Avia comes from the Latin word for grandmother, symbolizing the strength, wisdom, and resilience of the women who came before us. It reflects the spirit of the matriarch, grounded, nurturing, and strong, and honours the legacy of care and courage carried across generations.
Avia was created through the collaboration of Leap Wellness and STILL Therapeutic Pathways, bringing together a shared passion for compassionate, whole person mental health care.
Together, we are committed to creating a space rooted in connection, clinical excellence, and meaningful support.
This work is our shared purpose. This is our why.
Perimenopause & Menopause Mental Health
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Over the years, we have worked with individuals across a wide range of mental health concerns, life transitions, and complex personal circumstances. Through this experience, along with ongoing education and advanced clinical training, we have intentionally brought together the knowledge, skills, and approaches that are most effective for women navigating perimenopause and menopause. This work reflects the integration of our frontline experience, specialized menopause mental health training, trauma-informed therapies, and evidence-based interventions into a focused, comprehensive model of care. Our goal is to offer support that reflects both the complexity of this stage of life and the depth of clinical expertise needed to help women feel understood, supported, and empowered as they move through this transition.
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Our work with women in perimenopause and menopause is grounded in extensive frontline clinical experience, advanced training, and a comprehensive biopsychosocial approach.
As Registered Clinical Social Workers and Clinical Supervisors, we bring many years of experience supporting individuals across diverse populations and complex mental health concerns, including trauma, anxiety, depression, life transitions, and high psychosocial stress. We are BRIA Menopause Mental Health Certified, providing specialized training in the psychological and functional impacts of the menopause transition.
Clinical social work is uniquely trained to assess the whole person within their environment. This means we look beyond symptoms to understand the full context of a woman’s experience. This is including hormonal changes, physical health, sleep, nervous system functioning, past experiences, current stressors, relationships, work demands, caregiving responsibilities, and the broader social and life factors that influence wellbeing.
Our approach is not one-size-fits-all. We complete a comprehensive assessment and develop an individualized plan based on each person’s unique needs, history, and goals. This whole-person perspective is where we see meaningful and lasting results, and where clients feel truly seen, valued, and heard.
Our clinical approach integrates:
· Behavioural Activation
· Resource Integration EMDR (RI-EMDR)
· Accelerated Resolution Therapy (ART)
· Cognitive Behavioural Therapy (CBT)
· Dialectical Behaviour Therapy (DBT)
Behavioural Activation is a core component of our work, as hormonal changes and sleep disruption during perimenopause often contribute to fatigue, withdrawal, low motivation, and reduced functioning. This evidence-based approach helps restore structure, engagement, and emotional stability through meaningful daily activity.
Trauma informed training is also a key part of our work. Hormonal shifts during perimenopause can reduce emotional buffering and increase nervous system sensitivity. As a result, past stress, unresolved trauma, or earlier life experiences that were previously manageable may begin to surface more intensely. Approaches such as RI-EMDR and ART allow us to process and integrate these experiences, reduce emotional reactivity, and support nervous system regulation.
CBT and DBT strategies are incorporated to support mood stabilization, anxiety management, sleep improvement, distress tolerance, and coping with irritability, overwhelm, and emotional intensity. Together, this integrated approach allows us to address the full impact of the menopause transition which includes biological changes, nervous system functioning, past and present stressors, and the significant life and identity shifts that often occur during this stage.
Treatment is individualized and may include collaboration with medical providers when appropriate. Our goal is to provide care that is comprehensive, personalized, and grounded in both clinical expertise and genuine understanding of this complex life transition.
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We work with women who are navigating the emotional, physical, and life changes that often emerge during perimenopause and menopause.
Many of the women we support are experiencing:
Increased anxiety, overwhelm, or emotional reactivity
Low mood, loss of motivation, or burnout
Sleep disruption, fatigue, or brain fog
Irritability or feeling unlike themselves
Heightened stress tolerance or nervous system sensitivity
Changes in confidence, identity, or sense of direction
We also work with women who notice that past stress, trauma, or unresolved experiences are resurfacing during this stage, or who feel that life demands have become harder to manage than before.
Our clients are often managing multiple responsibilities at once . Which include careers, caregiving, relationships, aging parents, or major life transitions all while their bodies and nervous systems are going through significant hormonal change.
Supporting the whole person, because perimenopause and menopause are not only hormonal changes, but biological, psychological, and deeply lived experiences.
Perimenopause & Menopause Mental Health.
Mental Health ~ Women’s Health ~ Life Transitions