Premenstrual Dysphoric Disorder

The current DSM-5 has now listed premenstrual dysphoric disorder as a clinically significant psychiatric disorder. This disorder can be distinguished from other disorders based on the biological markers. If treatments such as SSRI’s is implemented you will see a significant improvements. All symptoms should be documented for a minimum of two months prior to client being diagnosed with this disorder.

The symptoms of PMDD normally begin a week before menses. (Menses = blood and other matter discharged from the uterus at menstruation). In order for a client to be diagnosed with PDD the client must have a presence of five premenstrual symptoms. At least one of the symptoms must include mood swings

  • Depressed mood

  • Irritability

  • Rejection sensitivity

  • Anxiety

  • increased interpersonal conflict.

Some other symptoms that may be experienced are difficulty concentrating , social withdrawal , sleep disturbance, overeating, food cravings, lack of energy, headache, bloating, breast tenderness.

These symptoms must occur in at least 50% of your menstrual cycles in the past year. The symptoms have to create some form of disruptions whether it’s at work, academically or in social and interpersonal relationships. The symptoms will decrease/lessen intensity with the on set of menses.

I know that as you’re reading this, it may sound like PMS. However PMS is less-severe. The symptoms are similar between PDD and PMS however most women will experience one or more symptoms but will not qualify for the more severe diagnoses of PMDD. Other diagnoses such as Bipolar, Major Depressive, and Persistent Depressive Disorder symptoms may be mistaken for PMDD. This is why it is important for you to chart your symptoms. The key of telling if you have PMDD is the increase in symptoms and the relief of the symptoms once menses begins.

There are other conditions/disorders that may worsen during your premenstrual onset. Depression, Anxiety, Bulimia , substance abuse use. If you suffer from migraines, asthma or allergies these may also worsen.

* If contraceptives are being used PMDD can not be diagnosed unless once contraceptives stop symptoms continue *

How to treat PMDD

Hormones that suppress ovulation help in some women

Vitamins ( B vitamins, Magnesium, And Calcium )

Antidepressants and anxiolytics May help with moodiness and irritability.



Serotonin Re-uptake Inhibitors