We’re pleased to share that Dr. Michelle Dees, board-certified psychiatrist and founder of Luxury Psychiatry Clinic, was recently featured in The Aesthetic Guide in the January 2026 article, “Rethinking the Menopausal Paradigm with TMS and Pelvic Floor Muscle Stimulation.”
The article explores how modern energy-based technologies—including Exomind™ transcranial magnetic stimulation (TMS) and pelvic floor muscle stimulation—are reshaping how clinicians approach menopause-related symptoms from both neurological and physical perspectives.
Understanding Menopause as a Neuroendocrine Transition
In the feature, Dr. Dees describes menopause as a major neuroendocrine transition, emphasizing how declining estrogen levels affect the brain—particularly the dorsolateral prefrontal cortex (DLPFC), a region central to mood regulation, cognition, stress tolerance, and executive function.
“As hormones, especially estrogen, fluctuate and decline, many women notice changes in sleep, mood regulation, stress tolerance and cognition,” Dr. Dees explains in the article. In clinical practice, this often appears as a cluster of symptoms: sleep disruption, irritability or anxiety, low mood, and brain fog.
She highlights the importance of early identification and proactive treatment, noting that these symptoms frequently reinforce one another, compounding emotional and cognitive strain during midlife.
The Role of TMS in Treating Menopause-Related Depression
The article also discusses the increased incidence of major depressive disorder (MDD) during perimenopause and menopause—an area supported by growing clinical research.
Dr. Dees explains how Exomind™, an FDA-cleared TMS device for MDD, offers a non-pharmacological pathway for improving mental health. By delivering targeted magnetic stimulation to the DLPFC, TMS promotes neuroplasticity, helping rebalance neural circuits involved in mood and emotional regulation.
Importantly, she notes that TMS can be used alongside hormonal therapy or psychiatric medication—or independently for patients seeking a non-systemic option.
“This reality has serious ramifications for those sensitive to or wishing to avoid medication,” she explains, emphasizing the absence of systemic side effects.
Addressing Both Brain and Body in Menopause Care
Beyond neuropsychiatric symptoms, the article explores pelvic floor dysfunction and its impact on quality of life. Dr. Dees underscores that these concerns are frequently underreported due to embarrassment, yet carry meaningful emotional consequences.
Her perspective reinforces a broader theme within the piece: menopause should be treated through an integrated model that respects both neurological and physical changes. Rather than fragmenting care across specialties, coordinated treatment strategies can improve overall wellness and dignity during this life stage.
Advancing Integrated, Evidence-Based Menopause Care
Dr. Dees’s inclusion in The Aesthetic Guide reflects her growing recognition as a leader in neuromodulation and hormone-informed psychiatry. As part of a multidisciplinary discussion among physicians, her insights contribute to a more comprehensive, modern approach to menopause management.
At Luxury Psychiatry Clinic, we integrate advanced TMS therapies, psychiatric care, and hormone-aware mental health support to help women navigate midlife transitions with clarity, balance, and confidence.
