01/06/2026
If you have PMDD, here's something nobody told you.
PMDD, Premenstrual Dysphoric Disorder, is a clinically recognised condition where the normal hormonal shifts of your cycle trigger something far beyond mood swings. Severe depression, explosive rage, crippling anxiety, a complete loss of yourself. It arrives before your period and lifts when bleeding starts. Every single month.
That sensitivity to hormonal shifts you've been living with your whole cycle? It doesn't switch off when your periods start getting irregular. In fact perimenopause, which can kick in years before your periods actually stop, is one of the hardest chapters for PMDD bodies.
Because perimenopause is basically hormones doing whatever they want. Up, down, unpredictable. And if your system already reacts hard to those drops and swings, that ride gets rougher before it gets smoother.
Many women with PMDD hold on to the hope that when their periods stop, so too will the symptoms. And for many once they are in post menopause, they do.
But the years of perimenopause, can be the hardest stretch of all. Things can get significantly worse before they get better, and most women are never warned about that.
If you're in your late 30s or into your 40s and things suddenly feel worse rather than better, that's not you falling apart. That might be your body moving into perimenopause and your PMDD reacting exactly how it was always going to react to it.
You are not broken. You are not untreatable. Even though those feelings may feel very real to you. Please know that you are not alone in this.
The Guardian published a piece last week on PMDD and the explosive rage and emotional chaos it can cause for women and the people around them. It is worth a read.
Keen to hear your thoughts in the comments š
And if any of this feels familiar, please know you don't have to figure it out on your own.
Sometimes the biggest relief comes from finally understanding what's happening and having someone help you connect the dots.
My inbox is always open.
https://www.theguardian.com/society/2026/may/30/pmdd-premenstrual-dysphoric-disorder-diagnosis-women-families-explosive-rage
TThe Guardian
Mothers with PMDD (premenstrual dysphoric disorder) explain how it has affected their relationship with their families