A question I frequently ask my female clients mid-40’s and over, is about menopause. Have they begun, are they in it or have they completed the cycling. Many women do not know that they are in the beginning stages, just as I did not in my late 40’s. It can go on for many years before you are actually completing that one year pause – no more monthly cycles at all. You will deal with so many things psychologically. This is the main reason I am asking as a psychotherapist. Is it menopause, or has your life just begun to head in a very strange direction? I also recommend reading “The Fifth Decade,” by Dr. Deborah Wagner as it helped me find direction. Validation really. I was going through a very odd crisis.