Cameron Pellegrino, PMHNP

Perimenopause and menopause are not just hormonal events.

They are nervous system transitions, identity shifts, and whole-body recalibrations that can affect anyone experiencing this biological change.

For many people, this phase brings physical, emotional, cognitive, and relational changes that deserve thoughtful, informed, and compassionate care.

This work is about restoring coherence, stability, and vitality — not merely “managing symptoms.”

Inclusive Care

Perimenopause and menopause affect people of diverse gender identities and life experiences.

I provide affirming, trauma-informed care for:

• cisgender women

• transgender men

• nonbinary and gender-diverse individuals

• intersex individuals

• anyone navigating hormonal transition related to ovarian function or endocrine change

You deserve care that respects your identity, your body, and your lived experience.

Why This Support Exists

Many people navigating hormonal transition are told:

• “Your labs are normal.”

• “This is just aging.”

• “You’ll have to live with it.”

• “It’s stress.”

Yet they are experiencing:

• anxiety or panic

• mood instability

• sleep disruption

• cognitive fog or memory changes

• sensory overwhelm

• loss of resilience to stress

• nervous system dysregulation

• identity disorientation or grief

• shifts in libido, energy, or vitality

This transition is real.

Your experience is valid.

Support should reflect the full complexity of what is happening.

A Nervous System & Whole-Person Approach

Hormonal changes affect:

• the brain and neurotransmitters

• the autonomic nervous system

• metabolic and inflammatory pathways

• trauma physiology and stress tolerance

• sleep architecture and circadian rhythm

• identity and life meaning

Care here is not symptom suppression.

It is restoration.

Support May Help If You Are Experiencing:

• increased anxiety or panic symptoms

• depression or mood volatility

• sensory sensitivity or overwhelm

• insomnia or fragmented sleep

• brain fog or difficulty concentrating

• loss of stress tolerance

• burnout or emotional exhaustion

• grief related to identity, fertility, or life transition

• trauma resurfacing or nervous system reactivity

• loss of vitality, motivation, or joy

What Support Focuses On

• nervous system stabilization and regulation

• hormonal transition support and education

• trauma-informed mental health care

• sleep restoration strategies

• mood and cognitive support

• stress resilience and capacity building

• identity integration during life transition

• restoring vitality, clarity, and coherence

What Clients Commonly Experience

With appropriate support, people often report:

• improved emotional regulation

• deeper, more restorative sleep

• reduced anxiety and reactivity

• clearer thinking and improved focus

• greater stress tolerance

• increased energy and vitality

• renewed sense of identity and direction

• greater nervous system stability

• a return of calm, clarity, and resilience

This Transition Is Not an Ending

It is a recalibration.

A threshold.

A neurological and physiological shift that can open the door to greater clarity, agency, and alignment when supported properly.

Affirming & Respectful Care

Care is collaborative, trauma-informed, and grounded in respect for bodily autonomy and personal identity.

Everyone deserves to feel safe, seen, and supported during this transition.

You Are Not Meant to Navigate This Alone

If you are moving through perimenopause or menopause and feel overwhelmed, destabilized, or unsupported, there is care available that honors the full complexity of your experience.

Support is possible.

Stability is possible.

Clarity and vitality are possible.