High-achieving women in perimenopause often appear composed while privately struggling.

Up to 80 percent of women experience perimenopause symptoms significant enough to impact work performance.

Naming the struggle is the first step in making changes and obtaining treatment to improve your well-being.

High-achiever. Go-getter. Leader. Decisive. Reliable. Strong.

If others were asked to characterize you, these would be a few choice descriptors.

You may never have thought about it, though, admittedly, this tracks. You set ambitious goals and surpass them, with inherent motivation flowing organically. You are the go-to for advice, solutions, and support.

And, from the outside, you make it look effortless.

You know, of course, it is not easy. It regularly requires a hefty dose of effort, efficiency, and grit. Despite the occasional struggle or uncertainty, however, you rise to the occasion, operating under the unspoken assumption that everything is "figureoutable."

That is, until recently…

2 a.m. awakenings — accompanied by convincing worries, an infinite to-do list, and a pervasive sense of doom — are the norm rather than the exception. Though you are exhausted, sleep is elusive. You toss and turn as the hours pass, frustration mounts, and (ready or not) eventually dawn arrives.

The alarm clock sounds, offering up a muddled mix of dread for the sleep-deprived day ahead and relief for........

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