When She Wants More and He(Her) Thinks Everything Is Fine Couples who come to see me in their fifties rarely mention perimenopause. Either they haven't connected the dots, or naming it feels too much like placing blame. What I hear most from women is that they want more — more connection, more help around the house, more recognition that they exist as a person and not just a function. As estrogen wanes, so does the drive to keep taking care of everyone else. Women start asking for things...

You and your husband have just settled in to watch your favorite show when the phone rings. Your mother has mixed up her remotes again and can't figure out how to get back to Murder, She Wrote. It's becoming a near nightly intrusion and your partner is gritting his teeth. You're stuck in between. You know your mother's sight is going but this is starting to really affect your marriage. This is your time to connect at the end of the day and the call takes that from you. Now your husband is...

The Difference Between Needing Space and Growing Apart Is a marriage meant to last forever? It’s a question you may be asking yourself — not out loud, not to each other, but at 2am when you can’t sleep. Maybe humans aren’t designed to be together this long. People are living into their 80s and 90s now. Is this just… what happens? And underneath that question, the ones that feel even harder to say: Have they lost interest in me? Will we ever have sex again? What would my life even look...