
I am surprised but glad that so many people have been finding my PMDD posts and adding comments. I hope that means that more women who need help with PMDD are finding my Psych Central blog helpful. I’ve mostly been sharing my own anecdotes regarding advice and methods of treatment. I thought it would be good to reference a few other resources to get an even bigger picture of PMDD.
Web MD - This website is used by millions of people and often has plenty of information. Although the article is filed under “PMS”, it does describe PMDD as a separate condition. It includes good nutrition, exercise, medications, and counseling as possible treatment options for PMDD. The article suggests cutting salt, caffeine, refined sugar, and alcohol. Although exercise hasn’t been established as a treatment, many people find that activities like yoga and regular aerobic exercise help premenstrual symptoms.
Pain, anti-anxiety, and antidepressant medications are sometimes helpful with PMDD symptoms. Also, contraceptives can manage hormone levels and help with mood swings. Counseling can be very helpful for managing depression or anxiety symptoms. It can also help you feel less ashamed for having to deal with PMDD, and can help you rebuild your way of thinking and managing your emotions.
Mayo Clinic - The Mayo Clinic website has similar recommendations for treatment, but also includes herbal remedies and nutritional supplements as being possibly helpful. It also suggests that increasing your carbs during the week before your period can improve your memory and mood.
The Mayo Clinic site also says that up to 10% of women have PMDD! It is not as rare as it may seem, so it’s important for women to understand what’s going on. The author of the Mayo Clinic article says that major depression is common with PMDD, but it can also occur in women with no previous history of depression. That means it can sneak up on you. You may have no idea you should even be looking out for it.
Other Tips For Getting Help With PMDD
Both the Web MD site and the Mayo Clinic stress that you should talk to your doctor if you think you have these symptoms. It’s important to determine if you have PMDD or if your symptoms indicate a different problem. It’s always easier to treat something when you have an accurate diagnosis.
Most of all, keep going after an answer if you feel like your symptoms aren’t getting better. Find someone who doesn’t dismiss your problem and will help you find a solution. You can get better! Not every
treatment works for every person because everyone’s bodies are a little different. That doesn’t mean you can’t find help - it may mean you need to just keep plugging at it. Don’t give up and keep reaching out.
Please remember you can always write in to me for support. I may not have all the answers you need, but I’ll help however I can.
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Hi Erika,
I read your article and wanted to share with you all;
In May 1993 the name ‘Premenstrual Dysphoric Disorder’ PMDD was given to ‘Late luteal phase dysphoric’ LLPDD.
And can you believe it wasn’t until 2007, when the first significant genetic finding in premenstrual dysphoric disorder was reported, which I suppose does represent an important advance in understanding PMDD.
I often advise patients to keep a diary of their fluctuating emotions and physical changes throughout their menstrual cycle, this then offers clear evidence to show to their doctor.
Thank you
Regards
Dawn Pugh
It would really be helpful to spell out somewhere what PMDD stands for.
A patient told me about your posting and I appreciate your information. I am a psychiatric nurse practitioner specialing in perinatal psychiatric disorders and I have written a book. The title is Overcoming Postpartum Depression and Anxiety. It is published by Addicus Books, available at Amazon and the bookstores. Be sure to get the second edition.
Thanks.
Linda Sebastian
Laurie,
Absolutely, and I should have in this article - premenstrual dysphoric disorder. In fact, I probably ought to in every article I do on PMDD, as if it might be someone’s first exposure to it. Thanks and I will keep that in mind for future posts.
Linda,
That’s great! It’s always good to see current resources emerge about perinatal mental health. I so appreciate the information.
Dawn,
Wow - the recognition and research on premenstrual dysphoric disorder is still so new. I appreciate hearing about this, and your advice to have women track their periods is right on. It makes a doctor’s visit about PMDD so much easier.
hi,
Over the last year I have noticed an increase in symptoms associated with my period, to the severity that I cant function at times. this does not happen every month but if I am busy and stressed it seems to happen more. do you have any advice?
Hi,
I have experienced “extreme” mood swings that seemingly correlated with my period for most of my life. It got increasingly worse as i grew older and after having children, which was at age 29^. I am now 43 and have been on 25 mg. of Ceroquel for about 6mo. I have not had the extreme moods swings that I was experiencing before. Turns out I have/am Bi-polar II, with periods of hypomania. The mania I experienced was two-weeks worth of crying and such emotional upheaval and split-second hostility that I couldn’t be around family or go to work. Only I did, because I had no choice. I new I needed help when my husband remrked to me during an argument that the kids have on occasion asked if Mommy was going to be “mad” (in a bad mood) when she gets home from work? My GYN back in ‘93 had diagnost PMDD at the time, and prescribed Zoloft. I took 150 mg a day for 5 years and got steadily worse. I often would think it would really be better for my family if I just “kept on driving” and never came back. I was constantly thinking about suicide. Ways I could die without being painful. But , then I would dismiss it because I knew there was no way I could hurt my husband and chilren in such a way. I JUST COUDN’T SEEM TO HELP MYSELF THOUGH. I cold go on and on about it , but I won’t. The point of my post is this…..I needed help, I knew it, and I couldn’t seem to find the right “help”. My nurse practioner listens to me. We have a mutual respect that I think has helped me to get to the right diagnosis. I don’t remember when I started thinking about Bi-polar disease. The more research I did though the more I was convinced. After several months of visits with her and discussions with a therapist, weeks of emotional (stress), for lack of a better description, I am now much better!
