I help women stop pushing through and start actually feeling better. With expert guidance, an Occupational Therapist's whole-person approach, and a plan built around your life, not a generic protocol.
— YOU ARE SEEN
This is for you if...
You're in perimenopause or menopause and you've been managing symptoms, Googling answers, and hoping it gets better on its own. You're ready to stop struggling and start getting real support.
The menopause transition affects every system in your body. No one taught you that. You're navigating something you were never prepared for.
So when the brain fog, the 3am wake-ups, joint pain and the weight changes started, you did what you always do: you pushed harder. Same workout, just harder. Same diet, just stricter. More willpower, less sleep. Nobody told you that what worked at 35 doesn't work the same way anymore, and that guessing your way through it isn't the same as having a plan built for what your body is actually doing now.
Does This Sound Like You?
Brain fog that makes you doubt yourself
Words slip away, focus feels impossible, and you're second-guessing everything.
Exhaustion that sleep doesn't fix
Eight hours in bed, still waking up drained. Or barely sleeping at all.
Mood swings that feel like someone else
Minor stressors feel overwhelming, and your patience runs thin.
Your body feels like it aged a decade
Joint aches, hot flashes, weight that won't budge, skin that looks different in the mirror. It happened fast, and no one warned you.
Lost your spark and don't feel like yourself
The version of you that felt vibrant and grounded feels far away. You want her back.
Dismissed or left without real answers
Ten minutes, and you walk out with a prescription and no real discussion of your options. Never the conversation you actually needed.
— MEET YOUR GUIDE
Julie Parana, MS, OTR/L · Certified Women's Health Specialist · Certified Menopause Coach
I lived this. Then I studied it. Now I help you through it.
At 42, I had a hysterectomy. My doctor told me my hormones wouldn't be affected since my ovaries were left intact. Within weeks I was battling brain fog, sleepless nights, and a body I didn't recognize. Bloodwork eventually revealed I was postmenopausal. All I got was a message in my patient portal: "You're postmenopausal. That explains your symptoms." No education. No guidance. No next steps.
Even after starting hormone therapy, I still didn't feel like myself until I made targeted lifestyle changes nobody had told me I needed. That sent me deep into the research, and now I bring that depth of knowledge to every client so you don't have to figure this out alone the way I did. As an occupational therapist, I don't just hand you information. I help you apply it to your actual life.
I feel better than I ever have. And I want that for every woman I work with.
FEATURED: Philadelphia Magazine & Good Day Philadelphia
— HEAR FROM JULIE
Thriving through menopause is absolutely possible. But it requires a plan. I would love to help you build yours.
— THE PLAN
The Menopause Empowerment Session
No one gave you a roadmap for this transition. This session is where we build one, personalized to your body, your symptoms, and your actual life. This isn't a rushed 15-minute visit where you leave with more questions than you came with.
1. Finally understand what's actually happening
We map your symptoms, history, and stress patterns in plain language, not a "normal" result and a closed door.
2. A Life Load Audit — see where your energy is really going
As an OT, I look at how menopause is affecting your daily roles, routines, and relationships, and find where you're stretched too thin.
3. Evidence-based options — hormonal and non-hormonal
What actually works for sleep, energy, mood, and nervous system regulation, plus how to advocate for menopause-informed care. Understand your options, hormonal and non-hormonal, so you can make an informed decision. I work alongside your doctor, not in place of them.
4. Your personalized roadmap
You leave with a plan in writing, not just notes in your head. You'll know exactly what to try first, what to ask your provider, and where to start today. Your session fee applies toward any 3- or 6-month coaching package if you choose to continue.
Women could never get this level of support in a 15-minute doctor's visit. Clients consistently tell me they got more out of this one conversation than from any medical visit before.
$225 one-time
Menopause Empowerment Session
75 minutes · Zoom · One-on-one with Julie
✓ Clarity on what's actually driving your symptoms
✓ A Life Load Audit to map your energy and find relief
✓ Evidence-based tools you can use immediately
✓ Assistance finding a menopause informed provider
✓ A written, personalized roadmap you leave with, not just notes in your head
✓ Validation, finally feeling heard and understood
✓ Complete and valuable as a one-time session, no obligation to continue
$225 applies toward any 3- or 6-month coaching package if you continue
— CLIENT STORIES
Women who stopped pushing through — and started thriving
"At the end of my session I didn't feel like (I wish I had a better term) crazy, With all my symptoms, emotions and everything else in between. I felt as if I was losing control of my mind and body. I now have some tools to help navigate through this journey also that I am not alone in this. Thank you!"
Sherri, 42 - Breast Cancer Survivor
"The personalized guidance I received made all the difference in finally getting my sleep back on track, it was truly a game-changer in helping me get my life back. I'm walking away with increased confidence in navigating this transition, and such a huge sense of relief that I don't have to figure this out all by myself anymore, especially with such an early menopause and POI."
A.N, 40
"I just want to say thank you! After hitting so many dead ends trying to figure all this out navigating through the healthcare system, it was everything I have been searching for and needed."
Holly, 49
— THE COST OF WAITING
Perimenopause can last over a decade. Post-menopause lasts the rest of your life.
At work
Harder to concentrate, make decisions, meet deadlines.
At home
Small irritations feel magnified, patience wears thin.
In your body
Nervous system dysregulation becomes chronic, and it compounds.
Long term
This window most impacts your risk for cardiovascular disease, osteoporosis, and cognitive health ahead.
You don't have to figure this out alone.
The thing my clients say most often isn't about symptoms. It's "I finally feel like someone gets it." You'll leave with a plan. You'll also leave feeling heard, believed, and understood, probably for the first time in this process.
If ongoing support to help implement your menopause plan feels right, I offer a variety of coaching packages. You can learn more here.
— FREE RESOURCE
Not ready to book yet? Start here.
Struggling through menopause is not a requirement. If you've been told to "just deal with it," this free 5-episode audio guide is your permission slip to do better.
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Learn why you feel the way you do
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What your doctor likely hasn't told you
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What actually helps, hormonal, non-hormonal, and lifestyle
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Why most women stay stuck
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Your next step: a clear path to personalized support
5 short episodes. ~30 minutes total. The Cliffs Notes of menopause.
— YOUR NEXT STEP
Stop pushing through. Start actually feeling better.
75 minutes. One expert. A clear understanding of your body, evidence-based tools you can use immediately, and a personalized plan so you know exactly what to do first instead of guessing.
You deserve a plan and a guide to help you build it.
$225
One-time investment
75 min
One-on-one via Zoom
Applies
Toward 3- and 6-month packages
Occupational Therapist · 20+ Years Clinical Experience · Women's Health Specialist
Natural · Early · Surgical · Treatment-Induced Menopause
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