⸺ 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 four starter practices you can begin today. Built on neuroscience, lifestyle medicine, and the lived experience of practising while depleted. The deeper work takes place over 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 HER PRISM Pyramid — the four layers the work follows, in order, from depletion to integration.
  • An interactive self-check — 24 statements across Biology, Values, Systems, and Integration, with live scoring, plus an optional Workplace section scored separately.
  • Four starter practices you can use today — one for each layer of the Pyramid.
  • 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 a biology-based approach designed to support motivation that lasts.
⸺ 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.

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).

How change is measured

Built on self-report measures — the Copenhagen Burnout Inventory and the HER PRISM Self-Assessment — 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 — the pattern chronic stress and the menopause transition tend to produce together.
80%
had already tried exercise, therapy, or schedule changes. The most-cited reason it did not hold: "not designed for women in medicine" (33%).
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 exhaustion is driven by her body, and the existentially depleted woman, whose exhaustion centres on lost confidence and professional identity. The same evidence-based work addresses both.

Read the full evidence summary →

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