Larisa King, MSN, PMHNP-BCPsychiatric Nurse Practitioner Women are beautifully complex. Throughout our lives, our bodies move through a series of hormonal transitions that influence how we feel, think, rest, and function. Yet many women are never taught how deeply these shifts affect emotional wellbeing. For Women’s Health Week, I want to shine a light on what’s happening beneath the surface. Because if you’ve ever wondered, “Why do I feel this way?” the answer is often that your hormones are speaking—and you deserve to understand their language. Puberty marks the first major shift. It’s not just physical development; it’s a neurological remodel. As estrogen and progesterone rise, many girls experience mood swings, increased sensitivity, emotional reactivity, and changes in sleep. This is also when anxiety or depression may first appear—not as a sign of weakness or personal failure, but as the natural result of a brain undergoing rapid growth while hormones surge and settle. Offering young girls empathy, open conversations, and supportive community creates a foundation of emotional safety that stays with them into adulthood. Pregnancy brings another profound transition. Hormone levels rise higher than at any other time in life, which can create emotional sensitivity, increased worry, vivid dreams, and shifts in focus. For some women, pregnancy feels grounding; for others, it’s overwhelming or destabilizing. Both experiences are valid. Pregnancy affects every woman differently, and the most important thing is feeling supported, informed, and free to talk about what you’re experiencing—without fear of judgment. The postpartum period is one of the most intense hormonal transitions a woman can face. Immediately after birth, estrogen and progesterone drop rapidly, while a mother is also adjusting to profound physical recovery, feeding demands, identity changes, and—perhaps most difficult of all—sleep deprivation. Many mothers experience tearfulness, mood swings, irritability, anxiety, intrusive thoughts, or brain fog. While “baby blues” usually pass within a couple of weeks, ongoing distress may signal postpartum depression, anxiety, or OCD—very real, very treatable conditions that deserve compassion and support, not silence or shame. Perimenopause, the years leading up to menopause, can feel like puberty in reverse. Hormones don’t simply decline; they fluctuate widely before settling, and those fluctuations can trigger anxiety, irritability, sudden mood shifts, sleep problems, emotional overwhelm, and cognitive fog that leaves many women saying, “I don’t feel like myself.” These experiences are real and often under-recognized. Women deserve validation, information, and supportive care during this season rather than being told it’s “just stress” or something to simply push through. Menopause itself marks twelve months without a menstrual cycle and a shift into a new hormonal baseline. Some women feel a sense of calm and clarity as moods stabilize. Others experience emotional changes, anxiety, sleep disruptions, shifts in libido, or a sense of loss. Like every stage of womanhood, menopause is not an ending but an evolution-- one that can bring renewed purpose when women feel informed and supported.  One of the most beautiful truths about these transitions is that women were never meant to move through them alone. Historically, women gathered, shared stories, and supported one another through every season of life. Today, in a world that asks so much of us, these circles of connection are more important than ever. When women share their experiences, something powerful happens: we feel seen rather than misunderstood, validated rather than dismissed, and connected rather than isolated. We recognize that our emotional experiences are human, not flaws. We rediscover strength we didn’t realize we had. Community creates healing; hormones may influence how we feel, but sisterhood influences how we heal. As we talk openly about these hormonal shifts, it’s also important to acknowledge that for some women, emotional symptoms interfere with daily life in ways that deserve additional support. Psychiatric medication management can be a helpful, compassionate tool—not a last resort or sign of failure. When symptoms such as persistent anxiety, depression, panic, intrusive thoughts, irritability, or significant mood swings begin to affect work, relationships, sleep, or overall quality of life, a medication evaluation can create real relief. Some women benefit from antidepressants or anti-anxiety medications, others from targeted sleep supports or mood stabilizers, and some from a collaborative approach that includes hormonal treatment with their OBGYN. Pregnancy and breastfeeding deserve special consideration, but many medications are safe, and for some women, staying on or beginning treatment may support a healthier pregnancy or postpartum experience. Medication is never the whole story—it’s simply one tool that can help a woman feel more like herself so she can fully participate in her life. Your body is wise. Your emotions are valid. And your journey through hormonal change is part of what makes you resilient and deeply human. Whether you’re guiding a teenager through puberty, navigating pregnancy or postpartum, wrestling with perimenopause, or stepping into the transition of menopause, you deserve care, community, and compassion. If you ever wonder whether therapy, medication, or evaluation might help, reach out. You are not alone—and you never have to walk these changes by yourself. When women support each other, we don’t just survive these transitions. We thrive.
