Therapy for women 40 and older
For women who look capable on the outside and feel stretched thin underneath. Together we make sense of anxiety, burnout, and the changes of perimenopause and menopause, with care that considers your whole life, including your culture and the people who depend on you. In English or Spanish, in Bethesda and online across Maryland.
I'm Alexis de la Rosa, a bilingual therapist in Bethesda.
What brings women here
These often show up together. We can look at them together.
Anxiety that feels new
Your mind won't settle, even when nothing is wrong. Or you're awake at 3 a.m. running through tomorrow.
Identity shifts
You look around and wonder who you are now, beneath everyone else's needs.
Perimenopause and menopause
Your sleep, mood, or patience has shifted, and you're wondering how much is hormones and how much is everything else.
Caregiving strain
You're looking after kids, parents, or a partner, sometimes all at once, and your own needs keep moving to the bottom of the list.
Burnout
You hold it together at work and at home, and by evening there's nothing left for you.
Grief and loss
You're carrying a loss: a person, your health, a role, or the life you expected. It counts, even if no one else calls it grief.
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.
I draw from AEDP, CBT, mindfulness, and psychodynamic therapy, but technique isn't the point. The point is connection, and a place where you can think clearly again.
How to begin
1
Send a short note
You don't have to know exactly what to say. I reply within 1 to 2 business days.
2
Talk for 15 minutes, free
By phone or video, to see whether we're a good fit. No pressure to continue.
3
Begin at your pace
Weekly sessions to start, in person in Bethesda or virtual, in English or Spanish. Private pay, with monthly superbills for out-of-network reimbursement. See rates.