Condition
PMDD
Premenstrual Dysphoric Disorder (PMDD) is a severe form of PMS (Premenstrual Syndrome) that causes extreme mood shifts and other symptoms in the week or two before a menstrual period.

What it looks like
PMDD can cause symptoms such as severe depression, intense anxiety, irritability, anger, and sleep disturbances — strong enough to significantly disrupt daily life, work, and relationships.
Unlike standard PMS, PMDD symptoms are predictable, recurring, and severe enough to require clinical attention. They typically appear in the luteal phase of the menstrual cycle and resolve within a few days of menstruation beginning.
Treatment options
PMDD can be successfully treated with antidepressants and/or other medication, but psychological support may also be required. The right combination depends on your symptoms, severity, and personal preferences — which we work through together at the assessment stage.
How we treat this at IASO
Treatment begins with a thorough psychiatric assessment to understand the full picture — your history, your symptoms, and what you actually need. From there we build a plan around you: evidence-based, paced sensibly, and revisited as you progress.
Care may include psychotherapy, medication, or a combination — chosen and adjusted based on what works for you. Everything is discussed openly, and nothing is prescribed without a clear clinical reason.
