Women's health, perimenopause, PMDD/PMS
Dr Sabrina Pozzi Langhi is a GP with clinical experience in women’s health, based in Perth, Western Australia. She provides comprehensive mental health assessment, diagnosis, and management through long consultations.
Women’s Mental Health GP in Perth
Women’s mental health can be affected by hormonal changes, life stage, physical health, sleep, stress, previous mental health history and current life circumstances. Mood, anxiety, sleep and cognitive changes may occur around menstrual cycle changes, perimenopause, menopause, PMDD/PMS, pregnancy, postpartum, trauma or long-standing anxiety and depression.
Dr Sabrina Pozzi Langhi provides women’s mental health GP support in Perth, with longer consultations designed to understand the full clinical picture and develop a practical, coordinated care plan.
Sabrina consults at Elaris House in West Leederville, Perth.
Who this is for
This page is for women experiencing mood, anxiety, sleep, cognitive or physical changes that may relate to menstrual cycle changes, perimenopause, menopause or PMDD/PMS.
This may include people seeking support for perimenopause symptoms, menopause symptoms, PMDD diagnosis and management, PMS-related mental health concerns, or mixed hormonal and psychological symptoms that are difficult to separate.
What women’s mental health difficulties can look like
Women’s mental health difficulties vary from person to person. They may include:
Mood and anxiety changes that come in waves: irritability, mood swings, feeling low or flat, anxiety, panic symptoms, or “rage” that may fluctuate with the cycle.
Sleep and energy changes: sleep problems during perimenopause or menopause, unusual tiredness, fatigue, reduced concentration or brain fog.
Body symptoms that travel together: hot flushes, headaches, light-headed feelings, muscle and joint pain, backache, dry skin, itchiness or crawling sensations.
Weight and metabolic changes: weight gain, changes in body composition, or difficulty managing weight alongside mood and energy changes.
Bladder, sexual or vaginal symptoms: recurrent urinary discomfort or UTIs, reduced sexual interest, vaginal dryness or uncomfortable intercourse.
Changes noticed in the body: new facial hair or other physical changes that may affect wellbeing.
A mixed clinical picture: symptoms may be hard to separate into “hormonal” versus “mental health”, especially with a history of perinatal mental health challenges, trauma, anxiety or depression.
How Sabrina’s approach helps
Sabrina’s approach is thorough, calm and collaborative. Longer appointments allow time to understand mental health, physical health, menstrual cycle pattern, perimenopause or menopause symptoms, sleep, medications, previous treatments and the person’s broader life context.
The aim is to clarify likely contributing factors and develop a structured care plan. This may include education, lifestyle and sleep strategies, medication review within scope, perimenopause or menopause treatment options where appropriate, planning investigations, and coordination with other clinicians when needed.
For health professionals
Sabrina may be helpful to involve when there are complex presentations with mixed mood, anxiety, sleep, hormonal and physical symptoms.
Referral may also be appropriate where there is significant impairment, diagnostic uncertainty, treatment resistance, medication complexity, or a need to integrate physical health considerations with mental health care.
Examples of referral considerations include:
Mood, anxiety, sleep or cognitive symptoms that appear to fluctuate with cycle or life-stage changes
Perimenopause, menopause or PMDD/PMS symptoms with significant mental health impact
Complex presentations involving both physical and psychological symptoms
Significant impairment, treatment resistance or diagnostic uncertainty
Need for careful medication review within scope alongside physical health considerations
Need for coordination with gynaecology, endocrinology, rheumatology, psychology or other clinicians
Urgent support
This page provides information about planned, non-emergency women’s mental health care. For crisis, emergency, safety concerns, or medico-legal/report boundaries, please refer to the Model of Care page.
If there is immediate risk of harm to yourself, your baby, your child, or another person, call 000 or attend the nearest emergency department.
Appointments
If you are experiencing women’s mental health, perimenopause, menopause or PMDD/PMS-related concerns and would like a comprehensive GP assessment, you can contact the practice to ask about appointment availability.