PMDD: a life-threatening mental illness

6 Responses

  1. Rose says:

    Thank you for writing this. I’ve have PMDD and went on birth control to manage the suicidal ideation I’d have about – you said it – ten days before my period. It was hell. I was taking all my bipolar meds but I was experiencing some of the worst depression of my life. I got scared that I’d act on the ideation so I went to my gyno and begged for relief.

    She put me on hormonal birth control and holy hell did my life change (for the better). I could function again, I could live again, and I didn’t have those thoughts anymore.

    For me, I don’t have a lot of physical pain. It’s just a shitton of mental pain and instability. I’m so happy that the birth control worked for me.

  2. Wow. This is extremely informative. I had heard of PMDD before but didn’t know the particulars. Thanks!

  3. Victoria Lowery says:

    I had no idea that this was a thing. All I can really say is thank you for writing this

  4. Prudence says:

    Thank you for bringing attention to this life-threatening condition. All too frequently, doctors dismiss people who struggle with the psychological effects of hormone fluctuations as just being overly emotional. By writing about your experience you have likely helped a number of people realize that they should be taken seriously and that there are treatments available.

  5. Trix says:

    Especially during Covid–where there’s so much exacerbation and overlap of physical and emotional symptoms –this is really important information for people to have. I’ve always resisted the medications you mentioned out of fear of side effects, so it’s good to know that those aren’t a given…

  6. Hannah says:

    I didn’t have PMDD, however I have major depressive disorder with anxiety and I had postpartum depression after my last child. I’m now in the middle of perimenopause, and it shocked me that without any other major change in my life, I was suddenly in a deep depressive episode with suicidal ideation. One day I just couldn’t think straight, I couldn’t function, and despite having a lot to live for, I just didn’t want to exist anymore. What I didn’t know is that anyone who has either a history of depression OR a history of PMDD or PPD (hormonal-related depression, is at a SIGNIFICANTLY higher risk for depression during perimenopause. Even my shrink and my psychologist didn’t tell me! And they’re women!

    Every woman is at higher risk for depression during perimenopause or menopause, regardless of history, and the medical profession is trying to train gynecologists and PCPs to more regularly screen for depression during the early stages of perimenopause.

    Thank you for bringing attention to PMDD. I’ve learned so much about my own depression as I cycled through meds and treatments that didn’t work. Genetic testing for meds helped me a great deal (it’s only done through a doctor, so the information is confidential, and it’s nothing like the commercial genetic testing options). Therapy, sleeping regularly, eating regularly, and a support network helps. But I wouldn’t be alive right now if I didn’t have an excellent psychiatrist handling my meds. PCPs are not equipped to prescribe psychotropic meds, period. It’s been 9 months and we’re still working on the right med balance, because of how everything changed when my body shifted into another stage of peri.

    You’re not alone – and I’m grateful that you shared what you’ve been going through. I swear if men went through 1/100th of what we do, there’d be no issues with funding, research, and insurance coverage of psychological care.

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