Therapy for Women 40 and older
A calm, culturally attuned space to work through anxiety, burnout, and the changes midlife brings. You don't have to keep holding everything together alone.
In person in Bethesda - Virtual anywhere in Maryland
What brings women here
Often several things at once, and rarely one single cause.
Anxiety and overwhelm
Racing thoughts, a constant hum of worry, or anxiety that feels new.
Caregiving strain
Caring for children, parents, or partners, with little room left for you.
Burnout
Capable on the outside, depleted underneath, at work and at home.
Grief and loss
Losses of people, health, roles, or the life you expected..
Perimenopause and menopause
Hormone changes can affect mood, sleep, and how you feel about yourself.
Identity shifts
Losses of people, health, roles, or the life you expected.
Hi, I’m Alexis
I'm a bilingual therapist in Bethesda, working with women in midlife who look capable on the outside and feel depleted underneath. Whether it's anxiety, burnout, the slow loss of yourself inside everyone else's needs, or the emotional side of a health challenge like cancer, you don't have to carry it alone. We go at your pace, and you don't have to start from the top.
What Therapy Can Offer
You don’t need to have it all figured out to begin.
You don't need to know where to start. I draw from AEDP, CBT, mindfulness, and psychodynamic therapy, but technique isn't the point. The point is connection. The point is finding somewhere you can think clearly again.
Midlife, perimenopause, and menopause
Hormone changes in midlife can affect mood, sleep, anxiety, and how you feel about yourself. They're rarely the whole story. Work, caregiving, relationships, health, and culture all shape this season too. Therapy is a place to sort through what's changing and what you need now.
Virtual sessions anywhere in Maryland, in English or Spanish.
Featured Writing & Reflections
As Featured on the Anxiety & Depression Association of America (ADAA)
Women in midlife say the same thing to me over and over: 'I don't feel like myself anymore.' The fatigue, the irritability, the anxiety that came out of nowhere. Almost no one is talking about it.
That’s why I recently wrote an article for the Anxiety and Depression Association of America (ADAA): 5 Things Latina Women Should Know About Mental Health During Perimenopause.
In the piece, I explore how hormonal shifts and cultural values—like familismo and resilience—shape Latina women’s experiences during perimenopause and midlife. You’ll also find practical ways to care for your mental health with compassion, awareness, and cultural understanding.