premenstrual dysphoric disorder…

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depression, menstrual cycle, pmdd, premenstrual dysphoric disorder, pmdd, condition marked by severe depression, irritability, tension, menstruation, more severe than those, premenstrual syndrome, pms, pms, pmdd, social, cultural, biological, psychological factors all, involved, researchers estimate that pmdd affects between 3%, 8% of women in reproductive years, major depression is very common, pmdd, pmdd, occur in women who, not have a history of major depression, studies have found that women, seasonal affective disorder, sad, a form of depression characterized by annual episodes of depression, fall, winter that improve, in the spring, summer, likely to, pmdd, symptoms of pmdd, similar to those of pms, generally more severe, debilitating, symptoms occur, last week of most menstrual cycles, improve, a few days, period starts, five, symptoms must be present, feeling of sadness, hopelessness, suicidal thoughts, feelings of tension, anxiety, panic attacks, mood swings marked by periods of teariness, persistent irritability, anger, people, disinterest in daily activities, relationships, trouble concentrating, fatigue, low energy, food cravings, binge eating, sleep disturbances, feeling out of control, physical symptoms, bloating, breast tenderness, headaches, joint, muscle pain, no physical examination findings, lab tests specific, diagnosis of pmdd, a complete history, physical examination, a pelvic exam, psychiatric evaluation, conducted to rule out other potential conditions, keeping a calendar, diary of symptoms, women identify the most troublesome symptoms, times they, likely to occur, information, help the health care provider diagnose pmdd, determine the appropriate treatment, women, pmdd helped by the following, regular exercise 3-5 times per week, adequate rest, a balanced diet, increased whole grains, vegetables, fruit, decreased, no salt, sugar, alcohol, caffeine, important to keep a diary, calendar to record the type, severity, duration of symptoms, selective serotonin-reuptake inhibitors, ssris, antidepressant drugs, treat pmdd, ssris include fluoxetine, prozac, sarafem, sertraline, zoloft, paroxetine, paxil, fluvoxamine, luvox, citalopram, celexa, ssris, relieve physical symptoms, irritability, tension, in fact, ssris appear to relieve pms-related depression much faster than major depression, women, pmdd, major depression, need only take ssris, 14-day premenstrual period, approach, intermittent treatment, fewer side effects than, ssris, treat major depression, nutritional supplements, vitamin b-6, calcium, magnesium, pain relievers aspirin, ibuprofen, headache, backache, menstrual cramping, breast tenderness, diuretics useful, women who experience significant weight gain, due to fluid retention, after proper diagnosis, most women, pmdd find that symptoms go away, drop to tolerable levels, pmdd symptoms, become severe enough that they interfere, a woman's daily life, women, depression, have worse symptoms, second half of cycle, require medication adjustments, 10% of women who report pms symptoms, pmdd, suicidal thoughts, incidence of suicide in women, depression is significantly higher, latter half, the menstrual cycle, pmdd associated, eating disorders, smoking, having suicidal thoughts, pms symptoms, not improve, self-treatment, pms symptoms, interfering, daily life.