Symptoms
Premenstrual dysphoric disorder (PMDD) is a severe form of premenstrual syndrome (PMS). Like PMS, premenstrual dysphoric disorder follows a predictable, cyclic pattern. Symptoms begin in the late luteal phase of the menstrual cycle (after ovulation) and end shortly after menstruation begins.
Emotional symptoms are generally present, and in PMDD, mood symptoms are dominant. Substantial disruption to personal relationships is typical for women with PMDD. Anxiety, anger, and depression may also occur. The main symptoms, which can be disabling, include
- feelings of deep sadness or despair
- feelings of intense tension or anxiety
- increased intense sensitivity to rejection or criticism
- panic attacks
- rapid and severe mood swings, bouts of uncontrollable crying
- lasting irritability or anger, increased interpersonal conflicts; typically sufferers are unaware of the impact they have on those close to them
- apathy or disinterest in daily activities and relationships
- difficulty concentrating
- chronic fatigue
- food cravings or binge eating
- insomnia or hypersomnia; sleeping more than usual, or (in a smaller group of sufferers) being unable to sleep
- feeling overwhelmed or feelings of being out of control
- increase or decrease in sex drive
- increased need for emotional closeness
Common physical symptoms include:
- breast tenderness or swelling, heart palpitations, headaches, joint or muscle pain, swollen face and nose
- an altered view of one's body - a sensation of 'bloating', feeling fat or actual weight gain.
Five or more of these symptoms may indicate PMDD.
Read more about this topic: Premenstrual Dysphoric Disorder
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