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 headshot of Jessika Fruchter LMFT. Her practices focuses on the support of women navigating perimenopause and midlife, as well as psychospiritual counseling. Jessika Fruchter LMFT is based in San Francisco and New Orleans.

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
Why Women in Midlife Seek Spiritually-integrated Therapy
Why Women in Midlife Seek Spiritually-integrated Therapy

In midlife, women often find themselves standing at the figurative intersection of uncertainty and self-discovery.

Perimenopause brings both physical and emotional transformations, relationships shift, and long-held roles begin to feel restrictive or outdated.

Many women feel a deep yearning for meaning and clarity that extends beyond conventional therapy. Spiritually-oriented therapy offers a unique container for healing and growth, blending psychological insight with a deeper connection to purpose, self, and something greater.

What is that something greater? Well, that’s entirely unique to you …

Read More →
Expanding My Therapy Practice to New Orleans: Following Instincts and Embracing Risk
Expanding My Therapy Practice to New Orleans: Following Instincts and Embracing Risk

As a psychotherapist who specializes in supporting midlife women, I know how big change can be both intimidating and exhilarating. The thing is, it almost always brings growth. Recently, I decided to embrace my own moment of change by expanding my practice to New Orleans. It wasn’t a decision I made lightly—but it was one born from following my intuition and a healthy amount of planning.

We often hear the phrase, “trust your gut,” but many of us struggle to do it. Often anxiety gets loud and we lose our way. Sometimes it can be really challenging to tell the difference between anxiety and intuition.

 In therapy, I encourage clients to reconnect with their intuition because it’s a powerful internal compass, especially during life’s transitional periods. We do this in a variety of ways from somatic exercises to journaling to tarot practice and meditation. It’s easy to get stuck in analysis paralysis, weighing pros and cons, or worrying about what others think. But sometimes, a decision just feels right before all the details align.

Read More →
What to do when you’re always Tired
What to do when you’re always Tired

You know the drill. You’re going about your day and folks here and there ask you how you are. It may be the guy at the corner store or your co-worker or maybe even a friend, either way you say you’re fine because that’s the social expectation, and you keep it moving. But really, the first thing that comes to mind is: “I’m so tired.” And it’s so true.

Whether it’s the exhaustion that makes you pass out as soon as your head hits the pillow or the low grade blah that keeps you from ever really waking up during the day, fatigue is one of the most common concerns I hear about when women walk through my virtual office door ….

Read More →

Featured Articles About Perimenopause & All things Midlife