Many women reach their late thirties, forties, or fifties and find that anxiety, low mood, irritability, poor sleep, or a sudden fog they cannot shake have crept in, often before anyone mentions the word perimenopause. Too often these symptoms get treated as purely psychiatric, with no one connecting them to the hormonal shifts happening underneath.
At Sphosh Health, that connection is the starting point. Because Dr. Koichi Tanji is both a naturopathic doctor and a licensed mental health counselor, care looks at the whole picture: the estrogen and progesterone fluctuations of perimenopause, thyroid and metabolic health, iron and nutrient status, sleep, stress, and the emotional weight of this life stage. Mood and hormones are treated as one system rather than two separate problems handed to two separate providers.
A plan might combine targeted nutrition and lifestyle support, attention to sleep and the nervous system, therapy for the real stressors of midlife, and thoughtfully used medication when it helps. The aim is to help you feel like yourself again, steadier, clearer, and better rested, not simply medicated for anxiety while the underlying shifts go unaddressed.
Some hormonal treatment decisions are best made in coordination with your gynecologist or primary care provider, and we are glad to work as part of that team rather than in isolation.
Sphosh Health serves patients across Washington by telehealth and in person in Bellevue, and is in-network with Premera, Regence, Blue Cross Blue Shield, Aetna, Cigna, and Kaiser PPO. To talk about whether this whole-person approach fits, call (425) 278-6166.