Menstrual Mood Swings and PMDD: Understanding Irritability
- Analin Flores

- 3 days ago
- 5 min read

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A common question that comes around when women are feeling irritable during their period is "Are you in that time of the month?" This question may bring up many feelings but what you are experiencing is more than just symptoms of your period; your feelings are real and should not be minimized. Menstrual mood swings are a common experience for many women, but when these emotional shifts become severe and debilitating, they may signal Premenstrual Dysphoric Disorder (PMDD). In this blog, we will explore what causes these intense mood changes, how to distinguish between normal PMS and PMDD, and the effective treatment options available to help you regain control and find relief.
What Is Premenstrual Dysphoric Disorder?
Premenstrual Dysphoric Disorder, or PMDD, is an intense form of premenstrual syndrome or PMS. While many women experience some PMS symptoms, PMDD is something that often requires professional care. Often times, it interferes with daily life and makes it hard to complete everyday tasks or maintain relationships.
What are the Symptoms of PMDD?
The Symptoms of PMDD affect both your physical and mental health. Here are the most common symptoms that are associated with PMDD:
Emotional and Mental Symptoms:
Severe mood swings
Intense irritability or anger toward others
Depression or feelings of hopelessness
Anxious thoughts
Feeling overwhelmed by everyday tasks
Difficulty concentrating
Loss of interest in hobbies
Physical Symptoms:
Fatigue and low energy
Changes in appetite
Too much or too little sleep
Bloating
Frequent headaches or joint pain
PMDD, Anxiety, and Depression
PMDD, anxiety, and depression are all related to each other, and with PMDD those feelings of anxiety and depression can feel even worse. Below are a few ways that PMDD, anxiety, and depression are connected:
Common symptoms: With PMDD, women typically experience the same symptoms of depression such as low energy, loss of interest in activities, or severe mood swings. With depression, these feelings can become overwhelming.
Overextending yourself: Another behavior typical of PMDD is trying to overextend yourself or take on more than what you can handle with your tasks. You push yourself to keep up with work deadlines, responsibilities, commitments, and goals all while your body and mind are under pressure from PMDD. This leaves you feeling completely depleted. With the low energy that naturally comes with PMDD, this can make coping even more difficult.
Ways to Cope with PMDD
While experiencing PMDD is out of your control, fighting back against is in your control. When PMDD begins to harm relationships, slow you down, and keeps getting in the way, action needs to be taken against it. Below are a few tips and methods to alleviate PMDD:
Noticing changes: Understand and identify your symptoms or feelings and determine if they are reasonable.
Acknowledging your behaviors: Understand that your actions can harm relationships with those around you, and be ready to acknowledge when you lash out and apologize for your actions.
Don't ignore your feelings: Don't push feelings down or pretend they don't exist. Take time to talk about them and understand them.
Practicing mindfulness: Mindfulness is paying attention to what's happening in your body and mind without criticism. Pay attention to when you start to feel anxious or angry and think in your mind, "I am feeling anxious" or "I am feeling angry."
Using grounding techniques: When you start to feel overwhelmed, begin to use grounding techniques. Take deep breaths and ask yourself what you're feeling right now, where you feel it in your body, what triggered this feeling, and if it is appropriate for the situation.
Seeking professional help: If PMDD is affecting your quality of life, it's time to reach out for help. Contact a mental health professional if your symptoms interfere with work or relationships, you feel out of control, or you're struggling with anxiety or depression.
Next Steps for Overcoming Premenstrual Mood Disorder
While living with premenstrual mood disorder you do not need to face the struggle alone. With how much PMDD intensifies PMS, letting it go unchecked could come with serious consequences.
Whether you're struggling with depression, anxiety, mood swings, or any other type of mental health issue, Florecer Family Counseling is ready to provide the help you need. Visit us at our offices located in Woodland Hills in the San Fernando Valley or San Bernardino, or connect with us online from anywhere in California. Give us a call or contact us today to schedule your first appointment.
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Frequently Asked Questions About PMDD
Who is at risk for PMDD?
Any woman who menstruates can develop PMDD, but it's most common in women in their late 20s to early 40s. You're at higher risk if you have a personal or family history of depression, anxiety, or postpartum depression.
When should I be concerned about my PMDD?
You should seek help when your symptoms interfere with your work, relationships, or daily activities. If you have thoughts of harming yourself or feel unable to function during the premenstrual phase, contact a mental health professional immediately.
How is PMDD different from PMS?
PMDD is much more severe than regular PMS and causes serious emotional and physical symptoms that disrupt your daily life. While PMS might make you feel uncomfortable or moody, PMDD can make it hard to work, maintain relationships, or complete everyday tasks.
Can PMDD be cured?
PMDD cannot be completely cured, but it can be effectively managed with the right treatment plan. Many women find significant relief through therapy, lifestyle changes, medication, or a combination of approaches that help them live full, balanced lives.
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