Premenstrual Dysphoric DisorderSymptoms of premenstrual dysphoric disorder include those typical of all depressions...sadness, emptiness, loss of interest and pleasure, irritability, anger, changes in appetite, sleep problems, restlessness, slow movement and thinking, fatigue, worthlessness and guilt, poor concentration, thoughts about death and suicide. Other symptoms which are often experienced are breast pain and swelling, headaches, bloating, weight gain, abdominal discomfort, joint pain, and muscle pain. The symptoms of premenstrual dysphoric disorder usually begin the week before menstruation and ends a few days after menstruation starts. Some women experience symptoms during ovulation. The symptoms are severe enough that they interfere with the person's ability to carry out daily activities. Recommended treatment for premenstrual dysphoric disorder includes medication. Antidepressants have been found to help reduce the symptoms. Psychological treatment directed at helping the person develop stress management and coping skills has also been found to be helpful.
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