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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Sharon A. Findlay, MSDirector of Human Resources & Administration "Love is like a tree, it grows of its own accord, it puts down deep roots into our whole being." ― Victor Hugo If you’re thinking, Wait—trees? Isn’t this blog usually about mental health? The answer is yes… and also, we really love trees. Before I go any further, a quick history lesson: The year is 1872, and journalist J. Sterling Morton is struck by how barren the plains of his home state of Nebraska appear. As a nature-lover, he proposes a mass tree-planting event and the seeds for what we now know as Arbor Day are planted (multiple puns intended)! This brief peek into the past reveals more than you might expect. Why was it so important to cover the plains with trees? What else was happening at the time? Pioneers were still settling the area, and without trees on the Great Plains, the soil was at the mercy of the wind. The land couldn’t be worked effectively for farming, limiting settlers’ ability to survive and thrive. Trees and their stabilizing root systems weren’t just a want they were a necessity. And that’s what roots are: a necessity. They hold things together. They provide nourishment. They protect stability. They are life-giving and life-sustaining. Banyan trees, in particular, are known for their impressive root systems. They grow “prop roots” that begin high in the branches and extend downward toward the ground. Once these roots take hold, they form new trunks and root systems of their own. This unusual process allows banyan trees to grow outward in a nearly indefinite fashion, making them exceptionally strong and resilient. It’s hard not to see how this mirrors our inner lives. So let’s take this metaphor inward for a moment: What are your “roots”? Not necessarily where you came from, but what grounds you, protects you, and gives you life. And what happens when those roots become ungrounded? Imagine a banyan tree with multiple trunk and root systems. If one of those systems is damaged or removed, the tree can become unbalanced—more vulnerable to wind, water, or other forces that might uproot it.  Humans are much the same. Often, it isn’t just one thing that leads someone toward healing and inner work. Sometimes it is—but more often, it’s a collection of experiences, stressors, or losses that gradually create a sense that something is out of balance. That’s where the beauty of therapy comes into play. You don’t have to do this alone. Therapy can offer extra roots, extra shade, and extra support during a season when you need it most. It’s part of why our founder named the practice Banyan Tree Counseling. This Arbor Day, I hope you’ll think of lots of things, including trees. I hope you’ll notice the beauty around you, thank the roots that sustain you, honor the roots that need more support—and maybe even smile at a tree.
Emily Ortiz Badalamente, MA, LCMHC, ATR-BCPsychotherapist As an art therapist, I often get the pleasure of hearing about people’s relationship with the word “art.” Some people talk to me about their favorite kind of art or craft. Others tell me about their favorite art projects from school. I hear about favorite museums, wine and paint nights with friends, or experiences like knitting that feel therapeutic and peaceful. It’s one of my favorite topics to discuss with others. Often, I also hear people say “I’m not good at art.” I hear about how much people loved art class in childhood, but felt discouraged by grades. Or how they try to be creative, but perfectionism gets in the way. For all those who have a positive relationship with art, I meet just as many people who feel that art and creativity are out of reach. This saddens me, because art and creativity can make us happier and healthier - no matter how “good” we are! A 2016 study showed that short artmaking experiences led to lowered cortisol levels, suggesting lowered stress. This was true regardless of type of artmaking, or if the person had any previous art experience (Kamail et al., 2016). Other studies suggest that enjoying art is linked to higher levels of wellbeing and happiness, as well as potential for lowered hypertension and inflammation (Lee et al., 2024). This is obviously great for those who enjoy artmaking, or like being around art. But what about those who feel intimidated or bored by art? Because I am an art therapist, you can probably predict what I’m going to say… Art is for everyone! Creativity is for everyone, and everyone is creative in their own way. I know that the “classic” ways of being creative, like drawing or painting, can often feel intimidating. Because of this, I like to encourage people to pay attention to creativity that already exists in our everyday lives. Some examples of this are:
When we start to notice where creativity already exists in our lives, we can start to nurture it, and take it even further! If you’re interested in art and creativity, but are maybe unsure of where to start, here are a few ideas:
Whether you are interested in making art, or just appreciating it, I encourage you to nurture your own connection with creativity. It can be a great way to better know yourself, learn new skills, or challenge your worldview. And you might just find ways to feel happier and healthier along the way!  If you’re interested in going further, and would like to explore how creativity can help you work on your mental health and wellbeing goals, consider working with an art therapist or creative arts therapist. For more information about art therapy, please visit The American Art Therapy Association. To learn more about the creative art therapies, like music therapy, drama therapy, and dance/movement therapy, please visit the National Coalition for the Creative Arts Therapies Associations. References Kaimal, G., Ray, K., & Muniz, J. (2016). Reduction of Cortisol Levels and Participants & Responses Following Art Making. Art therapy: Journal of the American Art Therapy Association, 33(2), 74-80. https://doi.org/10.1080/07421656.2016.1166832 Lee, S. S., Lee, S. H., & Choi, I. (2024). Do art lovers lead happier and even healthier lives? Investigating the psychological and physical benefits of savoring art. Psychology of Aesthetics, Creativity, and the Arts, 18(3), 279–286. https://doi.org/10.1037/aca0000441
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.
