Ronni E. Farris, MD

03/31/2026

Hormones influence more than menstrual cycles and hot flashes — they influence brain function.

Estrogen helps regulate the neurotransmitters responsible for mood, anxiety, sleep, and emotional resilience. During perimenopause and menopause, shifting hormone levels can meaningfully affect how the brain processes stress and emotion.

If you’ve experienced new anxiety, low mood, irritability, or a sense of feeling unlike yourself, you are not imagining it — and you are not alone.

These changes are common during this transition. They are biologically driven. And they are treatable.

Midlife mental health deserves attention. If something feels different, it’s appropriate to ask questions and seek support. Call the office at 405-701-6717 if you would like that support from our office. ❤️

03/30/2026

🌟Happy Monday, Friends!🌟

03/27/2026

Sweet treat 🍪 or salty snack 🥨?

And bonus points if you tell us what treat or snack is your favorite!

03/26/2026

Hormone therapy is not indicated for every woman with anxiety or depression. However, certain patterns suggest that hormonal stabilization may be helpful.

Women with a history of hormone-sensitive mood conditions — such as postpartum depression or PMDD — may also be more vulnerable to mood destabilization during perimenopause. In these cases, estrogen variability can amplify emotional symptoms.

The key is timing and pattern recognition. When mood changes clearly align with hormonal transition, addressing that hormonal component may meaningfully improve stability.

A comprehensive evaluation considers hormones, sleep, stress, and psychiatric history together. For some women, HRT alone may help. For others, combination care provides the best outcome.

Midlife mental health care should be individualized — not one-size-fits-all!

03/25/2026

Perimenopause is driven by hormonal fluctuation — not just decline.

Rapid estrogen shifts can disrupt mood and sleep. For some women, hormone therapy helps create steadier hormonal balance and improve emotional stability.

The goal isn’t suppression. It’s restoring balance when hormones are part of the picture.

Does any of this feel familiar? If so, we're here to help! Call the office to make your appointment and we can walk through this together.

03/24/2026

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03/24/2026

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03/24/2026

Estrogen plays a direct role in regulating serotonin, dopamine, and other brain chemicals that influence mood and anxiety. During perimenopause, it’s often the fluctuation — not just the decline — of estrogen that disrupts emotional stability.

For some women, stabilizing estrogen levels with hormone therapy can reduce anxiety, irritability, sleep disruption, and mood volatility.

HRT isn’t a one-size-fits-all solution. But when mental health changes are hormonally driven, addressing the hormone component can be an important part of restoring balance.

If midlife mood changes feel connected to your cycle or transition, it may be worth a conversation.

03/23/2026

We talk about hot flashes. We don’t talk enough about anxiety, irritability, brain fog, or feeling unlike yourself.

Changing hormones impact the brain — not just the body.

If no one warned you that perimenopause can significantly affect mental health, you’re not alone. And you’re not overreacting.

If this resonates, it may be time for a conversation. Call to schedule your appointment if you would like help looking at the full picture. Let’s normalize these conversations.

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