Premenstrual Dysphoric Disorder (PMDD)

If you endure severe mood swings, mental health issues, and physical discomfort leading up to your period, you may be suffering from premenstrual dysphoric disorder (PMDD). As many as 5% of women experience PMDD during their reproductive years, and dual board-certified psychiatric mental health and family nurse practitioner Tamara McDonald, DNP, provides integrative care at Mind and Body Medicine in Boise, Idaho. She investigates your symptoms and provides effective care to protect your quality of life. Call the Mind and Body Medicine office or connect online today to request a telemedicine or in-person visit for PMDD treatment.

What is PMDD?

PMDD is similar to premenstrual syndrome (PMS), with some key differences. Both occur as your hormones fluctuate before the start of your period, but PMDD symptoms are more severe.

Where PMS is somewhat disruptive but generally manageable, PMDD causes anxiety, irritability, depression, and physical symptoms that make going about your regular routine impossible.

PMDD is harder to diagnose than PMS, but Dr. McDonald has the experience necessary to investigate and diagnose your symptoms.

What symptoms may indicate I have PMDD?

Some of the mood symptoms of PMDD include:

• Depressed mood, sadness, hopelessness, or worthlessness
• Anxiety, tension, or feeling on edge
• Mood swings that may include irritability, anger, crying, or feeling out of control
• Self-critical thoughts, increased sensitivity to rejection
• Frequent or sudden tearfulness

Physically, you may experience:

• Headaches
• Joint or muscle pain
• Weight gain and bloating
• Breast swelling or tenderness

PMDD can also disrupt your sleep and ability to concentrate, cause appetite changes and cravings, and decrease your energy. If you have extreme depression or anxiety, uncontrolled anger, or dark thoughts, contact Dr. McDonald at Mind and Body Medicine right away.

How is PMDD treated?

You can expect carefully tailored treatment, which will revolve around relieving your symptoms and preventing disruptions in your life. Your treatment plan may include:

Antidepressants

Selective serotonin reuptake inhibitors (SSRIs) may ease your physical and emotional symptoms. If you struggle with fatigue, food cravings, or sleep problems, Dr. McDonald may recommend antidepressants.

Therapies

Your mind and body strongly impact each other. Cognitive behavioral therapy (CBT) and managing stress or anxiety can help you function even during periods of PMDD.

Nutritional supplements

Nutrient deficiencies can exacerbate your PMDD symptoms. Providing your body with what it needs, such as calcium, vitamin B6, and magnesium, may offer some relief.

Lifestyle changes

Your body is both powerful and sensitive. Dr. McDonald can help you support your natural healing mechanisms with regular exercise, relaxation techniques, better sleep, and the overcoming of harmful habits like smoking. You may also feel better after cutting out caffeine or other substances.

PMDD is challenging, but Dr. McDonald offers the support you need to begin feeling better and thrive at any time of the month. Call Mind and Body Medicine today or request an appointment with Dr. McDonald online to start effective care for PMDD.