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)

  • difficulty concentrating

  • lethargy, low energy, easy fatigability

  • change in appetite, overeating, food cravings

  • insomnia or hypersomnia

  • Overwhelm

  • 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.