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PMDD

Premenstrual dysphoric disorder (PMDD) is a severe form of premenstrual syndrome (PMS) characterized by significant irritability, depression, or anxiety before menstruation, with symptoms typically resolving shortly after the period begins. Diagnosis requires at least five specific symptoms to be present in the week before menstruation, causing significant distress or interference in daily life. The condition must be distinguished from other mental health disorders and confirmed through daily symptom ratings over multiple cycles.

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8 views4 pages

PMDD

Premenstrual dysphoric disorder (PMDD) is a severe form of premenstrual syndrome (PMS) characterized by significant irritability, depression, or anxiety before menstruation, with symptoms typically resolving shortly after the period begins. Diagnosis requires at least five specific symptoms to be present in the week before menstruation, causing significant distress or interference in daily life. The condition must be distinguished from other mental health disorders and confirmed through daily symptom ratings over multiple cycles.

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karimullah201
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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PREMENSTRUA

L DYSPHORIC
DISORDER
Premenstrual dysphoric disorder (PMDD) is a health problem that is similar to
premenstrual syndrome (PMS) but is more serious. PMDD causes severe
irritability, depression, or anxiety in the week or two before your period starts.
Symptoms usually go away two to three days after your period starts.
DIAGNOSTIC CRITERIA
A. In the majority of menstrual cycles, at least five symptoms must
be present in the final
week before the onset of menses, start to improve within a few days
after the onset of
menses, and become minimal or absent in the week postmenses.
B. One (or more) of the following symptoms must be present:
1. Marked affective lability (e.g., mood swings; feeling suddenly sad
or tearful, or increased sensitivity to rejection).
DIAGNOSTIC CRITERIA
2. Marked irritability or anger or increased interpersonal conflicts.
3. Marked depressed mood, feelings of hopelessness, or self-deprecating thoughts
4. Marked anxiety, tension, and/or feelings of being keyed up or on edge.
C. One (or more) of the following symptoms must additionally be present, to reach a total
of five symptoms when combined with symptoms from Criterion B above.
1. Decreased interest in usual activities (e.g., work, school, friends, hobbies).
2. Subjective difficulty in concentration.
3. Lethargy, easy fatigability, or marked lack of energy.
4. Marked change in appetite; overeating; or specific food cravings.
5. Hypersomnia or insomnia.
6. A sense of being overwhelmed or out of control.
7. Physical symptoms such as breast tenderness or swelling, joint or muscle pain, a
 sensation of “bloating,” or weight gain.
DIAGNOSTIC CRITERIA
Note: The symptoms in Criteria A–C must have been met for most
menstrual cycles that

occurred in the preceding year.

D. The symptoms are associated with clinically significant distress or


interference with

work, school, usual social activities, or relationships with others


(e.g., avoidance of social activities; decreased productivity and
efficiency at work, school, or home).

E. The disturbance is not merely an exacerbation of the symptoms of


another disorder,

such as major depressive disorder, panic disorder, persistent


depressive disorder

(dysthymia), or a personality disorder (although it may co-occur with


any of these disorders).

F. Criterion A should be confirmed by prospective daily ratings during


at least two symptomatic cycles. (Note: The diagnosis may be made
provisionally prior to this confirmation.)

G. The symptoms are not attributable to the physiological effects of


a substance (e.g., a

drug of abuse, a medication, other treatment) or another medical


condition (e.g., hyperthyroidism)

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