“The Authentic Self is soul made visible.”
Anxiety & Relationship Therapy For women in midlife | New york & florida
Compassionate, relational therapy for women in their late 30s and 40s who look fine on the outside — and are internally questioning everything
About you
Something shifts in your late 30s and 40s that nobody really warns you about. The life you build looks good (maybe even great) from the outside.
You’re showing up, holding it together, checking the boxes.
But inside you’re asking questions you didn’t expect: Is this really it? Who am I outside of these roles and expectations? What do I actually want?
These questions are more common than anyone talks about. And yet, somehow women in this midlife are still expected to just keep going — managing everyone else’s needs, carrying the weight of cultural, familial, and societal expectations, and figuring it out alone.
This is the work I do. If you’re ready to stop just holding it together and start actually figuring it out — Let’s connect.
Welcome.
If you landed here, something likely brought you. Maybe it was a nudge that things need to change. Maybe it was a louder moment: a relationship ending, a career that no longer fits, a birthday that hit differently than expected. Maybe you can’t even name it yet, you just know something isn’t working that way it used to or how you thought it would.
Whatever brought you here, I want you to know that what you’re experiencing makes sense. This stage of life — the late 30s and 40s — is one of the more disorienting and underacknowledged transitions a woman can go through. The external markers of a good life can all be present while internally everything feels like it’s being renegotiated beneath the surface.
My work is helping women in midlife do exactly that — move through this stage with more clarity, more self-trust, and more honesty about what they actually want and need. We do that by understanding the patterns that got you here, the roles you’ve been playing, and which parts of that story you’re ready to put down.
This isn’t about fixing you, but rather about finally having a space where the hard parts get named and have space to breathe. And where what’s still possible gets to exist right alongside them.
hi!
I’m Dr. Janine O’Brien.
I’m a licensed psychologist with 15 years of experience working with women — and for the past several years, my work has centered on the specific and deeply meaningful stage of life: midlife.
I practice virtually in New York and Florida, and I specialize in helping women in their late 30s and 40s navigate the transitions, questions, and quiet unraveling that this stage can bring. My approach is warm but honest. I’m here to help you actually understand yourself and do something with that understanding.

