Is it more than PMS?

Understanding Premenstrual Dysphoric Disorder (PMDD)

Premenstrual Dysphoric Disorder (PMDD) is a cyclical, hormone-based mood disorder with mental, emotional, and physical symptoms arising during the premenstrual phase of the menstrual cycle each month.

PMDD affects about 1 in 20 women between puberty and menopause. While symptoms are triggered by changing hormones, PMDD is not a hormone imbalance, rather it is an extreme sensitivity to fluctuating hormone levels across the menstrual cycle.

Diagnosis is made through daily symptom tracking for two menstrual cycles.

PMDD SYMPTOMS*

A diagnosis of PMDD requires the presence of at least five of the following symptoms, one of which must be a "core emotional symptom​". These symptoms can be mild, moderate, or severe. A diagnosis of PMDD should not be made in anyone who is currently using hormonal contraceptives of any type.​

CORE SYMPTOMS:

  • Mood swings, feeling suddenly sad or tearful, sensitivity to rejection

  • Irritability, anger, rage, interpersonal conflicts, or relationship issues

  • Depression, feelings of hopelessness, feeling worthless or guilty; suicidal thoughts

  • Anxiety, tension, or feelings of being keyed up or on edge

OTHER PMDD Symptoms:

  • Decreased interest in your life

  • Difficulty concentrating, focusing, or thinking; brain fog

  • Tiredness or low-energy

  • Changes in appetite, food cravings, or overeating

  • Hypersomnia or insomnia

  • Feeling overwhelmed or out of control

  • Physical symptoms such as breast tenderness or swelling, joint or muscle pain, bloating or weight gain

*SOURCE: International Association for Premenstrual Disorders (IAPMD) and ChristinaBohnFoundation.org.

For more information on Premenstrual Dysphoric Disorder (PMDD), visit: iapmd.org.

For more information on the Christina Bohn Foundation, visit christinabohnfoundation.org.


We Are a PMDD-Informed Clinic

At our clinic, we are PMDD-informed and committed to providing direction, support, and information about PMDD. According to the International Association for Premenstrual Disorders (IAPMD), it's recommended to start with a psychiatrist for assessment and proper referral as needed. We can help guide you to the appropriate PMDD-informed medical specialists outside our clinic who can provide further medical treatment needed for treating PMDD. Our goal is to ensure you have the information and support you need to take the next steps towards effective management of PMDD. 

Our PMDD-informed psychiatry providers

Brandyn Patel, DMSc, PA-C, CAQ-Psychiatry

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Dr. Joshua McArthur, DO

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Dr. Ahmed Abdulkadir, MD

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