Do You Feel ‘Crazy’ Around the Time of Your Period? Unpacking Premenstrual Dysphoric Disorder (PMDD) with Dr Izzy Smith
Jun 4, 2024
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Dr Izzy Smith, a specialist in PMDD, discusses the stigma around extreme mood shifts during periods. They cover topics like PMDD vs PMS, causes, treatment, and navigating healthcare experiences. The conversation delves into PMDD in different life stages, medical misogyny, and advocating for your own health.
Having a name like PMDD can validate experiences, dispel stigma, and foster understanding and support.
Treatment options for PMDD include lifestyle changes, supplements, and medication like antidepressants for severe cases.
Deep dives
Understanding PMDD Symptoms and Diagnosis
PMDD, or pre-menstrual dysphoric disorder, is characterized by severe emotional and physical symptoms experienced before and during the menstrual cycle. These symptoms include extreme mood shifts, depression, irritability, and feelings of hopelessness. Diagnosis involves meeting specific criteria, such as heightened sensitivity to criticism, mood swings, and physical symptoms like fatigue and muscle aches.
Differentiating PMDD from PMS and its Impact on Daily Life
PMDD is distinct from PMS and can significantly impact an individual's ability to function normally. The conversation around PMDD is crucial due to the fine line between normal emotional reactions and more severe manifestations that hinder everyday life. Validating the experiences of those affected by PMDD is essential, as symptoms can lead to challenges in relationships, work, and overall well-being.
Treatment Approaches and Challenges in Managing PMDD
Treatment options for PMDD range from lifestyle adjustments to medication. While supplements like magnesium and vitamin B6 may offer some relief, antidepressants like fluoxetine are often prescribed for severe cases. Balancing the use of medication with lifestyle modifications and tracking menstrual cycles remains key in managing PMDD effectively.
Research Insights and Public Awareness on PMDD
PMDD research faces challenges due to underfunding and the complexity of understanding hormonal and neurotransmitter interactions. Increased awareness and advocacy for women's health issues, including conditions like PMDD, are essential for improved diagnosis and treatment outcomes. Additionally, promoting open conversations and educating partners about PMDD can foster greater understanding and support for individuals experiencing these challenges.
There’s a huge amount of stigma associated with anything to do with our periods and for a lot of people, they may have spent years being told that they are dramatic, moody and irrational around the time of their period. As it turns out, it may not have just been ‘that time of the month’. They may experience a condition called PMDD or Premenstrual Dysphoric Disorder.
As for any invisible health condition, having a name for it can be really validating and give you a sense that you’re not crazy and you’re not alone. It also helps people around you understand what might be going on so this episode isn’t just for the girlies who experience extreme mood shifts like depression, irritability, anger and hopelessness around their period, it’s also for those of us who don’t so that we can be more supportive for a loved one who does.
Today we have Dr Isobelle Smith, an endocrinologist with over 10 years of experience in hormones, joining us to unpack the ins and outs of PMDD. We chat:
What PMDD is and how it differs from PMS
The stigma of ‘erratic’ moods and emotional dysregulation
The possible causes of PMDD
PMDD being listed as a mental disorder
Treatment and management for PMDD
How PMDD changes over the course of your ‘reproductive’ years
PMDD in perimenopause and menopause
Medical misogyny and advocating for your own health