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Online Therapy for Women Over 40 Navigating the Emotional Challenges Midlife Brings
Brooklyn, NY—Based Compassionate Therapist
Making sense of life’s stressors no one prepared you for
Midlife is often framed as a time to thrive—but for many women, it’s a time when everything feels like it’s shifting at once.
Your body is changing. Your roles may be evolving. And emotionally, things that you thought were behind you might be showing up again in unexpected ways.
These experiences aren’t one-dimensional—they’re layered, shaped by everything you’ve already lived through: physically, emotionally, and relationally. If you’re feeling not like yourself, overwhelmed, or unsure of how to find your footing again, you’re not alone.
You deserve support that sees the full picture—and helps you feel like yourself again, in a way that’s grounded and authentic.You might be managing daily responsibilities while inside you’re wondering why you feel more anxious, more reactive, or more disconnected from yourself than before. Even when things seem “fine” on the surface, something deeper can feel unsettled.
What You’re Navigating Isn’t Just “Midlife”
It’s a Series of Real Emotional Shifts
Midlife Struggles You May Be Facing
These transitions affect more than your body—they can shift your emotions, identity, and relationships.
Perimenopause & Menopause
Hormonal shifts can also shift your sense of self. Beyond hot flashes, menopause may bring waves of anxiety, irritability, grief, or a sense of feeling invisible. It’s not all in your head—your body, mind, and emotions are asking for care. This transition isn’t just biological—it’s emotional too, and you deserve support that honors the many layers of this phase in your life.
Divorce
Even if it’s the right decision, divorce can be emotionally consuming. You’re grieving the loss of what was and facing a future that’s unfamiliar. It can reopen doubts about trust, failure, and your ability to start over. You may find yourself processing far more than the end of a marriage.
Health Changes or New Diagnosis
Midlife is often the first time women face more serious health issues—whether their own or those of a partner. A new diagnosis, ongoing symptoms, or new limitations can trigger fear, grief, or reevaluation of how you want to live your life.
Grief
(Loss of a Parent, Family Member, or Friend)
Loss in midlife feels different. You’re not just grieving the person—you’re reflecting on your own life, legacy, and the relationships that shaped you. It can stir memories, regrets, and awareness of your own mortality. You might also face unexpected feelings around unfinished business, strained relationships, or the role that person played in your life.
Caring For A Parent
You’re juggling appointments, decisions, and emotions. Maybe you’re revisiting childhood wounds or old family dynamics as you care for the person who shaped them. You’re trying to stay steady while navigating the emotional complexities that pull you between the present and the past.
Empty Nest
Your children are grown or leaving—and with that, comes a mix of relief, grief, and questioning. Who are you now, beyond the caretaking role? Even if you were ready, this shift can resurface questions about your purpose and identity.
Relationship or Marital Issues
Whether you’ve voiced it aloud or it lives quietly in your mind, considering separation can weigh heavy with fear, guilt, and uncertainty. You’re trying to sort out what’s no longer working, what you truly need, and how to listen to yourself without judgment.
Carol A. Covelli, LCSW, PLLC
I specialize in working with women over 40 who are feeling like:
Even when the day goes smoothly, something still feels off. There’s an undercurrent—worry, frustration, or sadness—just enough to make it hard to settle.
You’ve spent years keeping things going—but lately, it’s taking more out of you. You’re meeting your responsibilities, but it’s starting to wear on your energy, your focus, and your sense of self.
You find yourself reflecting more than before. Noticing things you brushed off in the past, questioning what you’ve accepted, and feeling more sensitive to what no longer feels okay.
You know you need a change—but it’s hard to know where to start. The idea of pausing feels risky. But so does continuing to push through the way you have been.
You’re craving something steadier. Not perfection—but a life that feels like it fits you more fully. Where you don’t have to work so hard to feel at peace with yourself.
If you recognize yourself in these experiences, you’re not alone.
These struggles are more common than they seem—and they’re not just in your head.
They’re a signal that something deeper needs care.
Let’s explore what that is—and how therapy can help.
When it feels like it’s
just too much
How I Can Help
When your body is shifting and you’re finding the past resurfacing, it can feel like too much, even if you seem fine on the outside. You might be wondering why anxiety is showing up more intensely—or why self-judgment is happening more often.
The kind of therapy I offer helps you tune into what’s really going on beneath the surface—not just to cope, but to understand what’s really driving your reactions.
