If you’ve ever felt like you’re suddenly more anxious, irritable, overwhelmed, or foggy — and you can’t figure out why — this episode is for you. Today, Ashley sits down with Brianna Dawson, a board-certified psychiatric nurse practitioner and founder of Behavioral Wellness for Women, to unpack the real connection between hormones and mental health in midlife. They talk about the most common “out of nowhere” symptoms women experience in perimenopause, why so many women are dismissed or misdiagnosed, and what hormone-informed psychiatric care can look like when you’re ready for answers (and relief). 🎙️ StrongHER Voices is the empowering podcast helping women navigate their StrongHER Era with clarity, confidence, and practical, expert-backed support. Hosted by Ashley Basilio — certified menopause health coach, fitness professional, and women’s wellness advocate. -- In this episode, we cover: ✅ Why perimenopause can trigger anxiety, sleep disruption, brain fog, and low mood — even for women with no mental health history ✅ What’s happening beneath the surface: fluctuating estrogen, declining progesterone, and the serotonin connection ✅ Common “clues” symptoms may be hormone-driven: night waking, restlessness, word-finding issues, cycle changes, mood shifts with no clear trigger ✅ The difference between situational anxiety vs. hormone-amplified anxiety ✅ Why so many women feel dismissed by providers — and the emotional toll of not being heard ✅ How Brianna approaches care: therapy support, detailed history, and when medication may help “take the edge off” while you figure things out ✅ Labs explained: “normal” vs. “optimal,” what functional ranges can reveal, and why labs can’t diagnose perimenopause (but can still be useful) ✅ Lifestyle support that matters: movement, nutrition basics (protein + fiber), and why alcohol/caffeine can worsen sleep and anxiety ✅ What it looks like to work with Brianna: free consult, 90-minute evaluation, and individualized treatment planning ✅ A validating reminder: you’re not broken — you deserve to feel better, and help exists -- 👥 Featured Guest Brianna Dawson, MSN, PMHNP-BC — Board-certified psychiatric nurse practitioner and founder of Behavioral Wellness for Women, a boutique practice specializing in reproductive psychiatry. Brianna supports women across the reproductive lifespan — pregnancy and postpartum mental health, PMDD, and perimenopause — using an integrative, hormone-informed approach that combines evidence-based medication management with lifestyle and lab-guided care to help women feel stable, clear, and empowered during hormonal transitions. Connect with Brianna: Website: http://www.behavioralwellnessforwomen.com Instagram: https://www.instagram.com/behavioralwellnessforwomen/ Facebook: https://www.facebook.com/behavioralwellnessforwomen/ Resources mentioned: Women’s Lab Guide (free): https://behavioralwellnessforwomen.myflodesk.com/womens-lab-guide Perimenopause-Focused Psychiatric Care Program Waitlist — a comprehensive, hormone-informed support option Brianna is building (details will be shared on her website and with current clients first) -- If this episode resonated with you, I’d love to keep supporting you on your StrongHER journey. 💛 🩷 Join StrongHER Together Get ongoing support, accountability, education, and the tools you need to feel stronger—inside and out. Use code VOICES for $25 off any membership: 👉 https://getfitwithashley.com/strongher/ 💌 Stay Connected Sign up for my email list to get blogs, classes, coaching updates, podcast drops, free workouts, and upcoming events delivered right to your inbox: 👉 https://getfitwithashley.com/signup/ 💪 Move With Me Enjoy free, beginner-friendly to advanced workouts any time on my YouTube channel: 👉 https://youtube.com/getfitwithashley/ 📲 Follow Along on Social Media Daily tips, real talk, behind-the-scenes, and encouragement for your StrongHER Era: Instagram: https://www.instagram.com/getfitwithashley2012/ Facebook: https://www.facebook.com/getfitwithashley2012/ -- ⚠️ Disclaimer: The information shared in this podcast is for educational and informational purposes only. It is not medical advice and should not replace consultation with your healthcare provider. Always talk with a qualified professional about your individual health needs before making changes to your diet, exercise, or treatment plan.