What is PMDD?

I was recently interviewed by Yahoo! on PMDD.  Here's the full interview you didn't get to see.  The writer is fantastic - highly recommend this read!

Why it's still so unknown

In the mental health field I think it is pretty well known! The challenge in this space I think is understanding and deciphering the difference of whether the depressive episodes are specifically associated with one's menstrual cycle or if it is more generalized fitting a different type of depression. I am not sure about the other professions and whether it is unknown in that space!

How to spot the signs

PMDD is serious! This is not "PMS" or "just cramps." PMDD affects people's lives. It will impact functioning in areas of social, romantic and potentially occupational functioning. Often times, I see people with this condition that have no idea what is happening and they think that they just have normal 'PMS' issues. The keys here are that the person's personality really seems to change specially in relation to where they are in their cycle. They may have mood swings, physical symptoms and inability to regulate emotions effectively. They often feel shame and guilt over these experiences.

And how to get help/cope

First, let go of the shame! This is NOT your fault! You have a true condition that deserves help and assistance. As a psychologist, I understand that often the best treatment for such a condition is to work with a therapist for coping techniques, but also ensuring you have a OBGYN who has medically assessed the person and has ruled out anything else that could be happening. The treatment is typically therapy combined with medications like SSRIs prescribed by a licensed provider. With treatment, life can be so much better!