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Sarah Vanderpool, LCMHC, NCC, LPSCPsychotherapist In addition to being a licensed psychotherapy, I am also a former competitive athlete and current coach. With the latter role, helping my athletes prepare for competition, both mentally and physically, is my job. But as parents, as coaches, and as athletes, what do we do when our brain becomes unmanageable and negatively affects athletic performance? While there is certainly no “one size fits all,” I’ve used my knowledge as a coach, parent, and mental health professional to compile what I think is a helpful list of things to consider for athletes who have pre-competition anxiety. Feeling anxious before a big game or competition is completely normal, but when nerves start to interfere with your performance or enjoyment, it’s time to take action. Many athletes struggle with pre-game jitters, overthinking, or fear of failure, but with the right mindset and strategies, anxiety can actually become a powerful source of focus and motivation.  1. Fuel Your Body Put good in, get good out. Athletes must properly fuel their body for optimal competition results. This includes proper nutrition throughout practices, days/hours leading up to, and after the main event. A well-fueled body performs better and recovers faster. See what Abby Olmstead, Registered Dietitian Nutritionist, has to say about fueling your body properly for competition: Fueling your Body for Game Day. 2. Be a Goldfish Goldfish have a short memory — and that’s a good thing. Finding the mental toughness to shake off mistakes and stay focused on what is happening in the moment can be challenging, but practice makes permanent. Keep moving forward and focus on what’s next – you got this! 3. Visualization Mentally rehearse success. Picture yourself performing confidently and skillfully. See it from a 3rd-person perspective (like you’re watching yourself from the stands) and from your own eyes. This is what people mean when they say “eat, sleep, and breathe your sport”. Utilize positive visualization any time you have a free moment and make it part of your pre-game routine. 4. Pre-Game Routine Routine builds confidence and reduces nerves. Everybody’s pre-game routine might look a little different, but the goal is the same – train your muscle memory well before game time. Include sleep, nutrition, breathing, and visualization. Add music, positive self-talk, or a specific warm-up — whatever helps you lock in. If you’re not sure what to do, ask your coach and/or teammates for help. Or your trusty mental health therapist 🙂 5. Breathe Slow breathing = calm body and clear mind. When anxiety rears its unwanted head, you’ll want to have some coping skills in your back pocket to help mitigate the frustrating effects anxiety can have on your body and your performance. When you can control your breathing, it helps regulate heart rate, which is directly impacted by anxiety. Slow your breathing, and make your exhale longer than your inhale. Try 4-7-8 breathing:
You have more power over your mind than you realize. So go, right now, and practice your breathing and visualization, and make a few notes on what a pre-game/competition routine might look like for you. In part two, I’ll talk more about managing adrenaline, and practicing for permanence, not perfection.
Abby Olmstead, MS, RDNRegistered Dietitian Nutritionist Nutrition plays a crucial role in sport performance, but it doesn’t have to be complicated! Fueling for competition can be possible anywhere with any budget, amount of prep time, or level of cooking skill. As a registered dietitian nutritionist, I help people meet their nutrition goals in a way that is accessible and manageable with their lifestyle. This includes working with athletes on increasing nutrition quality and making sure they are getting the proper diet to maximize sport performance. Here are my top recommendations to help feel your best before and after the big game.  Every Day Preparation for game day starts with your everyday food choices. Ensure you are taking care of yourself during practice and training sessions by eating enough food, and making sure you are getting a good balance of different food groups. Aim for about 55-60% carbs, 15-20% protein, and 20-30% fat in your diet. MyPlate is a good guide! Protein is getting a lot of hype these days, but don't go crazy on protein. To make sure you're getting enough for muscle building and repair, aim for around 1.2-1.5 grams per kilogram of body weight (remember, 1 kg = 2.2 lbs). Try to cap it at around 30 grams per meal. Variety in micronutrients is important, try to eat a rainbow! Different fruits and veggies have different vitamins and minerals which show in their color. Hydration is key! Drink up, around 60-80 ounces of fluid daily. Remember hydration can be more than just water. Electrolytes, coconut water, milk, or juice all count! The Night Before/Morning Of Focus on keeping it balanced! Evenly distribute your meal into thirds: ⅓ carbs, ⅓ protein , ⅓ fruits/veggies, with around a golf-ball-sized amount of fat. The night before an away game can be especially challenging with limited options. During travel games, packing snacks can be a game changer to fill nutrition gaps. Remember fast food can be balanced too! The last thing anyone needs before a big game is an upset stomach. Stick with familiar foods to avoid any potential negative symptoms. Before the Game When you are 30-60 minutes before the main event, load up on easily digestible, simple carbs for quick energy. Think crackers, pretzels, granola bars, or low-fiber fruits like bananas, grapes, or applesauce. Also, remember that bananas are also an awesome source of potassium, which helps prevent muscle cramps! Recovery Time You might realize it, but after the game is nearly as important as before! Help your body recover with what you eat. Refuel with a mix of carbs and protein. Carbs refill your energy, and protein helps repair muscles, reduce soreness, and build strength. Also, fun fact: chocolate milk is a superstar recovery drink! By consistently utilizing these food and hydration strategies, athletes can not only perform at their best, but recover quickly and support overall well-being. Always keep in mind good nutrition isn’t just something that happens on game day, but every day in between!
