Why MoonPhase

MoonPhase reflects a cyclical view of Women’s Mental Health.

Midlife often changes thresholds-what your system can tolerate, recover from, and carry without cost. What has been muted, managed, or overridden for years can become harder to ignore.

Sleep, mood, anxiety, cognition, desire, stress physiology, and identity may all begin shifting at once. When these changes are treated separately, the pattern can be missed.

At MoonPhase, the work begins by bringing the pattern into view.

Hormones, sleep, metabolism, nervous system load, desire, and identity do not move in straight lines. They move in rhythms and waves-monthly, seasonally, and across life stages.

MoonPhase was created for care that can recognize those rhythms, interpret the signals, and support women with more clarity, precision, and coherence.

What image, role, threshold, grief, desire, or awakening is asking to be understood?

Symbolic & Reflective Tools

Some women also benefit from reflective tools that help give language to the deeper identity, relational, and meaning-based shifts of midlife.

When clinically appropriate and personally meaningful, MoonPhase may incorporate journaling prompts, archetypal reflection, seasonal or lunar imagery, values clarification, and narrative exploration to support therapeutic insight and personal integration.

These tools are optional, reflective, and non-diagnostic. They do not replace psychiatric evaluation, medication assessment, psychotherapy, or evidence-informed care.

Coming Into MoonPhase

Many women arrive at MoonPhase with language that is hard to organize at first. The concern may not be one single symptom, but a constellation of changes in mood, sleep, anxiety, attention, desire, energy, stress tolerance, and self-recognition.

What Women Often Say

“I don’t feel like myself.”
“My capacity has changed.”
“What used to work doesn’t work anymore.”
“I want care that takes this seriously, without reducing it.”

Across perimenopause, menopause, and post-menopause, the brain and body are renegotiating

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This is not a single symptom.

It is a systemic transition.

At MoonPhase, we track the pattern. We look at the whole picture-sleep, mood, cognition, irritability, rage, motivation, libido, and the emotional meaning of this chapter-so you can understand what’s shifting, why it is shifting, and what supports you now.

MoonPhase is an evidence-informed practice. Clinical recommendations are guided by psychiatric assessment, current menopause and mental health literature, and individualized shared decision-making.

Change in midlife is often less about collapse and more about recalibration.

‍ What This Practice is Built For

MoonPhase is built for women who sense that something is shifting and want care that recognizes midlife mental health as a meaningful neurobiological and physiological transition-not a vague phase to simply endure.

This practice is designed to:

MoonPhase helps bring these patterns into view-

Illuminating the biology shaping midlife

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Clinical Integrity & Professional Standards

MoonPhase is grounded in established standards of psychiatric practice, ethical prescribing, complementary therapies, and responsible documentation. Ongoing professional practice and education includes risk management training designed to support safe, transparent, and well-structured care.

Selected training includes:

  • Women’s Mental Health Certificate (in progress)

  • Nutritional Psychiatry Certification

  • Motivational Interviewing (MI) Certification

  • Certified Hatha Yoga Teacher

  • Certified Laughter Yoga Teacher

  • Certified Usui Reiki II Practitioner

  • RiskFit® Essentials for Health Professionals Certification

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Practice Details

Menopause-Informed Integrative Psychiatry for Women Located in Massachusetts. with a focus on Perimenopause, Menopause, Post-Menopause, and Midlife Neurobiological Change.

Primarily Telehealth with options for in person as applicable to availability and scheduling (Hybrid).

Limited Hours and By Appointment Only

The framework for MoonPhase Integrative Psychiatry & Wellness‍ ‍is informed by current menopause, psychiatric, and neurobiological literature, along with clinical experience & training in women’s mental health

Begin where you are

Explore the path that fits

The MoonPhase Approach

Menopause-Informed Psychiatric Care for Women in Midlife

Pattern-Driven, Precise, and Rooted in Biology

Michele Whitaker, MSN, APRN, PMHNP-BC, C-RYT

Founder & Clinical Lead

Michele Whitaker is a board-certified Psychiatric Mental Health Nurse Practitioner with over 32 years of experience in psychiatric nursing. She is the founder of MoonPhase Integrative Psychiatry & Wellness, a menopause-informed psychiatric practice for women navigating midlife neurobiological and emotional change.

Michele’s work centers on women in midlife-where mood, sleep, anxiety, cognition, desire, and vitality are often shaped by hormonal transition, stress physiology, and the cumulative weight of lived experience.

MoonPhase reflects Michele’s recognition that menopausal mental health deserves more than a symptom checklist. Her approach is clinically grounded and intentionally paced, integrating psychiatric evaluation and medication strategy when appropriate with therapeutic support, nervous system support tools, nutritional psychiatry, and menopause-informed education.

Michele is certified in Nutritional Psychiatry and is a certified Hatha and Laughter Yoga teacher. These modalities support a whole-person approach that honors both biology and meaning-helping women build steadier internal ground, clearer self-trust, and practical change they can live inside.

Michele brings deep respect for the intelligence of women’s bodies-and for the clarity that becomes possible when midlife is treated as a legitimate neurobiological transition.

