⸺ 01 · A free resource

The HER PRISM™ Burnout Toolkit.

There is a version of you beneath the exhaustion. She still exists — and she is worth finding.

⸺ 02 What's inside

The foundation — not the full program.

This is the science, an honest self-check, and two practices you can begin today. Built on neuroscience, lifestyle medicine, and the lived experience of practising while depleted. The deeper work paces across 16 weeks inside the program.

  • The neuroscience of what is happening in your body and brain — the natural shifts of the menopause transition and the cumulative load of years of high demand.
  • The pyramid that organises the work — a roadmap from depletion to coherence, layer by layer.
  • An interactive self-check — 24 statements across Biology, Values, Systems, and Integration, with live scoring.
  • Two starter practices you can use today — both grounded in current evidence on autonomic regulation.
  • The six lifestyle medicine pillars, with the midlife-specific reason each one matters.
What you will not find: generic wellness tips, another meditation app, or advice to "practise more gratitude." This is intervention based on your biology that supports sustainable motivation.
⸺ 03 Why this resource is different

Built on a background in vascular neurology, women’s brain health, and lifestyle medicine, with training as a Professional Coach in Life and Wellness.

Clinical and academic foundation

Created by Aleksandra Pikula, MD — board-certified in four specialties, with 110+ peer-reviewed publications in women's brain health.

Peer-reviewed research

Reflects the methodology behind "When Biology Meets Burnout" (Menopause, 2026) and "Midlife as the Critical Window for Women's Stroke and Dementia Prevention" (Stroke, 2026).

Validated instruments

Built on validated outcome measures — sleep, burnout, and character strengths — alongside frameworks from positive psychology, behaviour change, and lifestyle medicine.

⸺ 04 The evidence behind this work

What 112 women in medicine just told us.

53%
report sleep disruption and cognitive fog — biologically downstream of HPA dysregulation and declining estrogen.
80%
had already tried exercise, therapy, schedule changes. The cited reason it did not hold: "not designed for women in medicine."
43–50%
report guilt — identical regardless of where each woman is in the menopause transition. Structural, not hormonal. Not character.

Two distinct presentations emerged — the biologically depleted woman whose body is leading the exhaustion, and the existentially depleted woman whose identity is the eroding edge. Both paths through the same evidence-based work. Both ending in the same place.

Read the full evidence summary →

Source: HER PRISM · Feel You Again™ Program Needs Assessment, March 2026. n = 112 women in medicine.