Premenstrual Dysphoric Disorder Diagnosis

(Also Known As: Pmdd Diagnosis, PMS Diagnosis, Premenstrual Syndrome Diagnosis, Dysphoria Diagnosis, Mood Disorder Diagnosis)

(Reviewed by: Paul Peterson, Licensed Therapist)

How Is Premenstrual Dysphoric Disorder Diagnosed?

According to DSM-IV TR, Premenstrual dysphoric disorder is a kind of “depressive disorder not otherwise specified” which is focused on emotional and cognitive symptoms. In order for an individual to be diagnosed with premenstrual dysphoric disorder, there should be at least 5 of the 11 symptoms manifested in the individual. They should be limited to the luteal phase and should not be a complication of preexisting depression, personality disorder, or anxiety. The symptoms should likewise be confirmed by daily ratings for a minimum of two consecutive menstrual cycles. 7

During the past, majority of menstrual cycles were marked by the presence of at least five of the following symptoms which is manifested for the majority of the final week of the luteal stage and absent after the menses:

  1. Depressed mood, feeling of hopelessness, and low self-esteem
  2. Marked anxiety, feelings of being on the edge, and considerable tension
  3. Sudden sadness or high degree of sensitivity to rejection
  4. Consistent irritability or increased interpersonal difficulties
  5. Lack of interest in regular activities
  6. Subjective difficulty concentrating
  7. Lethargy, decreased or zero energy
  8. Change in appetite, craving for particular type of food, and fatigued.
  9. Insomnia or hypersomnia
  10. Overwhelming or loss of control
  11. Swelling or tenderness in the breast, headaches, pain in the muscles or joints, feeling of bloatedness, or increase in weight.

In addition, for a condition to be diagnosed as premenstrual dysphoric disorder, it should be disturbing work, school, or usual activities as well as interpersonal relationships. Likewise, it should not be a complication of other disorders. In a normal cycle, the symptoms manifest themselves ten to fourteen days prior to the start of the menstruation cycle. The symptoms gradually die down at the onset of the cycle. When symptoms are present in other times during the cycle, this is an indication of a mood or anxiety disorder.

Could You Have Premenstrual Dysphoric Disorder?

Premenstrual Dysphoric Disorder Topics

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Anxiety Disorder NOS – anxiousness, excessive worry, fatigue, exhaustion, stress