Find Therapy for Life Transitions

Medically reviewed by Gabriela Asturias, MD on June 24, 2025
Written by the MiResource team

Change is a constant part of life, but some transitions hit harder than others. Whether it’s a career shift, divorce, retirement, or the unexpected loss of identity that comes with mid-life, these changes can be disorienting. If you’ve been feeling overwhelmed, stuck, or unfulfilled, therapy for life transitions can help you process the change, find clarity, and move forward with renewed purpose.

  • Joahna Johnson, Counselor

    Joahna Johnson

    Counselor, Certified Clinical Social Worker (CSW), Certified Eating Disorder Specialist, Certified Group Psychotherapist (CGP)

    4426 North Hein Road, San Antonio, Texas 78220

    Joahna Johnson is a Counselor in San Antonio, Texas and has been in practice for 450 years. They treat Life Transitions, Sleep Concerns, Relationship Violence/Stalking/Harassment.

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  • Noelani Mcmahon, Certified Clinical Social Worker (CSW)

    Noelani Mcmahon

    Certified Clinical Social Worker (CSW), Certified Group Psychotherapist (CGP), Certified Addiction Counselor (CAC)

    10038 Governor Lane Boulevard, Williamsport, Maryland 21795

    Noelani Mcmahon is a Certified Clinical Social Worker (CSW) in Williamsport, Maryland. They treat Life Transitions, Insomnia, Personal Growth.

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  • Serina Merritt, Executive Function Coach

    Serina Merritt

    Executive Function Coach

    Remote only

    Serina Merritt is a Executive Function Coach in undefined, undefined. They treat Life Transitions, Insomnia, Intimacy Concerns.

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  • Almondo Peres, Community Resource

    Almondo Peres

    Community Resource

    727 Carlsbad Cavern Highway, Carlsbad, New Mexico 88220

    Almondo Peres is a Community Resource in Carlsbad, New Mexico and has been in practice for 17 years. They treat Life Transitions, Insomnia, Life Transitions.

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  • Capo Disalio, Psychiatrist

    Capo Disalio

    Psychiatrist, Psychologist, Registered Dietitian, Primary Care Physician

    test, Hidden Hills, California 91302

    Capo Disalio is a Psychiatrist in Hidden Hills, California. They treat Life Transitions, Aging, Alcohol Use.

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  • FSU Test, Certified Addiction Counselor (CAC)

    FSU Test

    Certified Addiction Counselor (CAC), Board Certified Behavior Analyst (BCBA), Community Resource, Certified Clinical Social Worker (CSW), Hypnotherapist, Education Specialist (EdS), Independent Substance Abuse Counselor, Licensed Clinical Mental Health Counselor (LCMHC)

    2401 Smith Boulevard, Arlington, Virginia 22202

    FSU Test is a Certified Addiction Counselor (CAC) in Arlington, Virginia. They treat Life Transitions, Grief and Loss, Life Transitions.

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What is a life transition, and why do they feel so overwhelming?

A life transition is any significant change that alters your day-to-day reality or sense of self. This might include becoming a parent, moving to a new city, changing careers, retiring, ending a relationship, or facing the loss of a loved one.

These transitions often carry emotional weight — not just because of the events themselves, but because they challenge our identity, disrupt our routines, and shake up our expectations for the future. Even positive changes (like marriage or a promotion) can provoke anxiety, grief, or confusion. The mind craves stability, and when that’s threatened, it’s normal to feel emotionally flooded.

Counseling for life transitions can help you unpack the emotions that come with change and develop the resilience to adapt in a healthy, intentional way.


What is a mid-life crisis, and at what age does it usually occur?

A mid-life crisis refers to a period of emotional upheaval that typically occurs between the ages of 40 and 60. It’s often triggered by the realization that time is limited and that certain dreams or expectations may not be fulfilled. Some people may begin questioning their career, marriage, health, or sense of purpose.

It’s not a clinical diagnosis, but rather a common life phase marked by introspection, emotional discomfort, and — for some — a drive to make drastic changes. The cliché version involves buying a sports car or making impulsive decisions, but for most people, it’s a quieter and more internal reckoning.

