Let’s find your fit.
Weekly therapy with Celine is $350 intake · $250 per session. Nothing to slide — one honest price.
The Joint
Evaluated by Dr. Al-Katib + your Clinical Lead · NY · $650
The Founder
Strictly limited 1-on-1 with Dr. Al-Katib · NY/FL + worldwide · $1,200, application only
Dr. Al-Katib — Initial Evaluation
Florida starts with Dr. Al-Katib directly · self-pay · telehealth
We’re not in your state yet. Join the waitlist on our booking page → We’ll email you the day we open near you. One-off consults with Dr. Al-Katib work from anywhere — raise the budget to see that door.
Rage you can’t explain.
Fog that eats your words.
Told it’s “just hormones.”
It is not just hormones. It is what hormones do to your brain—and that is real, common, and treatable.
You tried it all. You still feel like you’re losing your mind.
Psychiatry in MotionFounded by Dr. Ahmed Al-Katib, MDWe treat what your hormones do to your mind.
PMDD, perimenopause, the rage and the fog—they are real, they are psychiatric, and they are treatable. Not dismissed.
In-network with Aetna & UnitedHealthcare in NY · New York, Florida & New Jersey
We already know what’s stopping you.
“Is it all in my head?”
No. The link between hormones and mood is real and well-documented. You are not imagining it, and you are not “too dramatic.”
“Isn’t this my OB-GYN’s job?”
They handle the hormones. We handle what hormones do to your mood and mind. The best care is both—we work alongside them, not instead.
“Will I just be dismissed again?”
Not here. Cyclical and perimenopausal mood is exactly what we assess. You will not have to fight to be believed.
What it actually feels like.
You hold it together, so no one sees it. These are real, they are common, and they have a cause we can find.
The two-week drop
Fine, then a cliff of dread, rage, or despair before your period.
Brain fog that scares you
Losing words and keys, wondering if it’s early dementia. It usually is not.
Rage from nowhere
Snapping at people you love, then drowning in guilt.
Anxiety with no reason
A body on alert that tracks your cycle—or your age.
Not yourself anymore
The perimenopause “who even am I” feeling no one warned you about.
Cyclical despair
Dark thoughts that lift the day your period starts. That pattern has a name.
We specialize in the brain-hormone connection.
Most women with hormonal mood symptoms fall through a gap: the OB-GYN treats the hormones, a generalist says “it’s just stress,” and a wellness influencer sells you supplements. Nobody treats the part that is actually breaking—your mood, your focus, your sense of self.
Psychiatry in Motion was built by Dr. Ahmed Al-Katib, MD, to take the brain side seriously—PMDD, perimenopausal mood and anxiety, postpartum mood, and the fog that comes with all of it. Our clinicians treat what the hormones do, and coordinate with your OB-GYN on the hormones themselves.
Hormones are only half the picture.
Your OB-GYN manages estrogen and progesterone, and that matters. But they are not mental-health specialists, and “it’s just hormones” leaves the anxiety, the rage, and the fog untreated. A wellness influencer will sell you magnesium. Neither can diagnose PMDD or treat perimenopausal depression.
We can—and we coordinate with your OB-GYN rather than compete.
Your OB-GYN treats the hormones. An influencer sells you supplements. We treat what it is doing to your brain—and we do it together.
Real care looks at the whole system.
Hormones, mood, sleep, and stress are one connected system. A psychiatric practice is trained to see all of it—and tell you what is really driving how you feel.
Psychology
The mood, anxiety, and self-doubt the cycle drives.
Neurology
How shifting hormones change a brain’s chemistry.
Medicine
The labs and thyroid checks that rule out look-alikes.
Lifestyle
Sleep, movement, and nutrition that blunt the swings.
Put them together and you get answers, not another shrug. That is the difference.
How we get you from stuck to In Motion.
Our program has a name you can claim: In Motion. It finds what is actually driving how you feel and treats the cause, in four moves.
We map the pattern
Track your symptoms against your cycle or transition, plus the right labs. We find what is driving it, not just the label.
Lifestyle first
Sleep, movement, nutrition, and stress—the levers that blunt hormonal mood swings, built into your real life.
Medication only if you need it
For some conditions, like PMDD, targeted options work well. The least that works, explained, and your call—never the default.
One practice that stays
The same care team across your cycle and your transition. We adjust as your body changes.
