Premenstrual Dysphoric Disorder (PMDD) is characterized by severe depression symptoms, irritability, and tension before menstruation. To be diagnosed, at least five symptoms must be present in the week before a woman's period starts, improve within a few days after her period begins, and be minimal or absent the week after. These symptoms include mood swings, irritability, depressed mood, anxiety, decreased interest in activities, difficulty concentrating, easy fatigability, appetite changes, and sleep disturbances. Effective treatments include cognitive behavioral therapy, light therapy for women also experiencing seasonal affective disorder, and medication.

1. Premenstrual Dysphoric Disorder
Dlivan Mohammed

2. Premenstrual Dysphoric Disorder (PMDD) is a condition in
which a woman has severe depression symptoms,
irritability, and tension before menstruation.

3. Diagnostic Criteria According to DSM-5
A. In the majority of menstrual cycles, at least five symptoms must be present in
the final week before the onset of menses, start to improve within a few days after
the onset of , and become minimal or absent in the week postmenses.

4. B. One (or more) of the following symptoms must be present:
 Mood swings
 Marked irritability or anger or increased interpersonal conflicts.
 Marked depressed mood
 Marked anxiety

5.  Decreased interest in usual activities
C. One (or more) of the following symptoms must additionally be present:
 Difficulty in concentration
 Easy fatigability
 Change in appetite
 Sleep Disturbance
 overwhelmed or out of control
 Physical symptoms ..
Criteria A-C
Most Menstrual Cycles
Preceding year

6. D. Clinically significant distress or interference
Work
SchoolRelationships
Social
Activities
E. The disturbance is not merely an exacerbation of the symptoms of another disorder.
F. Criterion A should be confirmed by prospective daily ratings during at least two
symptomatic cycles.
G. The symptoms are not attributable to the physiological effects of substance or
another medical condition.

7. Associated Features Supporting Diagnosis
• Delusion
• Hallucination
• Suicide

8. Genetic and
physiological
Environmental
Hormones
Culture-
Related
Diagnostic
Issues
Overweight
Alcohol or
substance
abuse
Lack of
exercise
Factors of PMDD
( May play role)

9. Prevalence
Twelve-month prevalence of premenstrual dysphoric disorder is between 1.8% and
5.8% of menstruating women. 1.8% without functional impairment and 1.3% for
with functional impairment.

10. Treatment
 Cognitive Behavioral Therapy
Relaxation techniques
 Light therapy
(Comorbid with Seasonal Affective Disorder )
 Medication

11. Thank you
for your
attention