Perimenopause and Menopause

The menopause transition doesn't have to be endured.

The menopause transition doesn't have to be endured.

Specialist therapy for perimenopause and menopause in Northern Ireland. We provide a space to address the anxiety, low mood, identity shifts and relationship changes that accompany this significant life transition with genuine understanding and expert support.

Specialist therapy for perimenopause and menopause in Northern Ireland. We provide a space to address the anxiety, low mood, identity shifts and relationship changes that accompany this significant life transition with genuine understanding and expert support.

Calm counselling room with two armchairs for therapy sessions in Northern Ireland

Understanding the Psychological Impact of Perimenopause and Menopause

Understanding the Psychological Impact of Perimenopause and Menopause

The Emotional and Psychological Symptoms of Menopause

The focus on physical menopause symptoms often overshadows the profound psychological impact of this transition. Anxiety, low mood, irritability, brain fog, loss of confidence, and a changed relationship with your sense of self are all common and all genuinely distressing. These experiences are not simply hormonal inconveniences -- they represent a significant life transition that deserves proper therapeutic support.

Identity, Relationships and the Meaning of Midlife

Menopause often coincides with other significant midlife shifts -- children leaving home, ageing parents, changes in relationships, and questions about the next chapter of life. For many women, it triggers a broader reckoning with identity and meaning. Therapy provides a space to navigate all of these threads together with the support of someone who understands their complexity.

Support in Northern Ireland

NI Counselling provides specialist perimenopause and menopause therapy across Northern Ireland. Our therapists understand the specific psychological landscape of this transition and provide a warm, knowledgeable space for this important work. In-person and online sessions are available.

Our Service Areas:

Belfast City

Co. Antrim

Co. Down

Derry/L'Derry

Remote NI

UK-wide Online

Expert Methodologies for Lasting Relief

We don't believe in a one-size-fits-all approach. We utilize the gold standard of evidence-based psychological interventions.

Addressing Anxiety and Low Mood

We provide evidence-based support for the anxiety and low mood that frequently accompany perimenopause, using CBT and related approaches to help you manage these symptoms effectively whilst understanding their connection to the broader transition you are navigating.

Identity and Meaning in Midlife

The menopause transition raises important questions about identity, purpose and the shape of the next chapter. We provide a thoughtful, unhurried space to explore these questions with someone who understands the specific texture of midlife transitions for women.

Relationship and Communication Support

Menopause affects relationships as well as individuals. We work with you on the communication and relational dimensions of this transition, helping you navigate changing needs, express yourself clearly to the people who matter, and maintain connection through a period of significant personal change.

Meet our Team

Meet our Team

Our team is hand-selected not just for their clinical excellence, but for their empathetic, editorial approach to modern mental health.

Our team is hand-selected not just for their clinical excellence, but for their empathetic, editorial approach to modern mental health.

Portrait of Tory Stirling, integrative adult counsellor at NI Counselling in Northern Ireland

Tory Stirling

Integrative Adult Counsellor

Tory is a BACP registered integrative counsellor with specialist experience in complex trauma, bereavement and neurodiversity, including over ten years working in the field of autism. Flexible, relational and neuroaffirming in approach, she supports adults across a wide range of emotional and psychological difficulties.

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Portrait of Raymond McLean, adult counsellor at NI Counselling in Northern Ireland

Raymond McLean

Adult Counsellor

Raymond is a dually registered integrative counsellor with extensive experience across community and private mental health settings. Person-centred, warm and adaptable, he supports adults through anxiety, bereavement, trauma, low mood and workplace stress from his Antrim practice.

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Portrait of Steven Montgomery, adult integrative counsellor at NI Counselling in Northern Ireland

Steven Montgomery

Adult Integrative Counsellor

Steven is a NCPS registered integrative counsellor offering a safe, non-judgmental space for adults navigating anxiety, low mood, grief, identity and relationship difficulties. Warm, accessible and person-centred at his core, he works collaboratively to build self-understanding and resilience.

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Portrait of Orla McFadden, adult integrative counsellor at NI Counselling in Northern Ireland

Orla McFadden

Adult Integrative Counsellor

Orla is a BACP registered integrative counsellor offering online and telephone sessions. Drawing on person-centred, CBT and psychodynamic approaches, she creates a safe, collaborative space for adults working through depression, anxiety, bereavement, low self-esteem and relationship difficulties.

Expand

Portrait of Sarah Etheridge, adult counsellor at NI Counselling in Northern Ireland

Sarah Etheridge

Adult Counsellor

Sarah is a BACP registered counsellor with specialist training in IFS, trauma and attachment. Working through a person-centred and psychodynamic lens, she offers a warm, trusting therapeutic relationship to support adults with anxiety, grief, trauma, PTSD and a wide range of personal difficulties.

