Premenstrual Dysphoric Disorder(PMDD)

• Mood changes that start in the week or two before your period and ease once it begins

• Severe irritability or anger that strains relationships or surprises even you

• Sudden sadness, hopelessness, or crying spells that follow a monthly pattern

• Anxiety, tension, or feeling “on edge” that builds before your period

• Feeling like a different person for part of each month

• Trouble concentrating, fatigue, or changes in sleep or appetite before your period

• Missing work, canceling plans, or avoiding people during certain weeks of your cycle

• Thoughts of self-harm or not wanting to be here, even if they pass after your period starts

If you are having thoughts of suicide or self-harm, call or text 988 (Suicide & Crisis Lifeline) or go to the nearest emergency room right away.