Most people treat perimenopause like it's just hot flashes and hormones. But through the lens of Nancy McWilliams’ psychoanalytic theory, we see something far more structural: a full-blown stress test of personality. In this episode, Enrique, Ash, and Danni unpack how borderline, narcissistic, depressive, obsessive, and masochistic personalities react when the ego starts to crack under hormonal, relational, and existential pressure. This isn’t about blame—it’s about recalibration. elevate.epo