Premenstrual Dysphoric Disorder (PMDD)

PMDD is a severe form of PMS that affects mood, energy, and overall well-being during the luteal phase of the menstrual cycle (typically 1–2 weeks before menstruation). If you're feeling emotionally overwhelmed or unable to function in the days leading up to your period, you may be dealing with PMDD.

PMDD symptoms usually begin after ovulation and resolve within a few days of starting your period. Common symptoms include:

• Mood swings, irritability, or anger

• Anxiety, panic, or feeling out of control

• Sadness or hopelessness

• Difficulty concentrating

• Fatigue or low energy

• Insomnia or disrupted sleep

• Physical symptoms like bloating or breast tenderness

While PMS can be uncomfortable, PMDD is more intense and disruptive, often interfering with work, relationships, and mental health.

PMDD is thought to be triggered by an abnormal sensitivity to natural hormone fluctuations (particularly estrogen and progesterone), and may also involve:

• Neurotransmitter imbalances

• Personal or family history of mood disorders

• High stress levels

At MTM Psychiatry, we offer a comprehensive, individualized approach to treating PMDD, including:

• Comprehensive psychiatric evaluation

• Medication management

• Referrals for psychotherapy

• Sleep, nutrition, and lifestyle recommendations

• Psychoeducation and mindfulness techniques

• Collaboration with gynecologists or reproductive endocrinologists

• Support for co-occurring conditions such as anxiety or depression