finding calm amidst the storm
Therapy & Coaching for PMDD & PME
Support during luteal-phase symptoms and deeper healing to address what’s underneath.
Serving clients locally in San Anselmo, Marin, and virtually in California & Washington, Coaching available worldwide.
living with PMDD
when you feel like you’re the storm
at the end of every cycle
Have you found yourself googling things like “PMS hell” or asking ChatGPT to help make sense of your symptoms? Have you gone down Reddit rabbit holes, trying to find medications or treatments to relieve your symptoms? Have you felt like therapy hasn’t fully addressed the depth of hell you experience each month?
Do the people closest to you- friends, partners, family- struggle to understand whats happening for you? If you’ve landed on this page, you may already suspect that what you’re struggling with is more than “just PMS.”
I offer specialized PMDD & PME therapy & coaching based on extensive training, lived experience, and work with clients suffering from PMDD & PME.
support from someone who gets it
specialized support for pmdd
How I Can Help
I work with people- including trans & non-binary folks- who are exhausted from fighting their bodies and brains every month. PMDD and PME can make you feel hijacked by your emotions-overwhelmed, reactive, ashamed, resentful, and completely unlike yourself. It can feel confusing, isolating, and deeply unfair.
My approach focuses on understanding your cycle, noticing patterns and triggers, and learning practical and somatic coping skills when symptoms intensify. I help clients develop clear, practical protocols to help you respond to emotional and physical shifts, rather than feeling blindsided by them each month.
Therapy won’t stop the hormonal shifts, but it can change how you move through them. I support clients in building awareness, self-compassion, nervous system support, and practical tools so these waves don’t feel quite as consuming-or so personal-each month.
specialized PMDD support
What Our Work May Include
My approach is grounded in Internal Family Systems (IFS) and integrates EMDR, CBT, DBT, somatic practices, mindfulness, and other trauma-informed modalities. Together, we’ll explore the patterns, triggers, relationships, and nervous system responses shaped by PMDD—while building greater steadiness, self-understanding, and trust in yourself.
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PMDD & PME isn’t just about timing- it’s about how stress, relationships, and old emotional patterns interact with hormonal shifts. I help you track how symptoms unfold over time and explore what’s being activated beneath the surface. Often, triggers point to deeper emotional needs or unresolved wounds that deserve care and attention, not judgment.
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PMDD and PME can hijack the nervous system, making even small stressors feel urgent and overwhelming. I support clients in processing the unresolved, long-standing wounds beneath triggers and in identifying healing messages they can return to when emotions escalate. I use somatic techniques, mindfulness, polyvagal-informed strategies, IFS, and EMDR to help calm the body’s stress response and move out of survival mode more efficiently.
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I support clients in learning and building practical, personalized coping strategies that help regulate the nervous system, emotional patterns, negative thought patterns, and relationships—so symptoms feel more manageable instead of all-consuming. My work draws from CBT, DBT, IFS, Non-Violent Communication, Somatic Experiencing, meditation, yoga, EFT, and other somatic and energy-based approaches to offer a vast toolkit that can be used in real-life moments.
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PMDD and PME doesn’t only affect you- it often impacts partners, family, and close relationships as well. This work supports clearer communication, stronger boundaries, and relational repair, so loved ones can better understand what’s happening without you carrying guilt, shame, or the pressure to explain yourself constantly. When appropriate, partners or family members may be invited into occasional sessions to learn supportive ways to respond, cope, and communicate needs more effectively.
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For those who experience suicidal thoughts or self-harm urges during PMDD & PME, this work includes creating clear safety plans for moments when symptoms escalate toward crisis. These plans focus on practical steps, internal and external supports, and grounding strategies to help increase safety during the most intense periods.
ways we can work together
My Services
PMDD Therapy & Coaching
Partner Support
Ketamine-Assisted Therapy
Clinical Consultation
PMDD Course (coming soon)
cycle-timed support
Ketamine-Assisted Therapy for PMDD/PME
I offer cycle-timed Ketamine-Assisted Therapy (KAP) for individuals experiencing severe luteal-phase mood symptoms from PMDD and PME. Ketamine may support mood and reduce emotional intensity during this phase, creating more space to work with what’s emerging internally.
KAP is a supportive, adjunctive approach that works alongside treatment from a qualified psychiatrist, OB-GYN, or other medical provider. Sessions are intentionally timed during the luteal phase, when symptoms are often most pronounced.
Let’s connect
Ready to Dive In?
I offer a free 20-minute consultation to learn more about my approach and services, and see if it’s a good fit.