…I had to press and press for help though, because I wasn’t getting better after years of this and countless different anti-anxiety/depression drugs. I am still stressed out and “have my moments” , but I don’t have those awful day after day “upheavals” that I was having. My husband at first thought I was , well , I’m not sure what , but he does now admit to the fact that I am better. I haven’t wanted to throw the container of laundry detergent at the wall just because somebody didn’t put the cap on strait! PMDD can be wrongly diagnosed VERY easily. As in my case. Thank you for reading this and I am sorry for such legnth….
I too suffer from PMDD. I have all the classic symptoms but was so stressed and full of anxiety I had been experiencing dehibilating muscle spasms. After many spousal fights, (not like me) we came to an agreement that something was wrong. I consulted my OBGYN and this summer was diagnosed. I was skeptical of any prescriptions but knew I needed to try something. Doc prescribed Zoloft and within a week I could breath and laugh again. I feel good most of the time now. I had very few side effects from the Zoloft. My lips burned and was extremely tired for a few days after I started it, and it has amazingly supressed my appetite. Not all medicines work the same way for everyone but this drug has made life pleasant for me again. I never thought I would suffer extreme hormonal changes and glad I saw the doctor as quickly as I did or my marriage may have sadly dissolved. Ladies, talk it out understand what your body is going through and I wish you well>!
Hi,
Thank you for getting this information out there. Women with PMDD and their families need all of the help they can get. Based on my own experience with PMDD (which I no longer have after a total hysterectomy BSO), I had to go through five doctors before I found someone who would listen and who had heard of PMDD.
I am a Certified Vocational Counselor (we specialize in assisting persons with disabilities/chronic health issues) and have recently started my own site & practice to assist women with PMDD. When I dealt with it I saw an enormous need for practical support with family and in work and academic settings.
I also work with a woman on another site which was created because of the need for awareness and support (http://lifewpmdd.com/). Women around the world are taking it upon themselves to create the changes we need regarding PMDD - and we appreciate anyone willing to discuss it and treat is seriously.
Thanks again,
Jennifer Wells-McCullough, M.A., CRC
http://www.pmddhope.com
*Another site that I found very helpful when trying to understand PMDD,chart symptoms, and find a doctor is: http://pmdd.factsforhealth.org/what/ (Madison Institute of Medicine).
Still trying to find remedies for this condition.
I have a very concerned GYNO except when I mentioned PMDD (I self-diagnosed); she seemed to think my symptoms were a “bad case” of PMS.
She did write me an Rx for Seasonale & then Yaz birth control pills at my suggestion. In my researching I read that Yaz, might help ease PMDD. Both medications gave me chronic yeast infections & odor. I stopped Yaz in March 2009 (b/c of the side-effects) & PMDD symptoms seemed to lessen & presented as “regular” PMS.
However in recent months the PMDD has returned w/ a vengeance. I tried taking Paxil CR but experienced palpitations & my Dr. (a heart specialist) advised me to discontinue immediately. He suggested I take Lexopro but I am afraid the palpitations will return; arrhythmia is not something I’m willing to mess with.
I’ve tried alternative methods such as yoga, acupuncture, supplements, meditation…these can help but only if continuously used. And time & money can get in the way of these approaches.
My diet is mainly vegetarian (eat chicken on the rare occasion). I was going to try to incorporate fresh fish into my diet because of the omega-3’s which are supposed to help inflammation.
Don’t know if anybody else gets this but I get terrible joint pain which goes away a few days after I get my period. But leading up to it is often miserable not only joint pain, crying jags, angry & depressed moods too. I’ve been going through this for 20 years!
This month I’ve been in pain for 3 weeks & wishing my period would come. Today it has & missed work because of it. I’ve developed anxiety around the whole process because it feels like something happening to me & I have no control.
Hi
I came across your article while trying to find ANY
helpfull information that might ease my pain. I’ve
been given the run around by doctors for years, from counslers to OB-GYNs to family doctors to specialists back to psychiatrists etc….
I can handle the physical pain but am very worn out from the years of monthly battle with the severe depression driving me to the brink of suicide. I have to constantly remind myself that “it shall pass” in order to keep myself from actually going that last step where I can’t come back. I’m afraid and worried about the following month(s) and how the battle will be….
I currently am on anti-depressnts and mood stabalizers but they don’t seem to help. like I said before, I’ve been given the run around for yrs, now when the drs see me coming I can almost see thier eyes rolling back “not HER again”
Every month I suffer from joint pain, abdomanol pain, lower back pain, extreme fatigue, extra sleep, crying fits, extrem depression..
I’m 40 years old and have suffered from these symptoms since age 13, please help.
many thanks