Midlife Therapy - Lelah Nichol, LCSW

Midlife Therapy in San Anselmo, CA

Finding clarity and strength in life’s second half.

Are You Struggling With Midlife Transitions?

Midlife can feel like a crossroads. It’s a season when many people begin to ask hard questions about their relationships, purpose, and identity. You may be facing changes that feel overwhelming or isolating:

A relationship that feels distant, strained, or ending in divorce
Adjusting to an empty nest and shifting roles as a parent
Questioning career choices or searching for renewed meaning
Grieving aging parents or confronting your own aging process
Feeling stuck between who you’ve been and who you want to become

Even if you’ve “checked the boxes” of life — family, career, relationships — it may not feel fulfilling the way you hoped. You’re not alone. Many people find midlife to be a season of both crisis and possibility.

How Therapy Can Help in Midlife

Therapy offers a space to slow down, reflect, and untangle the changes happening within and around you. Rather than trying to push through or numb out, you’ll have room to make sense of this season and discover what’s next for you.

With support, you can:

Explore who you are now, beyond old roles and expectations
Navigate relationship challenges with honesty and clarity
Process grief, loss, and life transitions with compassion
Reconnect with your values and create a sense of purpose
Build resilience and emotional steadiness for the road ahead

My Approach

I bring an integrative, relational style to this work — blending psychodynamic insight, mindfulness, and Internal Family Systems (IFS) to help you connect more deeply with yourself. Our sessions focus on creating understanding and self-compassion while exploring practical steps for the changes you want to make.

This is not about “reinventing yourself overnight.” It’s about honoring your story, facing the hard truths, and finding new ways forward that feel authentic and sustainable.

What to Expect

We’ll start with a conversation about what brings you in — whether it’s relationship struggles, divorce, the pain of an empty nest, or simply a sense of being unmoored.

From there, we’ll clarify your goals and move at a pace that feels right for you. Some clients focus on one pressing transition; others use this work as a deeper exploration of identity and life meaning.

Therapy is a place where you don’t have to hold it all together. Instead, it’s where you can be honest, let go, and discover what this chapter of life has to teach you.

“Midlife is not a crisis. It’s an unraveling… a time when you feel a desperate pull to live the life you want, not the one you’re ‘supposed’ to.” – Brené Brown

A Quote for Inspiration

Midlife doesn’t have to be a crisis — it can be a turning point.

With the right support, this season can lead to clarity, growth, and a renewed sense of possibility.