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October 31, 2025 74 mins

Ever wonder what happened to some of our OT entrepreneur trail blazers who went quiet?

If you've been around OT social media or podcasts, you probably know Trish Williams from her brand, OTs Get Paid. In this raw, honest conversation, Trish opens up about why you haven't heard from her in more than a year and it's not the story you might expect.

This episode is about what happens when your capacity fundamentally shifts. When perimenopause rewires your brain. When family crisis demands everything you have. When the version of yourself you've been living and sharing doesn't fit anymore. And when slowing down becomes the bravest thing you've ever done.

In this conversation, we explore:

  • The collision of perimenopause and family crisis that changed everything
  • Why Trish went back to being a mobile OT after thinking she'd "graduated" from that
  • How cognitive changes in perimenopause can feel like late-onset ADHD
  • The shame that comes with not being able to keep up anymore (and the rotting cooler story)
  • What it really means to slow down when your whole identity was about achieving
  • Redefining "brave", from launching businesses to getting reports done on time
  • The shift from hope to faith when life gets really hard
  • Building boundaries, finding what lights you up, and detaching with love
  • Why volunteering at Pride and Folk Fest became her community lifeline
  • The daily practices that keep her grounded (and why "scary thing" became "brave thing")

This episode is for you if:

  • You're noticing your capacity has shifted and you don't know what to do about it
  • You're in perimenopause or menopause and feeling completely disoriented
  • You're navigating a major life crisis while trying to keep your business/career going
  • You're tired of maintaining an image that doesn't fit who you are anymore
  • You need permission to slow down without giving up
  • You're a single parent or primary caregiver feeling stretched beyond your limits, even while parenting adult children
  • You want to hear what building a life that actually works for you looks like

Connect with Trish: Email: trish@trishwilliamsconsulting.ca and listen to the OTs Get Paid Podcast

Join the conversation in The BRAVE OT Facebook group - come share what "brave" looks like for you in your current season.


  Questions OTs are searching:

  • What are perimenopause symptoms affecting my work?
  • How do I manage my OT practice with changing capacity?
  • Is it normal to feel burnt out as an occupational therapist?
  • Can I go back to clinical work after business coaching?
  • How do I pivot my OT career in midlife?
  • What does mobile OT work look like?
  • How do therapists handle family crisis while working?
  • Is perimenopau
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