Empowering Women Through Knowledge and Compassion
Call us at 647-273-6229 for a free 15 minute consultation
appointment’s available in-person and virtually
Welcome to menopause care matters
A supportive space for women of all cultures navigating perimenopause and menopause. This natural stage of life can bring significant physical, emotional, and cognitive changes, yet it is too often misunderstood or dismissed.
Our mission is to provide, evidence-based guidance and compassionate care, helping women recognize their symptoms, explore treatment options, and approach this transition with confidence, safety, and dignity.
What is Perimenopause?
Perimenopause is the transitional phase leading up to menopause, marked by fluctuations and a gradual decline in estrogen levels as the ovaries begin to produce less of this hormone. This period can last several years causing many life altering symptoms. Perimenopause ends one year after the final menstrual period, marking the onset of menopause.
What is menopause?
Menopause is a natural phase of life that marks the end of a womans’s menstrual cycle. The average age of menopause is 51 years but it can vary amongst women of various ethnic backgrounds. This stage in life is accompanied by changes in physical, emotional, and psychological well-being.
if you are experiencing any of these symptoms, you don’t need to suffer in silence
“Knowledge is the doorway that leads to success and overall well-being”
Cognitive Behavioural Therapy (CBT) for Menopause
Cognitive Behavioural Therapy (CBT) helps individuals understand the relationship between their inner thoughts, feelings and behavioural patterns. A practical, evidence-based, approach that has helped women manage the emotional and physical challenges of perimenopause and menopause. Research has shown that CBT can effectively reduce the impact of hot flashes, night sweats, anxiety, depression, sleep disturbances, and mood changes. At Menopause Care Matters our goal is to create a safe and warm environment where women can receive menopausal support not only through therapeutic avenues but also using the principles of CBT. We provide counselling to help our clients identify their concerns and reframe unhelpful thought patterns. In doing so women report that they have been able to regain control, build resilience, and navigate this life transition with greater confidence.
SERVICES AND PRICING
All services are available in-person or virtually to suit your needs.
At Menopause Care Matters, our mission is to provide compassionate, evidence-informed care that empowers you to better understand your body and make confident, informed choices.
Your initial visit is the most important and comprehensive part of your menopause care journey. It allows us to understand your experience and create a personalized plan through education, empowerment, and informed choices that best addresses your individual needs and challenges. This visit is also an opportunity to get to know your menopause care specialist, build trust, and establish a safe and supportive partnership that focuses on your well-being. Our goal is to collaborate with you in navigating this stage of life with confidence and knowledge.
Follow up visits help us to review your progress, optimize your treatment, and ensure you continue to feel supported.
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Complete a comprehensive health history.
Review available treatment options tailored to your symptoms and health profile.
Assess eligibility for hormonal and non-hormonal therapies based on your medical history and preferences.
Discuss holistic lifestyle approaches to support your transition — including nutrition, exercise, sleep, stress, alcohol, and smoking habits.
Order laboratory tests or investigations when clinically indicated.
Provide treatment options that align with your goals and safety profile.
Provide a consultation summary to your primary care provider for continuity of care.
Arrange ongoing follow-up to monitor your progress, adjust treatment, and provide continuing support.
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Review symptom control and overall well-being since starting treatment.
Assess how you are responding to prescribed hormonal or non-hormonal therapy and make adjustments as needed.
Revisit lifestyle goals: nutrition, exercise, stress management, sleep, alcohol, and smoking - to help maintain balance and long-term health.
Review any laboratory results or imaging as needed
Collaborate with other healthcare professionals as needed
Plan ongoing care - setting timelines for routine reassessment and updating your individualized menopause management plan
Discuss need for optional cognitive behaviour therapy to help support menopausal symptoms along with pharmacological treatment
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Personalized CBT sessions designed to help manage:
Anxiety & Depression
Insomnia & Sleep Issues
Weight Concerns (Obesity)
Menopause-related Symptoms
Includes:
Goal setting & psychoeducation
Practical CBT tools (sleep restructuring, thought reframing)
Relapse-prevention strategies
Skills practice with feedback
Note: Each session is billed individually at the time of service.
Methods of Payment
Payment Due: Payment is required at the time of each visit.
Accepted Forms of Payment:
Credit card
Debit card
Interac e-Transfer
Cash
Invoice: An official receipt will be provided after each session.
Many extended health plans and Health Spending Accounts cover psychotherapy; please check your individual coverage.
Insurance Billing: Direct billing to insurance providers is not available. Clients are responsible for payment at the time of service and may submit receipts to their insurer for reimbursement.
Missed Appointments: Please provide at least 24 hours’ notice for cancellations. Missed appointments without notice may be subject to the full session fee.
about me
Hello, I am Kareema Nizar, a dedicated Primary Health Care Nurse Practitioner with over two decades of clinical experience in women’s health, diabetes education, psychotherapy, and menopause care. Throughout my career, I have had the privilege of providing comprehensive primary healthcare to individuals across diverse age groups and cultural backgrounds. Over time, I recognized a significant gap in knowledge and support for women navigating perimenopause and menopause.
As an advocate for women’s health, and my own personal journey through this stage in life, I was inspired to establish Menopause Care Matters with the mission of bridging this gap. My goal is to empower women through education, compassionate guidance, and evidence-based care, enabling them to approach this transition with confidence, clarity, and strength.
Kareema Nizar, NP-PHC, BScN, B.A. Psych, Psychotherapist, Menopause Care Specialist
“Menopause is unavoidable; education and lifestyle changes are personal choices” - Kareema Nizar
FAQs
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We value getting to know our clients on a personal level, so we prefer to hold the first one or two sessions in person. After that, clients are welcome to continue in person or switch to virtual sessions, whichever works best for them. For those unable to attend in person from the start, we are happy to provide virtual consultations.
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Most private insurance plans provide coverage for psychotherapy. You may also be able to claim expenses through your health spending account or on your annual taxes.
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We encourage all clients to complete the medical history forms prior to their initial assessment so we can make the most of our first visit together. Our goal is to schedule new clients within one week.
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With your consent, we will share a consultation note with your primary care provider to ensure holistic and coordinated care. If you prefer not to involve your doctor, we will respect your choice.
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Each treatment plan is individually tailored to help women manage their unique menopausal symptoms. We emphasize holistic lifestyle and behavioral changes that support overall health and well-being. Follow-up consultations ensure that treatment plans, dosing, and any concerns are addressed promptly and effectively.
Contact Us
Email
menopausecarematters@gmail.com
Phone
(647) 273-6229
Instagram
@menopausecarematters