Premenstrual dysphoric disorder

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During the last week before menstruating, for most of the menstrual cycles occurring during the course of a year, there have been at least five of the following symptoms which have disappeared shortly after commencing menstruation:

• Significantly low mood;
  
• Marked anxiety or a feeling of being on edge;
  
• Fluctuating moods - suddenly feeling sad, rejected or tearful;
  
• Feeling persistently angry or irritable;
  
• Loss of interests in usual activities;
  
• Difficulty concentrating;
  
• Decreased energy or feeling of fatigue;
  
• Altered appetite, usually increased with cravings;
  
• Significantly increased or decreased sleep;
  
• A feeling of being out of control;
  
• Physical symptoms such as abdominal bloating, headaches, breast tenderness, joint or muscle pain and weight gain.

In order for the problem to be considered a disorder there has to be a significant disturbance in functioning. 

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