A girl with PMS might feel tired or a little out of it. It’s only PMDD if it is seriously impairing. “We all can have mood swings before the start of our periods, but in the case of PMDD we’re talking about feeling like a different person,” says Stephanie Samar, PsyD, a clinical psychologist who works with young women at the Child Mind Institute. The symptoms of PMDD are far more severe and often cause problems that persist even after the tampon box is back in the cabinet. Onset of PMDD can be any time after puberty.Īn estimated 75 percent of women and girls experience some emotional and physical discomfort around their periods, but the impact of PMS on their lives is usually relatively mild. Symptoms typically start 5-8 days before your period but can begin earlier, and go away once the period begins. Physical discomfort: exhaustion, bloating, cramps, headaches, tender breasts and body aches. Trouble concentrating or struggling to stay on on task. Intense sensitivity to rejection: worrying that everyone is mad at or unhappy with you. Feeling overwhelmed or like you’re barely getting by. Excessive crying or crying for no reason. Moodiness: feelings of depression, anxiety, irritability or even rage that seem to come out of nowhere. Symptoms of PMDD and PMS often appear similar and include: They occur during what’s called the luteal phase of the menstrual cycle, right before your period, when the uterus preps for the possibility of pregnancy with a surge of hormones. Like its better known but less extreme cousin, premenstrual syndrome (PMS), PMDD is a constellation of physical and emotional symptoms. Parents should take care to validate girls’ experiences, even while trying to help them manage symptoms in a healthier way. 
In some cases doctors may also suggest medication like birth control pills or taking antidepressants during the week when symptoms are at their worst. Changes in diet and exercise and therapies like CBT (cognitive behavioral therapy) can help. If you think your child might have PMDD, work together to track their symptoms: what they are, how bad they get, and how long they last. And though the symptoms that cause these blowups disappear once girls get their periods, the problems they cause - fights with friends, struggles at home, problems at school - don’t. A casual comment can trigger a major meltdown. The symptoms of PMDD have a serious impact on daily life. Physical symptoms like cramps, headaches, body aches and tender breasts are common. They may also have trouble concentrating and staying on task. Girls with PMDD might feel depressed, anxious or angry.
Symptoms are similar to PMS but more severe. Onset of PMDD can be any time after puberty. Symptoms typically start 5-8 days before their period but can begin earlier, and they go away once the period begins. People with PMDD are extra sensitive to the hormones that spike during that week. PMDD (premenstrual dysphoric disorder) is a serious condition that affects some women and girls in the week before their period.
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