CIZE Does Matter - A PMDD Exercise Challenge

For todayʼs guest post, please welcome The Healthy Hackress.  Her PMDD thread will be ongoing, and I will be happy to post updates here, but if you don't want to wait for me, please follow her journey with PMDD and exercise either on her Facebook page or blog.  She also has a lot of great ideas for—What else?—healthy hacks!  Well worth checking into, even if you donʼt have PMDD.

Recently I was diagnosed with PMDD. Here is my journey from diagnosis, to treatment and more importantly, how Cize by Shaun T gave me my life back.

According to research, PMDD affects 2-10% of women during their reproductive years. It’s common. Very common – but misdiagnosed and misunderstood. Thousands of women right now feel at a loss and don’t truly understand why they don’t feel “normal” or worse, why their life literally falls apart starting two weeks prior to their cycle. Isolation, fear and shame are all too familiar feelings of women suffering from PMDD. I am one of them. Do these symptoms seem familiar? Is it you or someone you love?

PMDD is a mood-based hormone disorder that is cyclic and reoccurring. Sounds like a death sentence, right? Imagine, every single month you know “ITʼS” coming. You’re not sure why but two weeks prior your cycle you’re all over the place. It's like ADD meets Bi-Polar for a 2 week fling, then they break up…until next month. You’re clingy. You’re crying one minute, screaming the next, then sitting quietly, unsure of WHAT just happened. Feeling a bit like Norman Bates with those “episodes.”

Seriously – that’s PMDD. If you have a significant other and they haven’t left you already (because, PMDD truly affects all relationships) – then you’re lucky. They feel it too – but they don’t understand.

You don’t need to wait for a medical professional to confirm a diagnosis of PMDD – it’s self- diagnosable. You track your symptoms and report to your doctor. This is a great tracker that you can use from The National Association for Premenstrual Dysphoric Disorder [now known as the Gia Allemand Foundation]. Basically, track how you’re feeling before, during, and after your cycle (anxiety, mood swings, irritability, sleep issues, etc). Your doctor is going to ask you to do this – so, if you go in already prepared you’re that much further ahead. This process took me 10 LONG months. Each month I tracked my symptoms so when I went to the doctor they couldn’t turn me away and just tell me, “Everything is normal.”  If you’re living with someone or have close friends/family – ask them to track for, or along with you. When you’re in “IT” – it’s very difficult to emotionally and mentally report back. Having someone point certain behaviors out can be hard – what I mean is, someone is going to tell you the RIGHT thing at the WRONG time – because, you’re not mentally/emotionally grounded. Try to remember – you NEED to hear it. Their unbiased observation is going to provide necessary data for yourself and doctor when treating YOUR PMDD.

Once I had all my data I made that initial appointment and received confirmation that Yes, “It’s PMDD.ˮ Finally, things fell into place and I could breathe a huge sigh of relief knowing I wasn’t crazy. Finally, someone was listening, and everything I had felt was real & important. I had done my research going in. I knew how PMDD was treated. I had questions on top of questions. I needed answers. After all, my children needed their mother and I needed myself. They started me on Yaz—reportedly the only over the counter birth control approved for PMDD. Yes, I know—bad reviews, lawsuits, etc.—BUT, when you’re in the Pits of Hell in the middle of a fight between Bi-Polar and ADD—you’ll try anything to destroy their toxic relationship. I tried Yaz. After my 2nd week both myself and my husband noticed a huge difference. I was less spacey – more clear in my thoughts and finally felt as if I had control. Did I still have anxiety at times? Sure, but mentally/emotionally I could WORK through it opposed to the constant feeling of drowning. Did I have irrational thoughts? Yes, but I was able to work through them. Yaz gave me some mental clarity back. Unfortunately, I developed an irregular heart rate at 145 – even when at rest. Physically, I was breaking down. After an ER visit and a couple visits to the Dr. – I came off of Yaz.

Then I tried Zoloft. *sigh* If you know me – I’m ALL natural—from giving birth naturally to treating headaches with almonds. I’m not huge on medication unless it’s NEEDED. “Well,ˮ I said to myself, “I have to try everything so I know at the end of the day – I did my best.ˮ  3 days later I caught myself staring out my window watching birds & not caring that I was sitting there staring out a window – Kathy Bates from Misery anyone? The things that once made me laugh no longer put a smile on my face. I wasn’t OK with that. I knew I wasn’t ME – bubbly, personable, caring – I wasn’t me. I was only on 25mg and that’s not even the therapeutic recommended dose of 50mg for Zoloft. I then safely decreased (with the support of my Dr.) to 12.5 and discontinued it. Wasn’t for me. That isn’t to say that someone else may not greatly benefit from SSRI’s.

Currently I’m on a different form of HRT (Hormone Replacement Therapy) – Continuous Birth Control, which would halt the dramatic changes in hormones and provide balance. I will need to report back on this as this is my newest form of treatment. Along with the birth control I’m taking a Vitamin B Complex, Daily Multi for Women – I Prefer Rainbow. Natural. Plant based. Also, I’ve added 2 TBSP of Ground Flax Seed to my oatmeal in the morning. According to research, Flax Seed can mimic the female hormone Estrogen and provide other benefits such as relief from Depression. In my search for Vitamins and Minerals that could/would provide potential relief from PMDD – I came across some great work by Dr. Mark Hyman – He’s truly fantastic. I’m a Certified PLATE by Zumba Instructor and he provided some of the training. Here is a great article he wrote with vitamins and remedies in helping to relieve PMS/PMDD.

