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Premenstrual dysphoric disorder

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Premenstrual dysphoric disorder (PMDD) - is not recognized by the DSM as an official diagnosis. It is instead diagnosed as Depressive disorder NOS. The DSM does include information about this condition in its section on proposed conditions.

PMDD is described as having the following symptoms (5 or more) present in the week prior to menstruation and have subsided for one week after menstruation for most menstruation cycles during the year. The symptoms include the following:

  • significantly depressed mood, feelings of hopelessness, or self-deprecating thoughts
  • significant anxiety, tension, or feelings of being "keyed up" or "on edge"
  • significant mood swings, feeling suddenly sad, or increased sensitivity to rejection
  • persistent and significant anger or irritability or increased conflict with others
  • decreased interest in usual activities
  • having difficulty concentrating
  • sluggishness, being easily fatigued, or significant lack of energy
  • significant change in appetite, overeating, or food cravings
  • insomnia or hypersomnia
  • feeling overwhelmed or out of control
  • physical symptoms including: breast swelling or tenderness, headaches, joint or muscle pain, feeling bloated, or weight gain

To meet clinical standards these symptoms also must cause significant distress or impairment in social, occupational, or other important areas of functioning.

The condition is also not caused or explained by another mood disorder.


Mood disorders as diagnosed by the DSM edit
Mood episodes: Major depressive episode Manic episode Mixed episode Hypomanic episode

Depressive disorders: Major depressive disorder Dysthymic disorder Depressive disorder NOS (PMDD)

Bipolar disorders: Bipolar I disorder Bipolar II disorder Cyclothymic disorder Bipolar disorder NOS

Other mood disorders: Mood disorder due to a general medical condition Substance-induced mood disorder Mood disorder NOS

Episode specifiers: Severity Psychotic Remission Chronic Catatonic Melancholic Atypical Postpartum

Course specifiers: Longitudinal Seasonal (SAD) Rapid cycling

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