Phases Clinic

Phases Clinic Vanessa Weiland, NP, HT, MSCP (she/her). Founder of Phases Clinic in Washington State (Telehealth, Shoreline, North Bend). Click the bio for free quiz & more!

We specialize in menopause and hypermobility care where science meets compassion.

Yes, insomnia and sleep difficulty are extremely common in hypermobile people.This can be caused by a variety of things,...
08/07/2026

Yes, insomnia and sleep difficulty are extremely common in hypermobile people.

This can be caused by a variety of things, and the cause of your disruption will impact the best treatment plan:

• Pain
Pain control options like acetaminophen and pain education.

• Sleep apnea
Poor structural integrity in the throat can cause sleep apnea, which a sleep study can evaluate.

• Urinary frequency
Can be related to pelvic floor issues, hormonal changes, or dysautonomia.

These are just some common causes. I recommend talking to your provider about your sleep difficulties, so that a proper investigation can begin.

08/06/2026

What is EMDR?

EMDR (Eye Movement Desensitization and Reprocessing) uses an 8-phase model, resourcing, and bilateral stimulation to help reprocess traumatic memories and move toward a more settled, peaceful, resolved place.

In this episode, Vanessa is joined by Cherie Pfeiffer, LMHC, owner of Old Growth Art Therapy and Counseling, to discuss EMDR, chronic pain, hypermobility, and medical trauma.

👉 Watch the full episode. Link in bio!

Connect with Cherie: oldgrowtharttherapy.com

Living with unexplained symptoms can be frustrating, especially when answers feel out of reach. ❤️We're honored to be pa...
08/05/2026

Living with unexplained symptoms can be frustrating, especially when answers feel out of reach. ❤️

We're honored to be part of our patients' journey toward better health and quality of life. Hearing that compassionate care, careful listening, and personalized recommendations have made such a meaningful difference is exactly why we do what we do.

Thank you for your trust and kind words. Stories like these remind us that feeling heard, understood, and supported can change everything.

08/04/2026

We've long suspected that there may be a relationship between steroid hormones and hEDS presentation, and the data are finally starting to materialize.

We need to replicate these findings, but I have noted symptom improvement in a subset of my hEDS patients pursuing hormone therapy or testosterone replacement for other reasons. I'm looking forward to a lot more research in this space!

Hannon, et al. Lower androgen sulfate metabolites in women with hypermobile Ehlers-Danlos syndrome may be associated with changed metabolism and disposition.

Most exercise advice is built around the idea that more is better: more flexibility, more range of motion, more intensit...
08/04/2026

Most exercise advice is built around the idea that more is better: more flexibility, more range of motion, more intensity.

For hypermobile bodies, more range of motion is often already the problem, not the goal.

In hEDS and hypermobility spectrum disorders, joints rely more heavily on muscle for stability. That's why low-load, high-control movement, deep stabilizer training, isometric holds, and joint protection strategies can be more effective than pushing further into end range.

Understanding the difference can change how you approach movement, strength, and recovery.

👉 Read the full blog at the link in bio!

Sleep disruption is common in perimenopause and menopause — and it can be even more challenging with dysautonomia, chron...
07/31/2026

Sleep disruption is common in perimenopause and menopause — and it can be even more challenging with dysautonomia, chronic pain, hypermobility, or MCAS.

You don’t need a perfect routine.

You need an approach that works with your variable-capacity body.

A Clarity Consultation can help you understand what steps may best support your body, your sleep, and your nervous system.

👉 Book your Clarity Consultation today. Link in bio!

Sleep can feel unpredictable when you’re managing dysautonomia, chronic pain, hypermobility, MCAS, or perimenopause.The ...
07/30/2026

Sleep can feel unpredictable when you’re managing dysautonomia, chronic pain, hypermobility, MCAS, or perimenopause.

The goal isn’t perfect sleep. It’s creating stable signals your nervous system can orient around.

👉 Swipe through to learn the two habits that can help anchor your sleep. 🌙

New blog post: The Two Habits That Anchor Your Sleep (When Everything Else Is Unpredictable) 🌙Sleep advice often assumes...
07/30/2026

New blog post: The Two Habits That Anchor Your Sleep (When Everything Else Is Unpredictable) 🌙

Sleep advice often assumes a stable body. But for people managing dysautonomia, chronic pain, hypermobility, or MCAS, sleep can look very different.

A consistent wake time and a wind-down signal can help give your nervous system something stable to orient around — even when symptoms aren’t predictable.

Morning light helps anchor your circadian rhythm, while a repeated wind-down signal helps tell your body the day is ending.

This isn’t about perfect sleep. It’s about creating a foundation that works with a variable-capacity body.

👉 Read the full blog: www.phasesclinic.com/blog/the-two-habits-that-anchor-your-sleep-when-everything-else-is-unpredictable

New podcast episode 🎙️Trauma isn't always a single event—and healing isn't one-size-fits-all.In this episode, I'm joined...
07/28/2026

New podcast episode 🎙️

Trauma isn't always a single event—and healing isn't one-size-fits-all.

In this episode, I'm joined by my friend, Cherie Pfeiffer, LMHC, an art therapist and EMDR clinician, for a conversation about how EMDR can support people living with chronic pain, medical trauma, hypermobility, and neurodivergence.

We talk about what EMDR actually is, how it works, why it can be effective for complex trauma, and what to consider if you're wondering whether it's the right fit for you.

If you've ever been curious about EMDR—or you're a clinician looking to better understand this approach—I hope you'll find this conversation both informative and encouraging.

🎧 Available now on YouTube & Spotify. Link in bio!

One common side effect of GLP-RA medications like semaglutide and tirzepatide is slower movement through the GI tract. T...
07/28/2026

One common side effect of GLP-RA medications like semaglutide and tirzepatide is slower movement through the GI tract. This can cause constipation, so it's important to keep up hydration and gentle movement. These medicines can also impact thirst, meaning that you may need to drink water even when you don't feel particularly thirsty.

Other common side effects include a slightly higher heart rate and lower blood pressure. Normally not a problem, but this may exacerbate symptoms if you have underlying dysautonomia or orthostasis. Once again, proper hydration can help counteract these effects.

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18528 Firlands Way N, Suite A
Shoreline, WA
98133

Opening Hours

Monday 10am - 6pm
Tuesday 10am - 6pm
Wednesday 10am - 6pm
Thursday 10am - 6pm
Friday 10am - 6pm

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