‍ ‍Credentials, Licensure & Professional Involvement

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    • mood, sleep, anxiety, cognition, stress physiology, and desire and neuroendocrine change- rather than isolating a single symptom.

    • that may influence psychiatric symptoms, including inflammation, metabolic function, nutrient status, circadian rhythm, and hormonal signaling.

    • Offer Thoughtful Psychiatric Care and Therapeutic Support

    • paced for depth rather than volume.

    • so you understand what is shifting and what to do next.

  • build clarity, capacity, and agency through education, collaborative clinical reasoning, and whole-person treatment planning

  • Working With MoonPhase Wellness

    Menopause-Informed Psychiatric Care for Women in Midlife

    Women’s mental health does not stop at state lines. Many women seeking menopause-informed psychiatric care have questions about mood changes, anxiety, sleep disruption, cognitive concerns, libido, hormonal transitions, and the complex interplay between brain health and hormonal change.

    MoonPhase Wellness offers two pathways depending on where you reside.

    Psychiatric Evaluation & Ongoing Care (Massachusetts)

    MoonPhase Wellness provides psychiatric evaluation and ongoing treatment for women located in Massachusetts.

    Services may include:

    • Comprehensive psychiatric assessment

    • Menopause-informed evaluation of mood, anxiety, sleep, cognition, and sexual health concerns

    • Medication management when appropriate

    • Supportive and CBT-informed therapeutic interventions

    • Integrative psychiatric recommendations, including lifestyle, nutrition, and supplement review

    • Coordination with primary care, gynecology, and other members of your healthcare team when appropriate

    MoonPhase Wellness is a self-pay psychiatric practice serving adults in Massachusetts through telehealth.

    Consultation, Education & Professional Guidance (Nationwide)

    Women and clinicians outside Massachusetts may schedule educational consultations focused on women’s mental health, menopause, psychiatric education, and navigating available treatment options.

    Educational consultations may include:

    • Understanding common mental health changes during perimenopause and menopause

    • Reviewing questions to discuss with your local healthcare team

    • Education regarding evidence-informed treatment approaches

    • Discussion of current research in women’s mental health and menopause

    • Guidance in locating appropriate resources and specialists

    • Professional consultation for clinicians seeking education in menopause-informed psychiatric care

    Please note that educational consultations do not establish a patient-provider relationship and do not include diagnosis, treatment, prescribing, or medical decision-making.

    Why Women Seek MoonPhase Wellness

    Many women arrive after being told that their symptoms are simply stress, aging, burnout, or something they should learn to tolerate.

    MoonPhase Wellness approaches these concerns differently.

    The focus is not on reducing women to hormones, nor on separating mental health from physiology. Instead, care is grounded in understanding the patterns that emerge when changing hormonal signaling intersects with sleep, stress physiology, neurotransmitters, metabolism, relationships, identity, and life stage.

    The goal is clarity, education, thoughtful assessment, and individualized care that respects the complexity of women’s experiences.

    Ready to Learn More?

    Whether you are seeking psychiatric care in Massachusetts or educational consultation elsewhere, MoonPhase Wellness is committed to providing thoughtful, evidence-informed guidance rooted in women’s mental health and midlife wellbeing.

    • As estrogen and progesterone signaling changes, it can reshape how the nervous system regulates stress and threat response-through pathways that influence serotonin, dopamine, GABA, and pain processing.


    • This can show up as body-based anxiety, sudden stress activation, irritability or rage, mood changes, heightened sensitivity to caffeine/alcohol/medications, shifts in libido/arousal, and a “new” intensity to everyday stressors.

    • Changes in neurotransmitter balance can affect focus, motivation, pleasure, and reward sensitivity. Many women describe it simply as: “I’m not myself.”


    • It may take more effort to concentrate, initiate tasks, feel drive, or access the same baseline joy and steadiness.

    • ‍ ‍Midlife can also involve a shift in metabolic resilience-fatigue, afternoon crashes, reduced mental stamina, slower recovery from stress. This is where we consider contributors like insulin sensitivity, thyroid changes, inflammation, micronutrient status, and the body’s overall “energy economy”.

    • Sleep disruption can mimic or magnify anxiety, depression, and ADHD symptoms-and is often the first domino.


    • Common patterns include 3 a.m. waking, adrenaline surges, night sweats, vivid dreams, and a body that won’t fully downshift.

    • At the same time, sexuality and identity may shift: desire may diminish or fluctuate; body image, grief, anger, disorientation, and relational dynamics can intensify. Pleasure is deeply connected to sleep, stress, relationship, and self-perception-not just hormones.

If this approach feels aligned, the next step is to request a consultation.

  • All prospective patients begin by submitting the Consultation Request Form before scheduling an initial appointment.

  • MoonPhase Wellness reviews each request with care and discretion, and you will receive a response after your request is reviewed.

  • If the support you are seeking appears aligned with MoonPhase’s scope of care and current availability, you may be invited to schedule a brief discovery call or initial evaluation.

  • ‍ ‍If another type or level of care appears better suited to your needs, we will let you know with respect and clarity.

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Submission does not establish a provider–patient relationship.

If you are experiencing acute distress, thoughts of self-harm, or a medical emergency,

call 911, go to your nearest emergency department, or call or text 988.

Consultation Request
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