22/11/2024
On PMDD.
What the hell is PMDD?
PMDD is Pre-Menstrual Dysphoric Disorder and affects around 5-10% of menstruating women! That's a lot, considering most people have never even heard of it. Essentially, PMDD is like a much more severe form of premenstrual syndrome (PMS). Itās a severe and chronic health condition that needs compassion and understanding.
Almost half (49%) of women suffering from PMDD attempt su***de. Around 3 quarters have regular and persistent suicidal thoughts during the 5-10 days per month they experience the symptoms. Even though they may feel quite well the rest of the month, this is hugely debilitating and makes it hard to carry on with normal life. Sufferers have trouble functioning at home, at work, and in relationships during this time.
So how do you know if you have PMDD?
Symptoms of PMDD start during the week before menstruation and end within a few days after your period starts.
The following are common symptoms of PMDD:
⢠Depressed mood, sadness, hopelessness, or feelings of worthlessness
⢠Increased anxiety, tension, or the feeling of being on edge all the time
⢠Self-critical thoughts, increased sensitivity to rejection
⢠Frequent or sudden tearfulness
⢠Increased irritability, anger, or both
⢠Conflict with family, co-workers, or friends
⢠Decreased interest in normal activities
⢠Concentration problems
⢠Fatigue, lethargy, or lack of energy
⢠Changes in appetite, such as binge eating, overeating, or craving certain foods
⢠Changes in sleep pattern, such as excessive sleeping or difficulty sleeping
⢠Feelings of being overwhelmed or out of control
If this sounds familiar ā whether for yourself or someone youāre close to - know that you are not alone (It can be very hard for partners and family members of sufferers to know how to support - know that any attacks or outbursts are not personal and try and be as compassionate as you can).
Some women suffer this their whole lives, while others develop the symptoms later in their menstrual years. And then of course it can be difficult to discern whether itās perimenopause as some symptoms are the same. The suicidal ideation however, seems to be distinctive factor of PMDD, and as many su***de attempts are successful, it's important you reach out letting people know when it gets bad.
While seeing a physician is important, sadly there are few great medical options. Getting some good counselling and other nurturing support and a solid self-care regime during this time can be hugely beneficial.
There still needs to be a lot more research done, but considerable āanecdotalā evidence suggests there may be a link to developmental trauma. Counselling, psychotherapy and other healing modalities can be of considerable benefit if this is the case.
Whatever you choose, donāt suffer alone.
If you need urgent help, call a 24 hour support line.
Lifeline Australia - 13 11 14 - Crisis Support. Su***de Prevention.
Beyond Blue: 24/7 Support for Anxiety, Depression and ... 1300 22 4636