to women's unique needs
- Collaborative approach working with behavioral therapists to enhance executive function skills
- Therapeutic support for the emotional impacts of ADHD:
- Processing feelings of being overlooked or misunderstood in childhood
- Addressing the anxiety and negative self-image that often accompany ADHD
- Building strategies to overcome perfectionism and fear of making mistakes
- Developing self-compassion to counter the low self-esteem from years of unrecognized challenges
- Creating personalized systems that work with your brain rather than against it
- Supporting workplace challenges with practical, effective strategies
Perimenopause & Hormone-Related Mood Changes
Perimenopause Transitions
- Managing perimenopausal anxiety & depression
- Supporting sleep and cognitive changes
- Navigating the emotional aspects of this significant life transition
- Collaborating with Ob/gyn or primary care for HRT
- Support with lifestyle medicine approaches
Premenstrual Mood Disorders
- Targeted treatment for PMS and PMDD
- Distinguishing between hormonal and non-hormonal mood patterns
- Developing coping strategies for cyclical symptoms
- Creating stability through hormonal fluctuations
Mood & Anxiety Disorders
Depression
- Diagnosis and Treatment of Depression (e.g. MDD, Bipolar Disorder)
- Individual Therapy for treatment of Depression
- Depression due to Hormonal Changes
- Combined treatment of therapy and medication
- Support with lifestyle medicine approaches
Anxiety
- Diagnosis and Treatment of Anxiety Disorders
- Support with lifestyle medicine approaches
- OCD
- Social Anxiety
- Panic Attacks
Women Business Owners & Entrepreneurs
As an entrepreneur, you face unique mental health challenges that go far beyond what business coaching can address. While coaches focus on business strategies and tactics, my psychiatric approach identifies and treats the underlying mental health conditions that may be blocking your success. Many women business owners struggle with undiagnosed anxiety & depression, ADHD, or other mental disorders that sabotage their vision and execution.
- Clinical assessment of conditions affecting your professional performance – identifying how anxiety, ADHD, or mood disorders get in the way of your follow through.
- Psychiatric treatment that goes where coaching cannot – addressing the neurobiological aspects of executive function, emotional regulation, and stress management
- Therapeutic strategies for navigating conflict and relationships – developing skills for managing difficult conversations with partners, employees, clients, and vendors.
Why Women Work With Me
It’s not just about credentials — it’s about feeling seen, heard, and guided by someone who understands what you're carrying.
Women come to me when:
They’ve been dismissed or overlooked by other providers
They’re juggling work, family, and silent suffering
They want care that reflects both science and soul
They’re ready to feel like themselves again — or discover who they’re becoming
Frequently Asked Questions
Dr. Greenlee has received extensive training in multiple evidence-based therapeutic approaches, allowing her to create personalized treatment plans for diverse clients at Bloom and Build Integrative Psychiatry:
- Family Systems Therapy: Including structural, strategic, solution-focused, and narrative approaches. This foundation is crucial for understanding how family dynamics impact individual mental health, particularly important when working with women navigating complex cultural and familial expectations.
- Cognitive Behavioral Therapy (CBT): Focusing on identifying and changing unhelpful thought patterns that affect emotions and behaviors. CBT is highly effective for anxiety, depression, and other mood disorders.
- Culturally Responsive Approaches: Dr. Greenlee integrates cultural psychiatry principles throughout her work. This ensures that treatment acknowledges the impact of cultural factors, racial trauma, and systemic stressors on mental health.
Integration of Research and Practice
As one of the few Black female psychiatrists in San Jose and the Silicon Valley area, Dr. Greenlee combines these therapeutic approaches with her psychiatric training to offer truly integrated care that addresses both psychological and biological aspects of mental health.
No, seeing a psychiatrist does not automatically mean you must take medications. At Bloom and Build Integrative Psychiatry, we practice personalized psychiatry that respects your preferences and values while providing comprehensive care options.
As a holistic psychiatrist serving women in California, Dr. Greenlee offers several approaches beyond medication:
- Therapy-only treatment: For many conditions, including certain forms of depression, anxiety, and relational issues, therapy alone can be highly effective. Dr. Greenlee is trained in multiple therapeutic modalities that can be used without medication.
- Lifestyle psychiatry interventions: Research shows that nutrition, exercise, sleep optimization, and stress management techniques can significantly improve mental health outcomes for conditions ranging from ADHD in women to mood disorders.
- Integrative approaches: We may recommend evidence-based complementary treatments like mindfulness practices, nutritional supplements, or movement therapies, particularly when cultural or personal preferences favor non-medication approaches.
Collaborative Decision-Making
When medications are discussed, we approach the conversation collaboratively, providing education about benefits, risks, and alternatives. Many clients appreciate having a psychiatrist who can offer medication expertise if needed but doesn't lead with this option. This balanced approach is especially important for communities who have historically experienced over-medication or medication-focused care that overlooked cultural and lifestyle factors.
ADHD treatment in women requires a specialized approach due to unique presentation patterns, hormonal influences, and societal factors that are often overlooked in traditional ADHD care. At Bloom and Build Integrative Psychiatry, we recognize these distinctions and provide tailored treatment for women with ADHD in the Bay Area.
Women and girls with ADHD frequently present with less hyperactivity and more inattention, making the condition less likely to be detected by the people in their lives. Many women share that they often internalize feeling like something is wrong, but they aren't quite sure what it is. This negative internalization can lead to symptoms of depression and anxiety, which often becomes the primary focus of psychiatric treatment leading to further delays in diagnosis and treatment of ADHD. This is particularly true for Black women and women of color, who face additional barriers to proper ADHD diagnosis due to cultural stereotypes and biases in the healthcare system.
Key differences in our approach to treating ADHD in women include:
- Hormonal considerations: Estrogen affects dopamine function, so ADHD symptoms often fluctuate throughout the menstrual cycle and during reproductive transitions like pregnancy and perimenopause. We track these patterns and adjust treatment accordingly.
- Co-occurring conditions: Women with ADHD more frequently experience anxiety, depression, and perfectionism as compensatory responses. Our treatment addresses these interconnected issues simultaneously.
- Executive function support: We focus on practical strategies for managing executive function challenges that particularly affect women in their various roles, whether as professionals, entrepreneurs, caregivers, or all of these simultaneously.
- Lifestyle integration: Our lifestyle psychiatry approach incorporates nutrition, sleep optimization, exercise, and stress management techniques specifically tailored to female neurophysiology and the unique demands women face.
Clinical Implications
Through this comprehensive, gender-specific approach, women with ADHD can experience significant symptom improvement and develop effective strategies for leveraging their ADHD-related strengths while managing challenges.
Let’s Talk
A phone consultation is a good way to get all of your questions answered.
