Are you navigating perimenopause or menopause and feeling disconnected from yourself? This episode of Pleasure in the Pause explores how gratitude can be a powerful tool for calming your nervous system, managing midlife symptoms, and finding meaning during this transformative phase. Gabriela Espinosa sits down with Dr. Deepti Gandhi, a board-certified family medicine physician and menopause specialist, to uncover the neuroscience behind gratitude practices and how they can help you reconnect with yourself during hormonal transitions. Whether you're struggling with brain fog, anxiety, or simply feeling overwhelmed, this conversation offers evidence-based strategies and a guided gratitude practice that you can start today.

Dr. Deepti Gandhi is a board-certified family medicine physician with over 20 years of experience supporting women through menopause. As a North American Menopause Society (NAMS) certified practitioner and personal development coach, she brings both scientific expertise and compassionate guidance to women's health. Dr. Gandhi specializes in hormone replacement therapy (HRT), symptom management, and mindset tools for thriving in midlife. She maintains a private practice, works with the telehealth company My Alloy, and is a sought-after speaker on menopause and women's wellness.

Highlights from our discussion include:

• Practicing gratitude shifts neurotransmitters like serotonin and dopamine, which directly impact mood and decision-making. It also activates pro-social brain circuitry, helping you move from fear-based thinking to connection and resilience—especially important during the emotional rollercoaster of perimenopause.
• Gratitude is not about toxic positivity or bypassing difficult emotions. You must feel anger, grief, and frustration about midlife changes before gratitude can create meaningful shifts. Suppressed emotions can manifest as physical illness, so give yourself permission to process what you're experiencing.
• You don't need elaborate rituals. Dr. Gandhi prescribes gratitude just like medication—whether it's journaling three things before bed, sharing gratitude at the dinner table, or taking two minutes for a self-gratitude breathing exercise, consistency matters more than complexity.
• The decline in estrogen that comes with menopause can actually free you from people-pleasing patterns and excessive caretaking. This transition invites you to redraw boundaries, prioritize yourself, and design a new blueprint for the decades ahead—you're a trailblazer creating a healthier model for future generations.

This week, try the guided self-gratitude practice from this episode. It might just shift everything.

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The information shared on Pleasure in the Pause is for educational and informational purposes only and is not intended as medical advice. Always consult your healthcare provider before making any decisions about your health or treatment. The views expressed by guests are their own and do not necessarily reflect the views of the host or Pleasure in the Pause.