This is a graphic of a diverse group of women wearing vivid colors. The image represents the clients Jessika Fruchter LMFT works with in her psychotherapy practice. She specializes in helping women in midlife healing anxiety and depression and thrive

It’s time we thrive.

Therapy For Women Navigating Perimenopause

& all things midlife

offering Online Therapy Services throughout California & Louisiana 

Welcome!

If you’ve found your way here your inner world may feel upside down and out of control. And it’s possible your body feels the same.

This is part of perimenopause … and midlife for many women. Your mind, body and spirit are in a (rather bumpy) transition to your next stage of life. Getting to this point in your journey is actually a huge accomplishment, though I know it may not feel that way right now.

This is a quote by Jessika Fruchter, LMFT, about women experiencing anxiety and depression during perimenopause. Jessika Fruchter, LMFT, offers psychotherapy services to women in New Orleans and San Fransisco.

So there you were, living the life you worked so hard to create and bam, you find yourself in the throes of overwhelming mood fluctuations, vacillating between anxiety, sadness, grief and rage. If you were someone who struggled with anxiety or trauma symptoms prior to perimenopause it may feel like everything got magnified.

Meanwhile, some perimenopausal women also experience brain fog or insomnia, hot flashes, off the charts PMS and changes in body composition, not to mention other uncomfortable physical symptoms.

And then there’s the existential crunch of it all.

You’re entering a new phase of life and managing all the feelings. Maybe you find yourself wondering about your own identity now -who you’ve been and who you’d like to become. Maybe you’re grappling with issues of self-esteem, sexuality, relationships or spirituality. Or perhaps career, a sense of purpose and/or social pressures are top of mind. This is a time of reckoning and it can be a lot to go it alone.

This image is a quote by Jessika Fruchter LMFT who is a specialist in perimenopause mental health and midlife therapy. She treats women in New Orleans, San Francisco and Los Angeles.

Women Deserve specialized mental HealthCare.

I help women who are navigating perimenopause and all things midlife. I offer a holistic approach that centers the experience of each woman I have the privilege of working with. Our work together is always based on your goals and sometimes that goal is simply to “feel better.”

I offer individual therapy sessions online throughout the state of California, as well as community care groups to help educate and empower women going through perimenopause and ease feelings of isolation.

This image is a quote by Jessika Fruchter LMFT who specializes in supporting women in midlife and perimenopause. Psychotherapy for women in New Orleans and San Francisco.

Counseling for Women in Perimenopause & Midlife living in California & Louisiana

If you’re interested in learning more about how I work with my clients, you can click here. If you're more interested in the big picture, just know that before they came to see me, my clients were fairly certain this was it. Feeling lousy was the new normal. This had become their story. But like the women I work with, you deserve to do this chapter differently - to feel grounded, to show up fully and unapologetically, and find your joy again.

I’d argue it’s your birthright. It’s revolutionary.

And I’d love to help you get there.

Hi, I’m Jessika.

This is a picture of Jessika Fruchter, LMFT. She offers therapy for women in California and New Orleans. She specializes in women going through perimenopause and midlife.

Originally from New York, I'm also a writer, artist, teacher, activist and ... well, human trying to navigate this precious life with humor, grace, humility and personal style the best way I can.

I truly believe therapy is one of the most personally and socially responsible acts a person can take. And I am passionate about supporting women, particularly through the midlife transition, so they can thrive and share their shine with the world. You’re needed out there!

Get in touch,

i’d love to hear from you

WAYS TO WORK WITH ME

  • holistic therapy for perimenopause & Midlife transition

  • Groups & Workshops

  • Spiritually-Integrated Counseling

  • Expressive Arts Therapy

  • Holistic Therapy for Anxiety

  • Holistic Trauma Therapy

  • Clinical Consultation for Therapists

Articles and Essay about Perimenopausal and Midlife Mental Health
On Making Peace with your Midlife Body
On Making Peace with your Midlife Body

I’ll be real—this cultural fixation on weight gain and body composition during perimenopause has me deeply fired up.

As if this phase of life weren’t vulnerable enough, the wellness industry has outdone itself in preying on women’s insecurities about aging and fears about long-term health. Suddenly, everyone’s selling a remedy —when in many cases, there may not even be a problem to fix.

Metabolic health, like all health, is deeply individual and should be assessed in partnership with a trusted, knowledgeable provider—not dictated by influencers, google searches or self-proclaimed wellness gurus.

In a recent Instagram post, I shared how the obsession with “meno-belly” may be doing more harm than good, especially when it comes to our mental health. The current messaging feeds the narrative that our bodies are betraying us. It keeps us at war with our bodies at a time in life when we most need, and truly deserve compassion, support, and reconnection.

This blog continues that conversation—a deeper dive into our relationship with our bodies and nourishment in midlife and how we can begin to move toward something more nourishing: reverence, respect, and radical body peace.

Read More →
Reclaiming Inner Wisdom: Tarot as a Feminist Tool for Growth
Reclaiming Inner Wisdom: Tarot as a Feminist Tool for Growth

When I first wrote about using tarot in my therapy practice, I had no idea it would strike such a chord.

Spoiler alert: It did. To this day, that first blog post remains the most visited page on my website. And more often than not, women find my therapy practice by googling terms like “therapy and tarot” or “spiritual therapist.”

I suppose it shouldn’t have come as a surprise. We’re living through a time of intense upheaval and reckoning. More and more women are awakening—longing for a deeper connection with themselves and something greater: spirit, divinity, source, the universe.

Developing a therapeutic tarot practice isn’t necessarily about divination—though some may travel that path. More often, it’s about working with imagery and symbolic stories to bypass the intellect and access our own inner knowing …

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SOS: Finding the Right Medical Care During Perimenopause
SOS: Finding the Right Medical Care During Perimenopause

For many women, finding the right provider isn’t just a matter of logistics. Choosing a provider during perimenopause can stir up complex emotional layers: anxiety about being dismissed or misunderstood, frustration from past medical gaslighting, or even unprocessed trauma from previous health care experiences. Women deserve better—and with a bit of guidance, it is possible to assemble a supportive care team that truly sees you …

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Featured Articles About Perimenopause & All things Midlife