What is PMDD?
Premenstrual dysphoric disorder causes severe depression, anxiety, or irritability in the 1-2 weeks before your period. It affects about 5-8% of women of reproductive age. PMDD is not just bad PMS -- it is a recognized psychiatric condition that responds to treatment.
For military spouses and women in demanding roles, PMDD can make an already stressful life feel unmanageable for half the month.
How We Treat PMDD
SSRIs are the first-line treatment. Some patients benefit from daily dosing, while others respond to luteal-phase dosing -- medication only during the symptomatic weeks. We work with you to find the right approach. Common medications include sertraline (Zoloft), fluoxetine (Prozac), and escitalopram (Lexapro).
What to Expect
We review your symptom pattern and cycle timing. Mood tracking data is helpful if you have it. Treatment can often begin at your first visit. Most patients see improvement within 1-2 cycles.
Insurance and Payment
Covered by TRICARE, Blue Cross NC, Aetna, Cigna, UnitedHealthcare, and NC Medicaid. Cash pay is available.
When to Get Help
If your mood crashes predictably before your period, if relationships suffer on a monthly cycle, or if you have been dismissed with 'it is just PMS' -- a PMDD evaluation can confirm what you already suspect and get you on a treatment that works.