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The Midlife Mind Series · Book 4
The Perimenopause Workbook
A CBT-Based Guide to Anxiety, Mood Swings, Brain Fog, and Sleep in the Transition Years
It is not just you, and it is not just aging.
In your forties, the rules can seem to change overnight. Sleep breaks apart at 3 a.m., anxiety appears without an obvious cause, words disappear mid-sentence, and one blood test says everything is normal. For many women, this is perimenopause: a transition few people are properly prepared for. This workbook explains how hormonal shifts can affect mood, thinking, and sleep, then offers evidence-based CBT tools for working with them.
Inside this book
- The hormone-mood connection in plain language: why anxiety can seem to come from nowhere
- A 3 a.m. surge protocol, and why the panic itself is not dangerous
- Thought records for the hormonal courtroom, a rage log, and a brain-fog toolkit
- A sleep reset for the night-sweats years: heat engineering plus CBT-I
- Personal trigger experiments with alcohol, caffeine, and meals, guided by your own data
- A body ladder for taking some of the fear out of palpitations and heat surges
- Four months of daily symptom trackers, cycle and night logs, and appointment-prep pages
CBT-based educational self-help. It does not recommend specific treatment choices, including hormone therapy. Its purpose is to help you have a more informed, productive conversation with your clinician.
- Author
- Ellis Hartwell
- Series
- The Midlife Mind Series · Book 4
- Written for
- Women in the transition years
- Editions
- Paperback
- Trim size
- 8.5 × 11 in
- Publisher
- Tsunami Reading

Reads well with
The Anxiety Workbook for Women Over 40
A No-Nonsense CBT Guide for the Midlife Mind