Symptoms
6 min · Symptom readEarly signs of perimenopause
The five signals Karen asks every new client to track in the first thirty days — plus the four-question screen she runs before any GP referral.
The blog
The perimenopause blog.
Long-form reading on perimenopause from Karen Serra's desk — the symptom patterns she tracks with clients, the hormonal mood shifts that rarely get named, and the identity work that runs underneath both.
Editorial is counsellor-led, not clinical. Every recommendation has to survive supervision. Hormonal decisions live with your GP; what this blog offers is the read, scaffold and reframe that holds between appointments.
- Mood & Hormones7 min · Clinical read
Perimenopause and mood changes
Why the emotional shifts of perimenopause are hormonal AND relational — and what a counsellor-led lens adds to the standard "see your GP" advice.
- Identity7 min · Long read
Midlife identity and perimenopause
The unfinished project most midlife women were carrying ten years before the perimenopause arrived — and why the hormonal transition surfaces it.
- Symptoms7 min · Symptom read
Sleep and perimenopause
Why the 2am wake pattern of perimenopause is hormonal AND behavioural — and what the counsellor-led room adds once the GP loop has done its work.