At some point, the life you carefully constructed starts to feel misaligned.The work that once energized you now drains you. The relationships that felt stable suddenly feel tight. The version of yourself you have spent decades becoming no longer fits the shape of your days. And when that unraveling begins, we are quick to label it a midlife crisis, as if something has gone wrong or something needs to be fixed.But what if nothing is wrong at all?In this conversation, astrologer and spiritual teacher Liv Toepfer reframes what so many people experience in midlife not as a breakdown, but as a predictable point of awakening. A moment written into the architecture of the soul. One that arrives whether you are ready for it or not, often quietly at first, and then all at once.Liv explains how astrology reveals specific life thresholds, times when the psyche, nervous system, and soul begin asking deeper questions. Chief among them is what many astrologers refer to as Neptune meets Neptune, also known as the Neptune square Neptune. This midlife astrology transit often occurs in the early 40s and is associated with spiritual awakening, identity dissolution, and a reorientation toward meaning and truth. Illusions fall away. Careers shift. Relationships strain or end. Old coping strategies stop working. The external markers of success no longer satisfy the internal call.This is not chaos. It is initiation.Astrology, as Liv shares, is not about prediction or bypassing responsibility. It is a language. A way of understanding why now and how to work with change instead of fighting it. From Saturn return in early adulthood to North Node purpose and nodal cycles in midlife, astrology transits offer a broader context for growth that many people feel but cannot yet name.#astrology #podcast #doctor #healer #spiritual We also explore how the body participates in these awakenings. The nervous system responds before the mind has language. Energy shifts show up as fatigue, restlessness, emotional sensitivity, or the sense that something wants to move but you do not yet know what. Breath, presence, and self trust become anchors when certainty dissolves.From the perspective of Priya Rao, MD, a cardiologist and physician working at the intersection of medicine and consciousness, this conversation bridges astrology, nervous system regulation, and healing beyond symptoms. It reflects the Open Heart lens where modern medicine and spirituality are not opposing forces, but complementary ways of understanding the human experience.If you have ever wondered why everything seems to be shifting at once, why success suddenly feels empty, or why your inner voice is getting louder, this may not be a crisis. It may be your soul asking you to listen more closely.About our guest:Liv Toepfer is an astrologer, spiritual teacher, and guide for conscious transition. After more than two decades as a high level event producer, burnout became the doorway that led her into yoga, meditation, astrology, and energy work. Today, she supports others through life’s pivotal thresholds with grounded wisdom, clarity, and deep respect for the intelligence of the body and soul.Connect with Liv:Email: liv@itsavibe.earthWebsite: www.itsavibe.earthInstagram: @thevibetribetxInstagram: @livbydesign✨ Subscribe to Open Heart with Priya Rao, MD to hear more conversations where modern medicine and spirituality meet where we remember that healing is as much about consciousness as it is about care.Follow Priya & Open Heart:Instagram: Instagram.com/openheartthepodWebsite: https://openheartpodcast.com/Priya Instagram: https://www.instagram.com/dr.kothapalliLinkedIn: https://www.linkedin.com/in/pkothapallimd/© 2025 Priya Rao Media LLC. All rights reserved.

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