What is Premenstrual Dysphoric Disorder (PMDD)?
Premenstrual Dysphoric Disorder, or PMDD, is essentially a much more intense version of PMS. Often emerging one to two weeks before your period, it brings powerful mood shifts and physical discomfort that can derail daily routines and strain relationships. Many people find their work performance, home life, and social plans suffer during this time.
Along with emotional ups and downs, PMDD can trigger a range of physical and mental symptoms, including:
- Feeling restless or constantly on edge
- A sense of losing control
- Skin breakouts or acne flare-ups
- Frequent irritability or anger outbursts
- Dizziness or lightheadedness
- Bloating or water retention
- Trouble falling asleep or staying asleep
- Difficulty concentrating or memory lapses
- Heart palpitations
- Persistent low mood or hopelessness
- Extreme tiredness
- Anxiety or panic attacks
- Mental fog or confusion
- Irregular breathing
- Forgetfulness
- Recurring headaches
- Blurred or altered vision
- Feelings of paranoia or mistrust
- Heightened emotional sensitivity
- Frequent crying spells
- Stomach upset or nausea
- Mood swings
- Coordination difficulties
What Triggers PMDD?
About 2–10% of people with menstrual cycles experience PMDD each month. Researchers believe it stems from an exaggerated reaction to natural hormone swings—especially estrogen and progesterone—after ovulation. These shifts can disrupt serotonin and other brain chemicals that regulate mood, sleep, and appetite. A history of depression or anxiety and certain genetic factors also raise the risk.
Diagnosing PMDD
Diagnosing PMDD starts with a detailed medical and mental health review. Your provider will go over your health history, daily habits (including any substance use), and current symptoms. You may chart your mood and physical changes for at least two menstrual cycles to identify consistent patterns.
This evaluation often includes a physical exam and blood tests to rule out other conditions. While it can take time, a thorough workup is essential for creating a precise, effective treatment plan.
Treating PMDD
Addressing PMDD usually involves a blend of lifestyle adjustments and medical treatments, which might include:
- Mindfulness exercises or counseling to manage stress
- A balanced diet rich in protein and whole grains, with reduced sugar, caffeine, salt, and alcohol
- Supplements such as calcium, magnesium, and vitamin B6
- Selective serotonin reuptake inhibitors (SSRIs)
- Hormonal contraceptives to even out hormone fluctuations
Seeking help for Premenstrual Dysphoric Disorder (PMDD) can truly change lives by helping you stabilize your mood, get back to everyday routines, and enhance overall well-being. With the right support, people facing PMDD often notice fewer and less severe episodes. At Alice’s Psychiatry & Wellness, our telehealth services offer accessible, dependable, and compassionate care from licensed psychiatric experts. By blending evidence-based therapies with personalized medication management, clients gain the tools to manage emotional highs and lows, build confidence, and take charge of their mental health.
Our dedicated psychiatric care team is here to help you.
When premenstrual mood swings feel overwhelming, you might benefit from extra support—and Alice’s Psychiatry & Wellness is here to help. Schedule your appointment today!