What is PMDD?
Premenstrual Dysphoric Disorder (PMDD) is classified as a depressive disorder in the DSM-5. PMDD symptoms present at the onset of ovulation and may last until menstruation.
PMDD may be accompanied with up to 11 symptoms:
The affective symptoms are:
sudden sadness, tearfulness, or sensitivity to rejection
irritability, anger, or increased interpersonal conflicts
depressed mood, hopelessness, or self-deprecating thoughts
anxiety or tension
The behavioral/cognitive symptoms are:
decreased interest in usual activities (eg, work, hobbies, friends, school)
lethargy, low energy, easy fatigability
change in appetite, overeating, food cravings
insomnia or hypersomnia
physical symptoms (breast tenderness or swelling, headache, joint or muscle pain, bloating, weight gain).
To receive a diagnosis, patients must experience 5 the listed 11 symptoms premenstrually and improve with the onset of menses. Symptoms should be tracked for a minimum of 2 months prior to diagnosis.