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Portrait of Orla Cogill, adult psychotherapist at NI Counselling in Northern Ireland

Orla Cogill

Adult Psychotherapist

Orla Cogill is a qualified Cognitive Behavioural Psychotherapist supporting adults with anxiety, depression, trauma, low mood and stress. Orla integrates CBT, Acceptance and Commitment Therapy (ACT), Compassion-Focused Therapy (CFT) and EMDR, tailoring sessions to individual sensory and processing needs. She offers a warm, evidence-based approach, helping clients build self-understanding, self-compassion and practical coping skills.

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Portrait of Robyn Lough, integrative adult counsellor at NI Counselling in Northern Ireland

Robyn Lough

Integrative Adult Counsellor

Robyn is a BACP registered integrative counsellor based in Banbridge. Warm, collaborative and solution-aware in her approach, she supports adults through anxiety, bereavement, trauma, neurodivergence and a wide range of life challenges, offering in-person, online and telephone sessions.

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Portrait of Michelle Duffy, adult counsellor at NI Counselling in Northern Ireland

Michelle Duffy

Adult Counsellor

Michelle Duffy is an MBACP Accredited Counsellor and Psychotherapist with over 11 years' clinical experience. Michelle works with adults, young people and children experiencing trauma, anxiety, depression, low self-esteem and relationship difficulties. She offers an integrative, creative approach, including EMDR, helping clients heal and move forward with confidence.

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Portrait of Tory Stirling, integrative adult counsellor at NI Counselling in Northern Ireland

Tory Stirling

Integrative Adult Counsellor

Portrait of Steven Montgomery, adult integrative counsellor at NI Counselling in Northern Ireland

Steven Montgomery

Adult Integrative Counsellor

Portrait of Sarah Etheridge, adult counsellor at NI Counselling in Northern Ireland

Sarah Etheridge

Adult Counsellor

Portrait of Robyn Lough, integrative adult counsellor at NI Counselling in Northern Ireland

Robyn Lough

Integrative Adult Counsellor

Portrait of Raymond McLean, adult counsellor at NI Counselling in Northern Ireland

Raymond McLean

Adult Counsellor

Portrait of Orla McFadden, adult integrative counsellor at NI Counselling in Northern Ireland

Orla McFadden

Adult Integrative Counsellor

Portrait of Tory Stirling, integrative adult counsellor at NI Counselling in Northern Ireland

Tory Stirling

Integrative Adult Counsellor

Tory is a BACP registered integrative counsellor with specialist experience in complex trauma, bereavement and neurodiversity, including over ten years working in the field of autism. Flexible, relational and neuroaffirming in approach, she supports adults across a wide range of emotional and psychological difficulties.

Expand

Portrait of Robyn Lough, integrative adult counsellor at NI Counselling in Northern Ireland

Robyn Lough

Integrative Adult Counsellor

Robyn is a BACP registered integrative counsellor based in Banbridge. Warm, collaborative and solution-aware in her approach, she supports adults through anxiety, bereavement, trauma, neurodivergence and a wide range of life challenges, offering in-person, online and telephone sessions.

Expand

Portrait of Steven Montgomery, adult integrative counsellor at NI Counselling in Northern Ireland

Steven Montgomery

Adult Integrative Counsellor

Steven is a NCPS registered integrative counsellor offering a safe, non-judgmental space for adults navigating anxiety, low mood, grief, identity and relationship difficulties. Warm, accessible and person-centred at his core, he works collaboratively to build self-understanding and resilience.

Expand

Portrait of Raymond McLean, adult counsellor at NI Counselling in Northern Ireland

Raymond McLean

Adult Counsellor

Raymond is a dually registered integrative counsellor with extensive experience across community and private mental health settings. Person-centred, warm and adaptable, he supports adults through anxiety, bereavement, trauma, low mood and workplace stress from his Antrim practice.

Expand

Portrait of Sarah Etheridge, adult counsellor at NI Counselling in Northern Ireland

Sarah Etheridge

Adult Counsellor

Sarah is a BACP registered counsellor with specialist training in IFS, trauma and attachment. Working through a person-centred and psychodynamic lens, she offers a warm, trusting therapeutic relationship to support adults with anxiety, grief, trauma, PTSD and a wide range of personal difficulties.

Expand

Portrait of Orla McFadden, adult integrative counsellor at NI Counselling in Northern Ireland

Orla McFadden

Adult Integrative Counsellor

Orla is a BACP registered integrative counsellor offering online and telephone sessions. Drawing on person-centred, CBT and psychodynamic approaches, she creates a safe, collaborative space for adults working through depression, anxiety, bereavement, low self-esteem and relationship difficulties.

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Frequently Asked Questions

Is it normal to feel like I am losing my mind during perimenopause?

Can therapy help if I am also using HRT?

I feel like I do not recognise myself anymore. Is this part of menopause?