Premenstrual dysphoric disorder (PMDD)

Premenstrual dysphoric disorder (PMDD) is a condition marked by severe depression, irritability, and tension before menstruation. These symptoms are more severe than those seen with premenstrual syndrome (PMS).

PMDD symptoms are similar to those of PMS, but they are considered more severe and debilitating. (Symptoms occur during the last week of most menstrual cycles and usually improve within a few days after the period starts.) Five or more of the following symptoms must be present to diagnose PMDD:

• Feelings of sadness or hopelessness, possible suicidal thoughts
• Feelings of tension or anxiety
• Panic attacks
• Mood swings marked by periods of teariness
• Persistent irritability or anger that affects other people
• Disinterest in daily activities and relationships
• Trouble concentrating
• Fatigue or low energy
• Food cravings or binge eating
• Sleep disturbances
• Feeling out of control
• Physical symptoms, such as bloating, breast tenderness, headaches, and joint or muscle pain