Therapy for PMDD

Finding a therapist that understands PMDD

Premenstrual dysphoric disorder (PMDD) is an extreme version of PMS that effects roughly 1 in 20 women and people who menstruate. In my private practice I work with many people that have PMDD and other issues related to their menstrual cycles (PCOS, endometriosis, peri-menopause etc).

Like many female health issues, there is very little research and support for PMDD, but I am positive that more is emerging.

There is no formal assessment for PMDD. Psychiatrists, psychologists and GPs are able to diagnose by going through your symptoms with you. However, seeking a diagnosis isn’t essential. You can address your PMDD with a self-diagnosis.

Symptoms of PMDD can include:

• Depression, anxiety, irritability, mood swings, feelings of hopelessness, guilt, or worthlessness 

• Difficulty concentrating, brain fog 

• Breast tenderness or swelling, joint or muscle pain, bloating, weight gain, changes in appetite 

• Hypersomnia (excessive sleepiness) or insomnia (trouble falling or staying asleep) 

This is just a snapshot. PMDD like any condition shows up differently for each person.

It is important to note that these symptoms manifest most just before menstruation. This is called the luteal phase, and it roughly lasts a week. Some people experience the worst of their PMDD during the luteal phase, some continue to experience them during menstruation too.

This is the key feature that characterises PMDD - these symptoms are not present every day of the person’s cycle. During the follicular and ovulation phases, people with PMDD find that their symptoms do not present at all, if so, very little.

PMDD can be supported with anti-depressants, talk therapy and other therapies and lifestyle changes that address the symptoms directly, such as diet, exercise and sleep hygiene.

Many of the women and people I work with report that what helps them most is being validated in their experience. Doctors and people who don’t live with PMDD often find it hard to empathise and provide support. The first step to shaping up a life where you live with PMDD with ease and confidence often starts with examining your experience and mapping out the ebbs and flows of your symptoms.

If you’re considering starting therapy to support your PMDD journey, you’re welcome to book a free 15-minute call with me to see how I can help.