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Hope Wellness Mental Health Center

Premenstrual Dysphoric Disorder (PMDD)

PMDD is a severe form of premenstrual syndrome that causes significant mood changes and physical symptoms in the week or two before menstruation.

Overview

PMDD is a serious condition that can significantly impact daily life, relationships, and work. While related to PMS, PMDD symptoms are more severe and primarily affect mood and behavior.

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Types

Mood-Predominant PMDD

Primarily emotional and behavioral symptoms.

Physical-Predominant PMDD

Primarily physical symptoms with mood changes.

Signs & Symptoms

Emotional Symptoms

  • Severe mood swings
  • Depression or hopelessness
  • Intense anxiety
  • Irritability or anger
  • Feeling overwhelmed

Physical Symptoms

  • Fatigue
  • Changes in appetite
  • Sleep problems
  • Bloating
  • Breast tenderness

Behavioral Symptoms

  • Social withdrawal
  • Difficulty concentrating
  • Relationship conflicts
  • Changes in interest
  • Impulsive behavior

Causes

Hormonal Sensitivity

Heightened sensitivity to normal hormonal changes during menstrual cycle.

Genetic Factors

Family history and genetic predisposition may play a role.

Brain Chemistry

Differences in serotonin and other neurotransmitters during cycle.

Coping Strategies

Lifestyle Management

Daily habits to minimize symptom severity.

  1. Track symptoms and cycle
  2. Regular exercise
  3. Stress reduction techniques
  4. Healthy sleep routine
  5. Dietary modifications

Support Planning

Preparing for symptomatic phases.

  1. Plan important tasks around cycle
  2. Communicate needs to others
  3. Build support network
  4. Practice self-care
  5. Use stress management tools

Treatment Options

Medication

Various medication options for managing PMDD.

Benefits:

  • Reduce symptom severity
  • Stabilize mood
  • Improve functioning
  • Prevent monthly disruption

Considerations:

  • Different options available
  • May take time to find right treatment
  • Regular monitoring needed

Therapy

Counseling to develop coping strategies.

Benefits:

  • Learn management techniques
  • Process emotional impact
  • Improve relationships
  • Build resilience

Considerations:

  • Different approaches available
  • May combine with medication
  • Ongoing support helpful

Telehealth Treatment Options

PMDD treatment and support can be effectively delivered through telehealth services.

Benefits of Telehealth:

  • Regular monitoring
  • Convenient access
  • Flexible scheduling
  • Private consultations

How it Works:

  1. Initial assessment
  2. Symptom tracking
  3. Regular check-ins
  4. Treatment adjustments
  5. Ongoing support

Frequently Asked Questions

How is PMDD different from PMS?

PMDD causes more severe symptoms than PMS, particularly affecting mood and behavior, and can significantly impact daily functioning.

Can PMDD be cured?

While there's no cure, PMDD can be effectively managed with proper treatment, including medication, therapy, and lifestyle changes.

When should I seek help for PMDD?

Seek help if premenstrual symptoms significantly impact your daily life, relationships, or work performance.

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Related Conditions

Depression

Depression, bipolar disorders, or seasonal affective disorder can affect a person's mood in a way that negatively impacts your life. Learning more about these mood disorders can help.

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Anxiety

Anxiety is a natural response to stress or danger, but when it becomes excessive and persistent, it can interfere with daily life. Understanding and managing anxiety is key to maintaining mental well-being.

Learn More →

Women's Mental Health

Women's mental health encompasses unique challenges and experiences that affect emotional and psychological well-being throughout different life stages.

Learn More →

Perimenopausal Depression

Depression that occurs during perimenopause, often accompanied by physical symptoms and hormonal changes.

Learn More →

Emergency Information

If you're experiencing severe depression or having thoughts of self-harm, seek immediate help.

What to do:

  • Contact emergency services
  • Reach out to healthcare provider
  • Connect with crisis support
  • Tell someone you trust

Emergency Contacts:

National Crisis Hotline:988
Crisis Text Line:741741