Hormones are real, and so is what they do to your mind. But “just hormones” is a dismissal, and “just depression” misses the cause. The honest answer is usually both, in the right order—and our job is to figure out which is which, with you.
A real evaluation. Finally taken seriously.
In-network with Aetna & UnitedHealthcare in NY · or $200 self-pay
For women who have been told to “just push through.” We start by actually connecting your symptoms to what is happening in your body.
- A full evaluation that maps mood to your cycle or transition
- PMDD, perimenopause, and postpartum mood—taken seriously
- Lifestyle first, medication only if you choose it
- Coordinated with your OB-GYN, not in competition
- Care across New York, Florida, and New Jersey
Before you book.
Is PMDD a real diagnosis?
Is it perimenopause or depression?
Do I need hormones (HRT) or a psychiatrist?
Will you just put me on antidepressants?
Is the brain fog something serious?
Do you take insurance?
You’re not crazy. You’re not “too much.”
You deserve a doctor who connects how you feel to what your body is doing—and treats it.
Book a real evaluation →Women’s hormones and mood: a complete guide
Hormonal mood changes are real shifts in mood, anxiety, and thinking driven by the rise and fall of estrogen and progesterone—across the menstrual cycle, pregnancy and postpartum, and the perimenopause transition. They are not a character flaw or “just PMS,” and for many women they are treatable.
What is PMDD, and how is it different from PMS?
Premenstrual dysphoric disorder (PMDD) is a severe, cyclical mood condition tied to the luteal phase—the week or two before your period—that lifts soon after it starts. It is a recognized clinical diagnosis, distinct from ordinary PMS by its severity and its impact on your life. Here is the honest difference:
| Feature | PMS | Depression | PMDD |
|---|---|---|---|
| Timing | Before period, mild | Constant, not cyclical | Luteal phase, lifts with the period |
| Severity | Annoying | Significant | Severe—rage, dread, despair |
| Pattern | Predictable, manageable | Steady | A monthly cliff |
| First-line care | Lifestyle | Therapy and/or meds | Lifestyle, targeted meds, cycle tracking |
Perimenopause, anxiety, and “menopause brain fog”
Perimenopause—the years of hormonal change before menopause—can bring new or worse anxiety, low mood, irritability, and a frustrating brain fog (losing words, trouble focusing). It often starts in the early-to-mid 40s and is widely under-recognized. The fog is real and usually not dementia, but it deserves a proper look rather than a shrug.
What actually helps
The most useful plan is layered: track the pattern, build the lifestyle foundation (sleep, movement, nutrition, stress), and add targeted medication only when it earns its place. For PMDD, certain medications are well-supported and can even be timed to the cycle.
Hormone therapy is an OB-GYN decision we coordinate with—the point is that you treat both the hormones and the brain, not one in isolation. Major bodies including the National Institute of Mental Health recognize lifestyle and treatment together for mood conditions.
Women’s hormone care in New York, Florida, and New Jersey
We see women across New York, Florida, and New Jersey, and we are in-network with Aetna and UnitedHealthcare in New York. If the real issue is something more specific—high-functioning anxiety, wanting to treat the root with movement first, or the question of adult ADHD or autism (which often surfaces in women in midlife)—those are good places to start too. Or take a free 2-minute mood screener first.
When to get help right now
If your cyclical low mood ever turns into thoughts of harming yourself—which can happen with severe PMDD—do not wait for the pattern to pass. Call or text 988 (the Suicide & Crisis Lifeline) or call 911. You do not have to be in crisis to deserve care, but if you are, please reach out now.
Sources
- National Institute of Mental Health. Mental Health Topics. nimh.nih.gov
- International Association for Premenstrual Disorders (IAPMD). iapmd.org
- The Menopause Society (NAMS). menopause.org
- American College of Obstetricians and Gynecologists (ACOG). acog.org
Reviewed by Dr. Ahmed Al-Katib, MD, board-certified psychiatrist (ABPN) · Verify board certification · Last reviewed: June 2026.
Psychiatry in Motion · 134 Broadway, Floor 4, Brooklyn, NY 11249 · (646) 347-6704 · hello@psychiatryinmotion.com
This page is for general education and is not medical advice or a diagnosis. PMDD and perimenopausal mood changes can only be diagnosed by a licensed professional. We coordinate with, and do not replace, your OB-GYN. Never start, stop, or change a prescribed medication without talking to your doctor. If you are in crisis or thinking about harming yourself, call or text 988 (Suicide & Crisis Lifeline) or call 911.