Managing PMDD with Psychotherapy
Premenstrual Dysphoric Disorder (PMDD) is characterized by significant mood disturbances and other physical symptoms that interfere with a woman's daily life in the weeks leading up to menstruation. PMDD is more intense than typical PMS and can have a substantial impact on a person's body, cognition, behaviour and emotional well-being. Psychotherapy can be an important part of navigating this complicated and overwhelming disorder, providing support, understanding, and effective coping mechanisms for individuals grappling with PMDD.
Understanding PMDD
Premenstrual dysphoric disorder is a type of depressive disorder that causes both emotional and physical symptoms. These symptoms usually begin one to two weeks before menstruation and gradually resolve after menstruation is over. PMDD is different from the typical emotional, physical and behavioral symptoms that most women experience prior to menstruation. With PMDD, not only are symptoms more severe, but they also negatively impact one’s life, relationships and self-concept. Symptoms may include depression, feelings of hopelessness, anxiety, anger, significant and sudden mood changes, decreased interest in activities or hobbies, difficulty concentrating, low energy, appetite changes, sleep disturbances, and feeling overwhelmed or out of control. They can also include physical symptoms such as bloating, breast tenderness, headaches, or muscle pain.
The Emotional Rollercoaster
Therapy provides a safe and non-judgmental space for individuals to express their emotions freely. Verbalizing the intense mood swings that can accompany PMDD and having them acknowledged by a supportive therapist can provide a sense of validation and understanding
Psychotherapeutic Approaches for PMDD
Cognitive-Behavioral Therapy (CBT)
CBT is a specific type of talk therapy that is effective for treating PMDD. This form of therapy focuses on changing thoughts and teaching skills to deal with anxiety, depression, and stress. Studies on CBT for women with PMDD have found that it can help improve a woman’s ability to deal with the physical and emotional symptoms
Mindfulness-based cognitive therapy (MBCBT)
MCBT is a type of cognitive behavioral therapy that focuses on increasing awareness and acceptance of negative thoughts, feelings, and sensations. It incorporates mindfulness-based techniques, like yoga, meditation, deep breathing, and guided imagery into treatment. Rather than resisting the physical and emotional symptoms of PMDD, MBCBT encourages women to accept these sensations and experiences without judgment
Creating Coping Strategies
Therapy offers a platform to craft personalized coping strategies tailored to an individual's lifestyle, needs, and specific PMDD symptoms. These strategies aim to empower individuals to navigate and mitigate the impact of PMDD effectively.
Enhancing Emotional Regulation
Therapists guide individuals in learning practical techniques for emotional regulation. Mindfulness exercises, deep-breathing techniques, and strategies to manage intense emotions play a crucial role in preventing emotional escalation.
Involving Support SystemS
Therapy extends beyond individual sessions to explore the importance of involving support systems such as family or partners in PMDD management. Family therapy or education can be incorporated to create a comprehensive support network.
A Final Word
Psychotherapy is an opportunity for clients to gain perspective and a sense of agency. It empowers individuals to advocate for their needs, ensuring they receive the necessary support to effectively manage PMDD.
In this way, psychotherapy becomes a valuable tool in the journey towards understanding and successfully navigating the complexities of PMDD. If you want some guidance, allow me to help you!
Book a consult with me here.
Ready to make a change?
If you're ready to explore how psychotherapy can support your mental health and how you can cope with PMDD, you can schedule a complimentary consultation with me here.
Wishing you all the best,
Meaghan George, RP (Qualifying)