506- Exploring the PMDD-ADHD Link: How to Recognize and Treat Premenstrual Dysphoric Disorder
Jun 11, 2024
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Dara Abraham explores the intricate link between PMDD and ADHD, discussing symptoms, treatment options, and challenges. The podcast covers managing symptoms, treatment strategies, and the impact of hormonal fluctuations on mental health. It also highlights the complexities of treating individuals with PMDD, ADHD, and anxiety, and the challenges faced during perimenopause.
PMDD and ADHD have a strong link, with severe symptoms impacting daily functioning before menstruation.
Hormonal fluctuations, especially serotonin levels during the luteal phase, play a key role in exacerbating PMDD symptoms.
Deep dives
Understanding PMDD and ADHD Link in Women's Health
PMDD, affecting up to 8% of women overall and up to 45% of women with ADHD, leads to severe anxiety, emotional dysregulation, and other symptoms starting one to two weeks before menstruation. Lack of diagnosis and treatment poses serious health risks, emphasizing the need for awareness and screening. The relationship between PMDD, hormones, and ADHD is explored for comprehensive treatment strategies.
Overview of PMDD Symptoms and Hormonal Sensitivity in Women
PMDD exhibits severe symptoms like mood swings, anxiety, fatigue, and concentration difficulties before menstruation, impacting daily functioning. Hormonal fluctuations, particularly sensitivity to estrogen and progesterone variations, contribute significantly to PMDD symptoms, affecting neurotransmitters like serotonin and dopamine. Low serotonin levels during the luteal phase exacerbate PMDD symptoms, highlighting the chemical complexity of the disorder.
Treatment Strategies for PMDD Patients
Treatment for PMDD ranges from lifestyle changes and over-the-counter remedies to hormonal contraceptives and integrative therapies like acupuncture. SSRIs, such as Prozac and Zoloft, are primary treatments for PMDD, enhancing serotonin levels rapidly to alleviate symptoms. Hormonal therapies, including birth control and gonadotropin-releasing hormone agents, offer more intensive interventions if initial treatments are ineffective.
Impact of Perimenopause on PMDD and ADHD Symptoms
Perimenopause intensifies PMDD symptoms as hormonal fluctuations increase, affecting mood disorders and ADHD. Recognizing the challenges faced during perimenopause, proactive communication with healthcare providers to adapt treatment plans becomes crucial for addressing the overlapping symptoms effectively. Seeking specialists in perinatal psychiatry or integrative medicine can provide tailored support for managing PMDD and ADHD during perimenopause.
Many women with ADHD experience what feels like premenstrual syndrome (PMS) — on steroids. Symptoms include severe sadness, irritability, fatigue, and physical discomfort. Dara Abraham, D.O., delves into the intricate interplay between PMDD and ADHD.
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