Gregoria Arreola-Meza, MS, LCMHCA, LPSC, NCCPsychotherapist Recall a time when you were expected to know how to do something without any prior knowledge. How did you feel? You may have felt confused, frustrated, or even hurt by the implication that you should have known something you didn’t. In my work with children in therapy, I continually challenge myself to understand that a child's approach to a situation is shaped by the skills they possess at that time. As adults, we may unconsciously label children's behaviors that do not align with our expectations as attention-seeking, mischievous, or overreacting to situations. We might think to ourselves, "Why would you think that was a good idea?" To challenge this perspective, I’d like to share an anonymous quote I once stumbled upon: "The sooner we let go of the expectation that children are capable of adult-like behavior, the easier it will be to tolerate their mistakes." I recognize how difficult it can be to understand why children do not always consider consequences before acting on their emotions. I invite you to reflect on the times when we, as adults, have struggled with this ourselves. It can indeed be challenging.  By removing the adult lens, we may realize that children are not seeking attention, but rather connection. They may not intend to be mischievous; instead, they might simply be struggling to use conflict-resolution skills they have never been taught. Additionally, what we perceive as overreactions may simply reflect a child’s current level of understanding. It would be unfair to expect someone to know something they are not familiar with. Through my work, I have learned that when a child shares their experiences with me, it is their way of expressing "I promise I am trying my best… with what I know.” By approaching their stories with curiosity, non-judgment, and empathy, I am able to create a space where trust and learning can begin. This may involve helping children identify positive versus negative choices, distinguish a positive consequence from a negative one, and express which emotions may arise when deciding one over the other. By striving to view a child's story through their eyes, I come to understand behavior as a cue for growing and learning rather than as attention-seeking, mischief, or an overreaction. How would you navigate a world that expects you to know it all if you never had a chance to learn it?
I recently came across this article about motivating children who lack motivation. One of the points the author describes made me pause. She asks the parent what motivates their child? What does he really want? What questions can I ask that will help him discover and explore his interests? What are his goals and ambitions? Encouraging children requires you as a parent to step far enough away to see your child as a separate person. With all our good intentions, it is easy to become wrapped up in the stress of every day life and forget our children are not mini-me's, but are separate people with different preferences, different ways of thinking, feeling, and doing things. For a child to feel motivated they must first feel seen. They must feel that their voice matters. That their parent takes the time to really listen-- not to what you want the answers to be, but to what your child is really saying. And if the answers happen to not line up with who you are, respect them, even if you disagree. I read this "66 Positive Things To Say To Your Child" post today, and wrote down the ones I regularly say to my children, and the things I'm going to try. to say more often. It was a good reminder to see my children as their own separate selves that I must continue to learn and understand as they grow. Encouraging things I say often: #2: You make me proud. #6: You don't have to be perfect to be great. #17: You were right. (Especially if I had previously told them they were not!) #37: I trust you. #38: That was a really good choice. #63: I love you. Here's what I'm going to try to say more of: #19: We can try it your way. #34: I admire you. #44: Thank you for being you. #60: I'm listening. #65: You are enough. What are some things you say now vs. what you'd like to say more of to encourage your child and help them be the beautiful little people that they are? Warmly,   The effects of sleep on a child's mental health can sometimes be underrated. Getting an adequate amount of sleep is an integral part of a healthy life, especially when it comes to our emotional and behavioral health. Now that the new school year is upon us, check out these handy charts to help set your child's bedtime!   Empathy is defined as the ability to understand and share the feelings of another. It seems so simple, yet it is an essential (and often overlooked) skill children need to learn in order to develop into healthy adults. As parents, it’s not always in the forefront of our minds, and some may find it a bit odd to think they need to actually teach their child empathy. Doesn’t it just come naturally? Yes and no. Children are born with the aptitude for empathy, but it needs to be taught and encouraged throughout their childhood. Research shows there is a clear correlation between the ability to empathize and future fulfillment and success. Making (and keeping) worthy friends, succeeding in school, attaining a gratifying career, maintaining a healthy marriage, all of these things rely on one critical skill: EMPATHY.
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Banyan Tree Counseling & WellnessWe are a team of licensed clinicians with a holistic, strengths-based, and evidence-based approach. We offer counseling for people of all ages, life coaching, group therapy, educational consulting and advocacy, assessments, and dietary nutrition services. 
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© 2015-2026 Banyan Tree Counseling PLLC | Banyan Integrated Health PLLC | Banyan Tree Wellness LLC | All Rights Reserved.
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Any unauthorized reproduction, distribution, or use of this content is strictly prohibited and may result in legal action.