Midlife crisis therapy can help individuals navigate this chapter thoughtfully, without falling into regret or self-destructive patterns.


Is it normal to feel lost or question life choices during major transitions?

Yes — it’s not only normal, it’s often necessary for growth. When the structure of your life shifts — whether by choice or circumstance — it’s natural to question the path you’ve taken. You may wonder:

  • “Did I choose the right career?”
  • “Is this the relationship I want?”
  • “What does success even mean to me?”

These questions can feel unsettling, but they also signal that you’re evolving. Therapy for life changes provides a safe space to explore these questions, align with your values, and take steps toward a more authentic life.


How do I know if I’m going through a mid-life crisis?

While everyone experiences mid-life differently, some signs that you may be going through a mid-life crisis include:

  • Feeling bored, disillusioned, or disconnected from your current life
  • Obsessing over past decisions or “what might have been”
  • Experiencing a sudden desire for drastic change (e.g., quitting a job, ending a marriage)
  • Feeling trapped or restless
  • Engaging in impulsive or uncharacteristic behavior
  • Feeling depressed, anxious, or unmotivated

These feelings don’t mean something is wrong with you. They’re a sign that your inner world is shifting — and that you may be craving a life that feels more aligned with who you are now. A life transitions therapist can help guide you through this period with clarity and compassion.


Why do life transitions (like divorce, retirement, or career change) cause anxiety or sadness?

Life transitions challenge our sense of stability, identity, and purpose. Even when change is expected or chosen, it often comes with loss — of roles, routines, relationships, or the person we used to be.

For example:

  • Divorce might bring freedom, but also grief and guilt.
  • Retirement may offer rest, but also a loss of purpose or structure.
  • Career changes can lead to uncertainty and fear of failure.

The brain interprets major change as a threat, which activates stress responses. This is why people often feel anxious, sad, or even physically unwell during transitions.

Therapy for life transitions helps make sense of these feelings and turns disorientation into growth. You don’t have to go through it alone.


Can therapy help with fear of aging or feeling unfulfilled?

Absolutely. Many people fear aging — not just because of physical changes, but because of what it represents: lost time, shifting roles, and unmet dreams. This fear often shows up in mid-life but can arise at any age.

Therapy can help you reframe aging as an opportunity rather than a loss. Instead of asking, “What’s wrong with me?” you can begin to ask, “What do I want from this next chapter of my life?”

Therapy for life changes can also address existential anxiety, regrets, and feelings of unfulfillment. Through reflection and actionable goal-setting, a therapist can help you find meaning in the present — and hope for the future.


Is it normal to feel regret about missed opportunities or unachieved goals in mid-life?

Yes — mid-life often prompts a mental inventory of our past choices, and it’s common to feel regret over roads not taken. You might wish you’d pursued a different career, been more adventurous, or ended a relationship sooner.

While regret is a painful emotion, it can also be constructive. It can clarify what truly matters and motivate change. Therapy helps you explore these feelings without being consumed by them. Rather than dwelling on what you can’t change, you’ll learn how to move forward with intention and self-compassion.


How do I cope with a loss of identity or purpose during a life transition?

Life transitions often involve the loss of a role that once defined us — parent, employee, partner, caregiver, student. When those roles change or disappear, you may feel like you’ve lost yourself.

Coping starts with acknowledging that identity is fluid — it evolves over time. Who you were at 25 may not align with who you are now, and that’s okay.

A life transitions therapist can help you:

  • Reflect on what gave you meaning in the past
  • Discover new sources of purpose
  • Reconnect with values and interests
  • Develop a more flexible, integrated sense of self

This work is deeply personal, but it’s also empowering. Identity isn’t something you lose — it’s something you can rebuild.


Can men and women experience mid-life crises differently?

Yes — while both men and women experience emotional turmoil during mid-life, the triggers and expressions may differ.

  • Men often report concerns about achievement, financial status, or legacy. They may struggle with emotional expression and instead act out through impulsive behavior, withdrawal, or restlessness.
  • Women may confront identity shifts related to caregiving, menopause, aging, or changes in body image and relationships. Feelings of invisibility, depletion, or unworthiness are common themes.