We’ll work with what’s stored in your body, your nervous system, and your story—so you can feel more steady, more clear, and more like yourself again.
Anxiety
When anxiety shows up as overthinking, perfectionism, self-doubt, or constant tension, it’s often a signal that something deeper needs attention. Together, we’ll explore what’s underneath so you can feel more clear, calm, and connected to yourself.
Trauma
You don’t have to relive the past to move forward—but understanding how it’s still shaping your present can be life-changing. I use gentle, attuned approaches to help you process what’s unresolved and create space for lasting change.
Brainspotting
Brainspotting helps access the parts of your mind where experiences are stored, where talk therapy can’t always reach. It’s an attuned, body-based method for working through trauma, anxiety, emotional blocks, or performance enhancement at a deeper level.
Brainspotting Intensives
For those seeking focused, immersive support, intensives offer deeper work in a condensed time frame—especially when you’re working on a specific issue. A Brainspotting intensive may be right for you if you’re looking to create meaningful change through longer sessions over a shorter period of time.
EMDR Therapy
EMDR helps reprocess memories or experiences that still affect how you feel, react, or see yourself. It’s a powerful approach for healing past distress and feeling more grounded in the present.
How Can My Approach to Psychotherapy Help You?
In our work together, you can expect to experience meaningful shifts like these:
Gain Clarity and Resilience by Understanding Your Story
Uncover how past experiences may be shaping your present. When you see the full picture more clearly, overthinking calms—and decisions feel more grounded.
Quiet Your Inner Critic and Move Through Life with
More Self-compassion
Build self-compassion, calm internal pressure, and begin responding to life’s demands with more confidence and self-trust.
Feel “Good Enough” in a Life That Feels Like Yours
Feel more at home in yourself and more in tune with what truly matters—not just what’s expected of you.
The Deeper Work That Helps You Feel Like Yourself
The work I do as a mental health professional is deeply transformative and grounded in understanding your unique story.
I use depth-oriented approaches like Brainspotting, parts work, EMDR, and therapy intensives to explore the emotional experiences at the root of your struggles. This isn’t about surface-level strategies—it’s meaningful, compassionate work that helps you heal what’s underneath and reconnect with clarity, self-trust, and a deeper sense of care for yourself.
Together, we’ll tune in to the thoughts, emotions, and patterns that have been keeping you out of alignment with yourself. Through this process, you’ll gain a clearer sense of who you are, feel more settled in your day-to-day life, and build the confidence to meet challenges with greater clarity and intention.
Thoughtful articles exploring anxiety, midlife shifts, and how therapy can support meaningful, lasting change.
Latest Insights, Articles & Resources for Women in Midlife
Frequently Asked Questions
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I am a licensed mental health professional focused on providing mental health care to individual women in midlife struggling with anxiety, stress, perfectionism, and life transitions who need to feel safe and supported. My approach integrates Brainspotting, EMDR, and mindfulness techniques to uncover and address deeper emotional challenges.
I also offer Brainspotting therapy intensives for clients seeking focused, transformative progress on a specific issue or challenge.
These specialized counseling services allow me to work deeply and collaboratively with my clients, tailoring each session to your individual needs and goals.
Whether you’re seeking emotional support for unresolved trauma, overthinking, or navigating big life changes, my counseling and therapy practice is designed to provide the mental health support and coping strategies you need for improved well-being.
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Brainspotting is a powerful therapeutic modality that helps identify and process deep-seated emotional experiences that may be contributing to anxiety, stress, and other challenges in a safe environment. By attuning to your body and brain’s natural ability to heal, Brainspotting allows you to release unresolved emotions and achieve clarity, calm, and personal growth.
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EMDR (Eye Movement Desensitization and Reprocessing) is an evidence-based therapy often used to help clients process trauma and negative thought patterns. If you feel stuck in cycles of overthinking, self-doubt, or unresolved emotional pain, this therapeutic approach may help you gain clarity and move forward with confidence.
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While I don't offer in-person therapy, for clients in New York, New Jersey, and Florida, I offer online therapy through a secure telehealth platform. Online therapy sessions allow me to help clients access therapy and learn the coping skills they need to overcome their mental health struggles from the comfort and privacy of their home.
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I currently work with clients on an out-of-network basis. However, I’m happy to provide you with a superbill that you can submit to your insurance provider for potential reimbursement. Please check with your insurance plan to see if they cover out-of-network services.
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No, I do not currently offer couples counseling or group therapy.