Nobody Tells You Perimenopause Can Make You Want to Drive Off a Bridge episode artwork

EPISODE · Apr 13, 2026 · 22 MIN

Nobody Tells You Perimenopause Can Make You Want to Drive Off a Bridge

from Combative Calm · host Sarai Speer

This is the most vulnerable episode Sarai has ever recorded. And she almost did not hit record.In this episode, she gets completely honest about what perimenopause did to her mental health before she even knew what was happening. The intrusive thoughts that showed up quietly and stayed for six months. The trip to Barcelona, where she finally screamed her truth in a hotel room and got shut down for it. The panic attacks she had this week, not a year ago, this week, as a nervous system coach who teaches this stuff for a living.She also gets into the science. What actually happens to estrogen, progesterone, testosterone, and your GABA system during perimenopause, why almost a third of women develop panic attacks they have never had before, why women are two to five times more likely to develop a mood disorder during this transition, and why most of them are being handed antidepressants without anyone checking their hormones first.This episode is for the woman who thinks she is losing her mind. The one who cannot explain what is happening in her body. The one who has been suffering quietly because she does not have the language for it yet.Here it is.If you are experiencing thoughts of suicide or self-harm, please call or text 988.If you're ready to do the work with a community of women & a blueprint to get you the fuck out of dysregulation, check out Capacity Club https://saraispeer.com/capacity-club

This is the most vulnerable episode Sarai has ever recorded. And she almost did not hit record.In this episode, she gets completely honest about what perimenopause did to her mental health before she even knew what was happening. The intrusive thoughts that showed up quietly and stayed for six months. The trip to Barcelona, where she finally screamed her truth in a hotel room and got shut down for it. The panic attacks she had this week, not a year ago, this week, as a nervous system coach who teaches this stuff for a living.She also gets into the science. What actually happens to estrogen, progesterone, testosterone, and your GABA system during perimenopause, why almost a third of women develop panic attacks they have never had before, why women are two to five times more likely to develop a mood disorder during this transition, and why most of them are being handed antidepressants without anyone checking their hormones first.This episode is for the woman who thinks she is losing her mind. The one who cannot explain what is happening in her body. The one who has been suffering quietly because she does not have the language for it yet.Here it is.If you are experiencing thoughts of suicide or self-harm, please call or text 988.If you're ready to do the work with a community of women & a blueprint to get you the fuck out of dysregulation, check out Capacity Club https://saraispeer.com/capacity-club

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Nobody Tells You Perimenopause Can Make You Want to Drive Off a Bridge

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This episode is 22 minutes long.

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This episode was published on April 13, 2026.

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This is the most vulnerable episode Sarai has ever recorded. And she almost did not hit record.In this episode, she gets completely honest about what perimenopause did to her mental health before she even knew what was happening. The intrusive...

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