What is premenstrual dysphoric disorder (PMDD)? 

Premenstrual dysphoric disorder (PMDD) is a condition that affects many people in Quebec. PMDD can have an impact on the mental health of those who experience it, and may even lead to suicidal thoughts. This article provides information on the symptoms, causes, and possible solutions. 

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What is the definition of premenstrual dysphoric disorder? 

Some people see premenstrual dysphoric disorder (PMDD) as a more extreme version of premenstrual syndrome (PMS). While PMS and PMDD share some similarities, what distinguishes PMDD is the severity of its symptoms. 
  
Since 2013, TDPM has been classified as a depressive disorder in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). It affects the mental health and daily lives of those who experience it. 
 

What are the symptoms of PMDD?

Symptoms of PMDD appear during the luteal phase of the menstrual cycle (that is, approximately one week before menstruation begins). They subside during the follicular phase (during menstruation). 
  
Here are a few examples of symptoms associated with PMDD:   
  
Physical: breast tenderness, muscle pain, headaches (including migraines), extreme fatigue, etc. 

Behavioural: lethargy, loss of interest in usual activities (work, school, hobbies, etc.), difficulty concentrating, hypersomnia or insomnia, changes in eating habits, etc. 

Mood: rapid mood and emotional swings, irritability, depressive mood, feelings of hopelessness, anxiety, distorted self-image, paranoia, suicidal thoughts, etc.  
  
It’s important to note that these symptoms are examples and may vary from person to person. A diagnosis can only be made by a general practitioner or a psychiatrist. 

What is the difference between premenstrual syndrome (PMS) and PMDD?

PMS and PMDD share many similar symptoms. The differences lie primarily in: 
  

  • The severity of symptoms   
  • The impact on daily life   
  • The specific nature of certain symptoms 


A person with PMDD will experience significant disruptions in their life that prevent them from carrying out their daily activities as usual. Their loved ones may notice the change. 

 

Impact of PMDD on quality of life 

PMDD can have a significant impact on the quality of life of those who experience it. Emotional symptoms can affect personal and professional relationships, leading to difficulties in daily life. Recognizing the impact of PMDD is particularly important in encouraging those affected to seek medical support.

Can PMDD contribute to suicidal thoughts?   

PMDD can lead to states and emotions that are very difficult to manage on your own, and may even contribute to suicidal thoughts in some cases. It’s important to what you’re going through seriously. 
 
If you’re having suicidal thoughts, several options are available to you:     

For short-term help with suicidal thoughts, contact these toll-free, confidential services, available 24 hours a day, 7 days a week: 
  


For long-term support: 
  

  • Consult a healthcare professional (doctor, psychiatrist, etc.) to assess your health. 
  • Call Info-Social at 811 (option 2) to learn about available treatment options.  
  • Find a psychologist or psychotherapist for a follow-up.  


You can also visit the I’m Thinking About Suicide section for a range of tips on how to take care of yourself. 

Femme triste assise sur un divan

Additional Information on PMDD