These are broad generalizations, of course — every experience is unique. Midlife crisis therapy takes into account individual personality, gender identity, cultural background, and personal history to create an approach that works for you.


What types of therapy are helpful for navigating life transitions or mid-life issues?

Several therapeutic approaches are particularly helpful during life transitions:

Cognitive Behavioral Therapy (CBT)

Helps identify and reframe unhelpful thoughts that contribute to anxiety, depression, or low self-worth during transitions.

Existential Therapy

Focuses on life’s “big questions” — purpose, identity, mortality, freedom, and meaning — making it ideal for mid-life exploration.

Narrative Therapy

Helps you re-author the story of your life by separating yourself from the problem and redefining your values and direction.

Mindfulness-Based Therapy

Supports emotional regulation and acceptance during uncertain times, especially helpful in adjusting to life changes like retirement or grief.

Coaching or Life Design Therapy

Not strictly clinical therapy, but goal-oriented coaching can support those navigating transitions like career pivots or post-retirement planning.

A therapy for life transitions plan might combine several approaches, depending on your needs and goals.


What are some healthy ways to cope with a mid-life crisis without making impulsive decisions?

When you’re feeling unsettled, the urge to make big, sudden changes can be strong. While change can be healthy, it’s best approached thoughtfully. Here are some healthier ways to cope:

  • Talk it out with a trusted friend or therapist before taking action.
  • Write about your feelings to gain clarity.
  • Take small steps: Start a new hobby, volunteer, or sign up for a course before quitting your job or ending a relationship.
  • Reconnect with passions you may have neglected.
  • Set goals aligned with your values — not just your fears.

Midlife crisis therapy provides a safe space to explore your desires, test ideas, and make empowered — not impulsive — decisions.


Can mindfulness or coaching help with transitions like retirement or an empty nest?

Yes — mindfulness and coaching are powerful tools for navigating transitions that involve a loss of role or routine, such as retirement or becoming an empty nester.

  • Mindfulness helps you stay grounded and present, reducing anxiety about the future or regret about the past. It also cultivates acceptance of change.
  • Coaching can help you clarify your goals, explore new identities, and design the next chapter of your life with purpose.

If you're unsure whether you need clinical therapy or life coaching, a life transitions therapist can help you figure out which approach fits your needs best — and many therapists integrate both.


Is medication ever used to help with emotional distress during major life changes?

Yes — while medication isn’t a first step for everyone, it can be helpful in managing symptoms of anxiety, depression, or insomnia that sometimes arise during major life transitions.

Commonly used medications may include:

  • SSRIs for depression or anxiety
  • Sleep aids for short-term use
  • Anti-anxiety medications for acute distress

Medication is often most effective when paired with therapy for life transitions, allowing you to work through the emotional and psychological roots of your discomfort while also managing symptoms.

Always consult with a licensed medical provider or psychiatrist to explore options.


How do I support a loved one who seems to be going through a mid-life crisis?

Supporting someone through a mid-life crisis starts with empathy, not advice. Here’s how to help:

  • Listen without judgment. Let them vent or express confusion without trying to “fix” it.
  • Avoid minimizing their feelings — even if the changes seem irrational to you.
  • Encourage professional help. Suggest midlife crisis therapy if they seem stuck or in distress.
  • Be patient. This is a vulnerable time. Changes may unfold slowly.
  • Take care of yourself, too — watching someone you love struggle can be emotionally taxing.

Mid-life transitions can be a gateway to transformation. With the right support, they can emerge stronger, clearer, and more aligned with who they truly are.

Life transitions are inevitable — but feeling lost, anxious, or stuck doesn’t have to be. Whether you're navigating a mid-life crisis, facing a career shift, coping with divorce, or simply adjusting to a new phase of life, help is available.

A skilled life transitions therapist offers a steady hand during uncertain times. Through therapy for life changes, you can turn disorientation into direction, and regret into renewed purpose.

You don’t have to have it all figured out. You just have to start the conversation.

Find care for Life Transitions

Remember, recovery is possible. With early intervention, a supportive network, and the right professional care, you can overcome the challenges of Life Transitions and build a fulfilling life. We are here to help you find care.

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