Why I do this
I am living this too
Because I am in it. I am going through this transition myself, and I watch the women around me - my friends, my clients - moving through it too, often alone, often certain that something has gone wrong with them.
Nothing has gone wrong with them. This is the passage. And it is brutal when you go through it unmet - lost, doubting your worth, measuring yourself against everything you were told you should have become by now. I have felt that. I have sat with women inside it.
I have also seen the other side. When a woman is supported through this time, it stops being only a loss. She puts down what was never hers to carry and comes back to herself - her values, her passion, the aliveness underneath the roles. Watching that turn happen is one of the most beautiful things I know. That is why I do this work.
Why a group
The group is part of the medicine
Doing this alongside other women is part of what makes it work, not a nice extra. Research on group CBT for women in this transition suggests it helps: the difficulties and symptoms of midlife intrude less on daily life, mood and quality of life improve, and the changes hold months after the group ends. What shifts is how the hard parts are held - how you understand them, how much of the day they are allowed to run, and how alone you feel inside them. Decades of research also find group work matches one-to-one therapy - and a group gives you the one thing individual work cannot: other women in the same season, saying the unsaid parts out loud.
The research, for those who want it: randomised trials of group CBT for menopausal symptoms found meaningful drops in how problematic women rated hot flushes and night sweats (Ayers et al., 2012, Menopause, in women going through the transition; Mann et al., 2012, The Lancet Oncology, and Fenlon et al., 2020, Psycho-Oncology, both in women after breast cancer treatment). In Mann et al. the problem rating dropped without any change in measured flush frequency. Mediation analysis showed the benefit came from changed appraisal of symptoms, not mood (Norton, Chilcot & Hunter, 2014, Menopause). A meta-analysis of 67 head-to-head studies found group formats match individual therapy on outcomes (Burlingame et al., 2016, Psychotherapy).