Many women experience some type of pesky symptom or another before they get their period, like breast tenderness, cramps, or irritability.
But what happens if you feel severely depressed, anxious, or even suicidal when it’s almost time for your period every month? Experiencing these feelings could potentially be a sign of premenstrual dysphoric disorder (PMDD).
So what exactly is PMDD? Premenstrual dysphoric disorder is a condition that affects 5% to 8% of women and people who were assigned female at birth during their reproductive years. Those with PMDD may experience symptoms related to the disorder until they go through menopause.
PMDD results in monthly physical and mental symptoms correlating with the menstrual cycle. “You can look at it as a severe form of PMS, or premenstrual syndrome,” says Tahara DeBarrows, a licensed marriage and family therapist specializing in depression with Grow Therapy. PMS is more well-known and far more common than PMDD, affecting up to three out of four people with periods – but PMDD is more intense.
Here’s what you need to know about the signs, causes, and treatments for PMDD and how to tell it apart from other conditions.
Frequently asked questions
What is PMDD caused by?
What is PMDD caused by?
Premenstrual dysphoric disorder (PMDD) arises from a combination of factors. Hormonal fluctuations throughout the menstrual cycle, variations in serotonin levels, and psychological influences like anxiety or depression all play a role in the development of PMDD.
Can PMDD worsen other mental health conditions?
Can PMDD worsen other mental health conditions?
Yes, PMDD can worsen existing mental health conditions like borderline personality disorder, post-traumatic stress disorder (PTSD), and attention-deficit/hyperactivity disorder (ADHD). The hormonal changes and severe symptoms of PMDD can intensify these issues, making them harder to manage. It’s crucial for individuals with PMDD and co-occurring mental health challenges to collaborate with their healthcare providers on an integrated treatment plan.
How will I know if I have PMDD?
How will I know if I have PMDD?
To determine if you have PMDD you should start symptom tracking and seek out a professional consultation. Keep a record of symptoms such as severe mood swings, intense sadness, irritability, anxiety, suicidal thoughts, bloating, breast tenderness, headaches, joint or muscle pain, fatigue, and sleep problems. These symptoms typically occur 7-10 days before your period and subside within a few days after it starts. You should also consult a healthcare provider who will review your symptoms and rule out other conditions that could cause similar symptoms. By monitoring your symptoms and seeking professional guidance, you can determine whether you have PMDD.
Article Sources
Article Sources
• Premenstrual Dysphoric Disorder
• Premenstrual Syndrome (PMS) – Symptoms & Causes
• Premenstrual Dysphoric Disorder (PMDD)
• National Library of Medicine
• Premenstrual Dysphoric Disorder
• National Library of Medicine
• Is your severe PMS actually premenstrual dysphoric disorder (PMDD)?
• Not Just Mood Swings but Premenstrual Depression
• Premenstrual Dysphoric Disorder (PMDD)
• Why are Some People More Susceptible to Severe PMS? Psychologists Seek Answers
• American Psychological Association
• Prevalence of Premenstrual Syndrome in College Going Girls – Clinical Epidemiology and Global Health
• National Library of Medicine







