PODCAST · health
Burning It Down—One Hot Flash at a Time, a guide to thriving in perimenopause.
by Nadia Alteme
You might think you know what perimenopause looks or feels like—but chances are, it’s not what you had in mind. For decades, mainstream conversations about menopause have been narrow, framed through cisgendered, White, middle-class lenses, and often steeped in stigma, ageist rhetoric and misinformation.This podcast is about changing that narrative. We’ll explore perimenopause and menopause through fresh perspectives, highlight experiences that have historically been silenced, and offer practical knowledge to help both people living this life stage and the therapists supporting them. We’ll dive into the myths, the symptoms, the mental health impacts, and most importantly, the realities that are shaping how perimenopause is experienced today.
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4
The Power of the Pause
Therapists don’t need to be menopause experts to support clients through perimenopause. In this episode, we explore the transition as a biopsychosocial life stage, its impact on identity, relationships, and mental health, and how therapists can respond with curiosity and awareness. We highlight approaches like CBT, ACT, and narrative therapy, while reframing perimenopause as a developmental transition involving disruption, reconstruction, and growth.For a full transcript of episode 4, please click on the following link:https://docs.google.com/document/d/1jfPMlI4VW_qKo9WCwfAaCbNnCgGA8EyoqI-lSCbNP9Q/edit?usp=sharing
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3
Menopause Beyond the Binary
Who experiences perimenopause? More people than the mainstream conversation suggests. In this episode, we explore how the menopausal transition affects transgender, non-binary, and gender-diverse individuals, and discuss emerging links between perimenopause and neurodivergence. We also examine how stigma, gendered language, and cultural narratives shape who feels seen, supported, and able to access care during this life stage.For a full transcript of episode 3, please click on the following link:https://docs.google.com/document/d/1QRmGqF6wdqRUsukidr9eqdWbQ46gTW7aln3O4E05Ywc/edit?usp=sharing
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2
Your Hormones are Talking - This is what They're Saying
What’s happening in the body during perimenopause? In this episode, we explore the hormones behind the physical and emotional changes of the menopausal transition. We also unpack the science behind menopausal hormone therapy (MHT) including why it has such a controversial history and what newer research says about its safety and benefits. Finally we discuss practical ways to manage symptoms through lifestyle and community support.For a full transcript of episode 2 please click on the following link":https://docs.google.com/document/d/1muqc_XP81CgfMPk-mJszmd4D6jzTz5U-6d30rbODav8/edit?usp=sharing
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1
Wait! This is Perimenopause?!
Why talk about perimenopause? Because despite growing attention around menopause, stigma, misinformation, and silence still shape how we understand this major life transition. In this episode, we unpack why conversations about perimenopause matter—especially for therapists and helping professionals.For a full transcript of this episode, please click on: https://docs.google.com/document/d/12Eg6M5n74xST7QIYEl-6zO2bvJA9d39AhYB33tHfPvc/edit?usp=sharing
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ABOUT THIS SHOW
You might think you know what perimenopause looks or feels like—but chances are, it’s not what you had in mind. For decades, mainstream conversations about menopause have been narrow, framed through cisgendered, White, middle-class lenses, and often steeped in stigma, ageist rhetoric and misinformation.This podcast is about changing that narrative. We’ll explore perimenopause and menopause through fresh perspectives, highlight experiences that have historically been silenced, and offer practical knowledge to help both people living this life stage and the therapists supporting them. We’ll dive into the myths, the symptoms, the mental health impacts, and most importantly, the realities that are shaping how perimenopause is experienced today.
HOSTED BY
Nadia Alteme
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