KillerMuffin
Seraphically Disinclined
- Joined
- Jul 29, 2000
- Posts
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http://www.womens-health.org/PMDD.html
http://www.drdonnica.com/display.asp?article=1086
http://www.usatoday.com/life/health/doctor/lhdoc094.htm
http://www.womensmentalhealth.org/resources/ForPatients/pdd.html
PMDD is Premenstrual Dysphoric Disorder. A little under 5% of menstruating women in the US have PMDD. PMDD is a severe, debilitating form of PMS.
What is PMDD?
"PMDD is characacterized by severe monthly mood swings, as well as physical symptoms, that interfere with everyday life, especially a woman's relationships with her family and friends. PMDD's symptoms go far beyond what are considered manageable or normal premenstrual symptoms, and occur the week before, and disappear a few days after, the onset of menstruation. PMDD is a combination of symptoms that may include irritability, depressed mood, anxiety, sleep disturbance, difficulty concentrating, angry outbursts, breast tenderness and bloating. The diagnostic criteria emphasize symptoms of depressed mood, anxiety, mood swings or irritability."
It sounds like PMS, what's the difference?
"The physical symptom list is identical for PMS and PMDD; while the emotional symptoms are similar, they are significantly more serious with PMDD. In PMDD, the criteria focus on the mood rather than the physical symptoms. With PMS, sadness or mild depression is not uncommon. With PMDD, however, significant depression and hopelessness may occur; in extreme cases, women may feel like killing themselves or others. Attributing suicidal or homicidal feelings to “it’s just PMS” is inappropriate; these feelings must be taken as seriously as they are in anyone else and should be promptly brought to the attention of mental health professionals.
Women who have a history of depression are at increased risk for PMDD. Similarly, women who have had PMDD are at increased risk for depression after menopause. In simplest terms, the difference between PMS and PMDD can be likened to the difference between a mild headache and a migraine."
What's the big deal?
"PMDD is sort of the severe end of the PMS continuum," adds Roca. "Women with PMDD actually have impairment in either social or occupational functioning. For these women, it's fairly consistent. Most months they are impaired."
How do they figure out if you've got it?
"Since PMDD symptoms are related to the menstrual cycle, many women may turn to their gynecologist for help. On the other hand, since the symptoms that usually bother patients the most are depression, anxiety, or irritability, women may instead seek treatment from mental health professionals such as psychiatrists. If a woman decides to see a mental health professional, she should also be evaluated by a gynecologist, especially if she is over 40. To confirm the diagnosis of PMDD and distinguish it from other conditions that are not related to the phase of the menstrual cycle, the doctor may ask the woman to keep a daily symptom diary. Ideally women should keep such a diary for 2 months before treatment is begun, although some experts would consider starting treatment earlier if the symptoms are severe."
Okay, now what?
If you suspect you may have this problem, make an appointment to see your gynecologist. Don't self-treat.
Here's a little self-test: http://www.womens-health.com/health_center/mental/depress_pms.html
http://www.drdonnica.com/display.asp?article=1086
http://www.usatoday.com/life/health/doctor/lhdoc094.htm
http://www.womensmentalhealth.org/resources/ForPatients/pdd.html
PMDD is Premenstrual Dysphoric Disorder. A little under 5% of menstruating women in the US have PMDD. PMDD is a severe, debilitating form of PMS.
What is PMDD?
"PMDD is characacterized by severe monthly mood swings, as well as physical symptoms, that interfere with everyday life, especially a woman's relationships with her family and friends. PMDD's symptoms go far beyond what are considered manageable or normal premenstrual symptoms, and occur the week before, and disappear a few days after, the onset of menstruation. PMDD is a combination of symptoms that may include irritability, depressed mood, anxiety, sleep disturbance, difficulty concentrating, angry outbursts, breast tenderness and bloating. The diagnostic criteria emphasize symptoms of depressed mood, anxiety, mood swings or irritability."
It sounds like PMS, what's the difference?
"The physical symptom list is identical for PMS and PMDD; while the emotional symptoms are similar, they are significantly more serious with PMDD. In PMDD, the criteria focus on the mood rather than the physical symptoms. With PMS, sadness or mild depression is not uncommon. With PMDD, however, significant depression and hopelessness may occur; in extreme cases, women may feel like killing themselves or others. Attributing suicidal or homicidal feelings to “it’s just PMS” is inappropriate; these feelings must be taken as seriously as they are in anyone else and should be promptly brought to the attention of mental health professionals.
Women who have a history of depression are at increased risk for PMDD. Similarly, women who have had PMDD are at increased risk for depression after menopause. In simplest terms, the difference between PMS and PMDD can be likened to the difference between a mild headache and a migraine."
What's the big deal?
"PMDD is sort of the severe end of the PMS continuum," adds Roca. "Women with PMDD actually have impairment in either social or occupational functioning. For these women, it's fairly consistent. Most months they are impaired."
How do they figure out if you've got it?
"Since PMDD symptoms are related to the menstrual cycle, many women may turn to their gynecologist for help. On the other hand, since the symptoms that usually bother patients the most are depression, anxiety, or irritability, women may instead seek treatment from mental health professionals such as psychiatrists. If a woman decides to see a mental health professional, she should also be evaluated by a gynecologist, especially if she is over 40. To confirm the diagnosis of PMDD and distinguish it from other conditions that are not related to the phase of the menstrual cycle, the doctor may ask the woman to keep a daily symptom diary. Ideally women should keep such a diary for 2 months before treatment is begun, although some experts would consider starting treatment earlier if the symptoms are severe."
Okay, now what?
If you suspect you may have this problem, make an appointment to see your gynecologist. Don't self-treat.
Here's a little self-test: http://www.womens-health.com/health_center/mental/depress_pms.html