Your body feels unfamiliar, your mood unpredictable, and your capacity to buffer stress has fundamentally changed. You feel unseen by traditional wellness paths that offer supplements and breathing exercises while ignoring the neurological reality of what is happening in your system.
What SOMA Offers
Bio-Psychosocial Care at the Intersection of Hormones and Trauma
SOMA offers culturally responsive, bio-psychosocial mental health care tracking the precise intersection of hormonal shifts, nervous system vulnerabilities, and identity transitions. This is a clinical area Dr. Aday specializes in: the Perimenopause and Menopause-Trauma Intersection.
Perimenopause and menopause are not simply hormonal events. They are neurological transitions that alter the brain's stress response architecture, reduce estrogen's protective buffering of the amygdala, and can surface previously managed or unresolved trauma with new intensity.
SOMA's approach acknowledges that what you are experiencing is not a mental health crisis separate from your biology. It is a bio-psychosocial transition that requires integrated care, not a single-modality solution.
Dr. Aday's clinical specialization in the Perimenopause and Menopause-Trauma Intersection directly informs SOMA's clinical approach to women's mental health across the lifespan.
Who This Is For
You may recognize yourself in more than one of these.
You are in perimenopause or menopause and find that your emotional regulation has shifted in ways that feel foreign and destabilizing.
You have a history of trauma that seems to be resurfacing with new intensity during this hormonal transition.
You feel dismissed by providers who attribute everything to hormones without addressing the psychological dimension.
You are navigating identity shifts alongside the physical changes and need a framework for both.
You want care that treats you as a whole person, not a symptom cluster.
You are a woman at any life stage navigating the intersection of body, identity, and mental health.
Clinical Approaches
Perimenopause-Trauma Intersection Research (Aday)
Neuro-Endocrine Psychoeducation
Somatic Regulation for Hormonal Transitions
Identity Transition Work
Culturally Responsive Care
Trauma Reprocessing in Hormonal Context
FAQ
Frequently Asked Questions About Women's Mental Health
Can perimenopause and menopause affect mental health?
Yes, and often profoundly. Perimenopause and menopause are not simply hormonal events. They are neurological transitions that alter the brain's stress response architecture and reduce estrogen's protective buffering of the amygdala. SOMA offers culturally responsive, bio-psychosocial care that tracks the precise intersection of hormonal shifts, nervous system vulnerabilities, and identity transitions, rather than treating your experience as a mental health crisis separate from your biology.
Why is my old trauma resurfacing during menopause?
This is a pattern Dr. Aday specializes in. As estrogen's buffering of the amygdala declines during perimenopause and menopause, previously managed or unresolved trauma can surface with new intensity. What feels like an unfamiliar body and unpredictable mood is often the nervous system losing some of the protection it once had. SOMA treats this as a bio-psychosocial transition, integrating trauma reprocessing with an understanding of the hormonal context.
My doctor blames everything on hormones. Is that the whole story?
No. Many women feel dismissed by providers who attribute everything to hormones while ignoring the psychological dimension, or by wellness paths that offer supplements and breathing exercises while overlooking the neurological reality. SOMA's approach is integrated care, not a single-modality solution. We address the hormonal, nervous system, and identity dimensions together, treating you as a whole person rather than a symptom cluster.
Do you help with identity shifts during hormonal transitions?
Yes. Hormonal transitions rarely arrive alone. They come bundled with identity shifts about role, body, and sense of self. SOMA offers identity transition work alongside neuro-endocrine psychoeducation and somatic regulation, so you have a framework for both the physical changes and the questions of who you are becoming. This work is available to women at any life stage navigating the intersection of body, identity, and mental health.
What clinical approaches does SOMA use for women's mental health?
SOMA draws on Dr. Aday's work at the Perimenopause and Menopause-Trauma Intersection, neuro-endocrine psychoeducation, somatic regulation for hormonal transitions, identity transition work, culturally responsive care, and trauma reprocessing within the hormonal context. The through-line is bio-psychosocial: your biology, nervous system, and psychology are treated as one connected system rather than as separate problems handed to separate providers.
Do you offer women's mental health care virtually in Florida?
Yes. SOMA sees adult clients (18 and older) in person at our Coral Gables office and virtually by telehealth. We are licensed to provide telehealth to residents of Florida, New Jersey, Pennsylvania, Texas, and New Mexico. SOMA is private pay and out of network. We can provide a superbill for possible out-of-network reimbursement, and HSA and FSA funds are often eligible. Rates are shared during your consultation.