Medication Management and Psychotherapy with Layla Billings, PMHNP-BC
DEEP WORK FOR WHEN MIDLIFE HITS LIKE A WALL
Comprehensive, Hormone-Informed Care for Women Who Know Something Has to Change
Many of the women I work with have been here before.
They fought hard to become stable.
They've done therapy. They've figured out medication. They've built full, complicated lives and learned how to carry a great deal.
That's why perimenopause can feel so confusing.
It doesn't just bring new symptoms. It changes the way old ones show up.
Women who've felt emotionally steady for years suddenly find themselves anxious, exhausted, tearful, unable to concentrate, or overwhelmed by things they used to handle without much effort. They begin to wonder if all that work somehow stopped working.
I begin somewhere else.
I want to understand what’s changed.
Is the biology different? Has an old vulnerability resurfaced? Has years of adaptation finally become unsustainable? Usually it's some combination of those things—and that's where the work begins.
Something fundamental in you has shifted…
Meet layla billings, pmhnp-bc
I get it.
Perimenopause doesn't happen in a vacuum.
Changes in hormones can affect mood, attention, sleep, and stress regulation. At the same time, many women are navigating demanding careers, aging parents, growing children, changing relationships, and questions about who they are becoming.
Good care should make room for all of that.
Sometimes medication is an important part of treatment. Sometimes the work is understanding long-standing patterns that no longer fit your life. Usually it's both.
i specialize in:
Midlife Mood Changes
Anxiety & Insomnia
Brain Fog and ADHD
here’s how to
GET STARTED:
01
Reach Out
Schedule a complimentary consultation where we’ll talk about what’s showing up for you and decide if I’m a good fit.
02
Get to work
We’ll begin with a psychiatric evaluation including your medical and mental health history and create a treatment plan that addresses body, mind, and psyche. We’ll follow up at intervals that meet YOUR needs - no five minute med checks here.
03
See change
What if this moment felt less like losing yourself and more like finding a steadier, stronger version of who you are becoming? Therapy and thoughtful psychiatric care can help you move from overwhelmed and disconnected to rested, confident, emotionally balanced, and fully present in your life again.
ready to begin the deeper work?