 Many of us are carrying a lot right now. Heavy hearts. Big feelings. A mix of sadness, anger, fatigue, and worry... sometimes all at once. This week, I want to gently invite you to do two simple things. First, let yourself feel it. There’s no right way to hold this moment. Cry if you need to. Take a long walk. Light a candle. Hug someone you love. Sit quietly and breathe. Give yourself permission to be human. Second, remember that you are not alone. Even in hard seasons, we find each other. We are the helpers: showing up quietly, steadily, imperfectly, and with care. I’d like to share a song that has been grounding me: Melanie DeMore singing Sending You Light. Take a few minutes this week to close your eyes and breathe. Let it wash over you. 🎧 https://youtu.be/cIsZuoNFtXg I’m sending you light, steadiness, and care... for who you are and how you keep showing up, even when it’s hard. And if this season feels heavier than you can carry alone, know that we are here for you. You don’t have to be in crisis to reach out. Sometimes having a warm, steady, compassionate space just to talk things through can make all the difference. Look for the good. There is always so much good among us. We will make it through together. Always. 💛 
In the practice of psychotherapy, therapists learn about and utilize many tools to help our clients find lasting change, improving their overall mental health and wellbeing, and psychotropic medications can be one of those tools. It is important to realize that not everyone needs medication to treat their mental health symptoms, and not everyone who needs medication will need it forever. The purpose of this article is to provide basic education about psychotropic medications, because I find that most of my clients who take psychotropic medications are under-educated about them, and many clients who do not take medications are scared to start for the same reason. How do psychotropic medications affect the brain?Mental health disorders (anxiety, depression, bipolar disorder, etc…) are a result of chemical imbalances in the brain, specifically of the neurotransmitters serotonin, norepinephrine and dopamine. These chemical imbalances can be endogenous (genetic factors, internally caused), exogenous (life events, trauma, external factors), or both. Psychotropic medications work to create balance in neurotransmitters by adjusting how the receptors in the brain absorb the chemical, effectively reducing negative symptoms. Different medications work on different neurotransmitters, and it varies individually what each person’s brain needs or will respond to, depending on symptoms and brain chemistry. What are the types of psychotropic medication? Anti-Anxiety Medications
Anti-Depressant Medications
Antipsychotic Medications Used to treat Bipolar Disorder, Schizophrenia, Personality Disorders, Severe Depression and Severe Anxiety.
Mood Stabilizers Used to treat the mood swings of Bipolar Disorder, and sometimes to enhance the effect of other medications when treating Depression. Reduce excitability in the brain, to calm overstimulated and overactive neurons. Many anticonvulsant medications are used as mood stabilizers. Examples: Lithium (Eskalith), Depakote (Divalproex Sodium), Lamictal (Lamotrigine), Tegretol (Carbamazepine), Topamax (Topiramate), Trileptal (Oxcarbazepine) Stimulants Used to treat Attention Deficit Hyperactivity Disorder (ADHD), increase dopamine and norepinephrine. Can be addictive and can easily form a dependence. Examples: Adderall (Amphetamine), Vyvanse (lisdexamfetamine), Focalin (dexmethylphenidate), Ritalin/Concerta (methylphenidate), Dexedrine (dextroamphetamine) Who can prescribe psychotropic medications? While a licensed therapist or counselor may be knowledgeable about psychotropic medications, only medical professionals can prescribe them. The medical professionals with the most knowledge and training in prescribing psychoactive medications are Psychiatrists. Psychiatrists are medical doctors (MD) that have completed residency and training in psychiatry. Most psychiatrists do not engage in talk therapy; they focus on symptom and medication management in brief (15-20 minute) appointments. Other medical professionals able to prescribe psychotropic medications are Primary Care Physicians (MD/GP), Physician Assistants (PA), Psychiatric/Mental Health Nurse Practitioners (PMHNP), Nurse Practitioners (NP), Certified Nurse Midwives (CNM), and Gynecologists/Obstetricians (OB/GYN). How do I know if I need psychotropic medications? In my practice, for someone who is not currently taking psychotropic medications, I will generally recommend medications if we seem to continue hitting a wall with ongoing negative symptoms, despite all reasonable efforts to improve them. If adding structure, recognizing and changing thinking, improving overall physical health, learning emotional identification and expression, and addressing spiritual health doesn’t improve symptoms markedly, this indicates to me that the symptoms are endogenous in nature, and need chemical help to mitigate. What do I need to be aware of if I start taking psychotropic medications? All medications generally have some risk of side-effects, some more troublesome than others. Speaking with your prescribing physician and doing your own research are important before starting on any psychotropic medication. Most common side-effects for psychotropic medications are disturbances in sleep and appetite. Some of these can be mitigated by adjusting the time of day they are taken (morning if the medication is activating to your brain at night), and taking them with food to reduce nausea. Research has shown that the most effective treatment for mental health disorders is a combination of medication and therapy. Taking psychotropic medications without including therapy will not result in lasting change and improvement in symptoms. For real and sustained life change, medications can help provide enough of a lift or relief of symptoms so work can happen in therapy, to prevent recurrence of negative symptoms.
If your body parts could talk, what would they say?I've used this worksheet with my own children, with students I've taught, and with clients, both children and adults. Teaching kids to "tune in" to their bodies is an essential skill and doesn't always come naturally. There are so many benefits to learning this skill! One is emotional regulation-- kids who can listen to their body have an easier time managing and coping with their feelings, especially the really big ones, like anger, disappointment, fear, frustration, guilt, sadness.. . They feel more capable, confident, have a more secure sense of self. They have less behavioral problems, better social skills with peers, more empathy and supportive relationships... It's not just a skill for kids., Adults benefit in similar ways, too, with overall mental stability, positive sense of self, solid relationships, increased career satisfaction. Take a moment today to tune inward,. Breathe in for 4 seconds, hold for 7, and slowly release for 8. Then scan your body and really listen to what each body part is telling you. Maybe some are silent, while others are screaming! That's ok, no judgement. All you have to do is listen. Click to download the PDF to use at home. 
  Are you worried about your anxious child? |
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.
All content on this website, unless otherwise specified, is the sole property of Banyan Tree Counseling & Wellness and is protected by copyright laws.
Any unauthorized reproduction, distribution, or use of this content is strictly prohibited and may result in legal action.