A Deep (Sleep) Dive for Perimenopause with Dr. Michael Breus


Our guest, Dr. Michael J. Breus, is a clinical psychologist with more than two decades of experience in the sleep field.

As a sleep expert, Dr. Breus advises women going through perimenopause and menopause to establish a regular, consistent sleep schedule to manage the hormonal shifts associated with these transitions. He also recommends deep breathing, hydration, and getting sunlight.

“While there is no guidebook for managing menopausal sleep issues, these strategies can help to mitigate some of the symptoms associated with this transition.”

Dr. Michael Breus

Dr. Breus stresses the importance of maintaining consistent sleep routines and creating a comfortable sleep environment. He also recommends moderate exercise, avoiding alcohol consumption, and using technology such as temperature-regulating pads.

While discipline in sleep routine is crucial, he stresses the importance of acceptance and relaxation, rather than trying to think oneself to sleep or worrying about lack of sleep.







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4:05 – How menopause/perimenopause affects your sleep

8:21 – Can you “catch up” on sleep?

12:00 – How sleep changes around your cycle

16:31 – Instituting the daily nap

24:09 – When to nap during your cycling

27:12 – When to exercise for the best sleep

31:28 – Alcohol, dehydration and sleep

34:51 – How to use acceptance as a sleep aid

39:29 – Why you got to the bathroom during the night

46:02 – Should you breathe through your nose or mouth?

52:42 – Are you a side, back, or belly sleeper?

55:01 – Should you get a “sleep divorce?”

1:01:01 – Where to find Dr. Breus


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I’m Dr. Stephanie

Part geek, part magic, and all the way passionate about being a well-lived woman.

I want to throw my grandkids in the air in my 70’s. I want to be squatting even more weight than I am now, and putting my OWN luggage in the overhead bin. Sound like weird goals? For me these are just some of the little things that represent a life well-lived.

My health is MY job – I’ll be damned if I rely on luck, ‘good genes’ or a cocktail of drugs that over promise and under deliver.

The Betty Body is my first book-baby, and a collection of what I’ve learned after thousands of clinical hours, hundreds of conversations with the world’s top experts, and most importantly…

This book is an outline of what took ME from “rock-bottom health” at 38, to being my own version of a Betty in my perimenopausal mid 40’s. A woman who is physically strong, full of energy, enjoys mental clarity, great sex and a joyful family life. Is it all roses? Of course not. But I have the stamina and tools to deal with the push and pull of life so that it doesn’t turn into chronic stress.

I want this for you too. Let’s go Bettys!