Now, you ask “Why does Cize Matter Again?” I woke up one morning very early. I couldn’t sleep and was just DONE with doctors not knowing how to help. Done with being turned away. Done with being told “Everything is normal.ˮ I was just done. From one failed medication to another I had it and wanted/needed to take control back. Then I watched the infomercial for Cize. I asked my husband to get it for me because I was willing to try anything to get my new self and leave my old self behind. He did. I was nervous and hesitant. After all, I had tried Insanity and Shaun T delivered. He kicked my A$$ and that felt good. This time around I knew I needed something a bit more “me” – this was it. Cize gave me that. From the minute I played the first day I was hooked. Losing weight and becoming a size 5 was no longer relevant. Waking up everyday knowing I could beat my anxiety became my goal.

Each day it became easier. I felt a bit better. I still had the PMDD symptoms – but mentally, I felt stronger than ever. Shaun T will never truly understand what he helped me get back. I’m in week 4 and I feel better. I look forward to my routines with him because I know he’s right there telling me, “You got this.” I know missing a day isn’t acceptable. Each day Cize is my Zoloft, except I don't suffer from any side effects – like staring out a window for 20 minutes or losing the ability to laugh at everything that once brought a smile to my face.

Some women may need some additional SSRI as a support. Please don't take my experience as true for everyone. Don't be ashamed. Each and every woman needs to find THEIR treatment because PMDD for one is VASTLY different for another.  Listen to your body and remember – doctors aren’t always right. Be your own doctor and researcher. Keep a journal of symptoms and never, ever – stop fighting.

This thread will be ongoing. I will keep everyone posted on my 60 day Cize challenge that I intend on making a routine for the rest of my life. Each day I laugh more, feel the fight harder and see the results I’ve been looking for all along. Mental and emotional health are far more important than your physical appearance. That will come in time. Nourish your soul and show yourself everyday that you matter – release those feel-good hormones because exercise and movement is truly the first line of treatment for any disorder.

Don't be ashamed to share your story, ask questions and or seek support. If it isn’t a fight and doesn’t hurt getting it, it isn’t worth it. Fight hard. Remember, it isn’t about the scale, it’s about how you feel!

If you know someone presenting with PMDD symptoms. Reach out. Don’t push them away. Be a support. Share this blog. The biggest and most deficient need of women suffering from PMDD is support. The National Association for Premenstrual Dysphoric Disorder provides great support.

Thank you Shaun T for being there & giving me the strength to fight back.

 ~The Healthy Hackress

The Voices of PMDD - Battling the Darkness

Today's powerful guest post was written by Amanda Van Slyke, Founder and Editor-in-Chief of Flurt Magazine.  For more information, please visit Flurt's Facebook Page.

Every month around this time the darkness swallows me up. It seems to happen in an instant, where I previously felt more creative and fulfilled than I've felt in a long time. Just before the lights go out, I climb mountains of work that I've been trying to reach for weeks. I write essays full of passion and reach out to others for emotional connection. I walk down the street smiling ear to ear, thinking that maybe – hopefully, this time – I've escaped the torture I see others endure online. They post about how they can't do this anymore – about how it happens every month, and every month like clockwork it's the same thing – feelings of hopelessness, loneliness and isolation. But I am happy. I eat well and do yoga and meditate and run – everything you're supposed to do to get rid of the darkness. I think that if only people did what I did, they'd feel just as great as I do. I am the exception to the rule.

When I was younger, I came to a point where I'd felt like I had already died. I was a shell of a person, barely leaving my bed because of the fatigue and depression, stuffing my face with whatever temporarily took away the pain. I barely escaped to the west coast to get away from the darkness before it swallowed me whole – and I saw a lifestyle that could make me feel better. I stopped drinking, stopped eating sugar and dairy and gluten – and I know how you all feel about gluten, but it worked. For the first time in my life, my face cleared up. My bloated belly flattened. When I filled my body with fuel instead of poison, my energy started to come back. My depression started to lift. I could feel the oxygen coming back into my bloodstream. The more I took care of my body, the more I saw God through me – and I was an atheist.

I know that sometimes people take medication – SSRIs mixed with therapeutic conversation – and believe me, I've been on so many pills I considered swallowing them all at once. But pills took away something far deeper than the darkness – they took away my ability to feel your toes tingle and your whole body remember what spirituality feels like. And for me, I'm not willing to give up my God – the one that speaks to me through my own moans and screams. To me, feeling that numbness inside me might as well as be the death of me. So I tapered off my medication – well, after I tried to go cold turkey, and my boyfriend almost broke up with me. When I finally felt I was myself again – the one I had been searching for and didn't know could exist – I wanted everyone to know about the revolution.

And the revolution came in a plant based crusade. I felt like I had finally found a cure for the darkness. I went two years without eating meat, and I was so skinny my panties fell to the floor. But I still said that I was part of the movement. I shared photos of my recipes online, and talked about how well I was doing. But away from the limelight my diet fluctuated just as much as much as my mood. Just like I'd tapered off my medication, I tapered off fuel for my body, replacing it with poison – processed foods that were easy, thinking that just a little bit of junk food would make the pain go away. Because the pain never did, regardless of what I was eating. If I gave in and reached for the poison, it would spread throughout my body and the pain would inflate my belly and the lights would go out. And then I would say, "Screw it," like the people online that I thought just needed to be more like me.

I know now the darkness is inevitable. I know I need to do my best to choose the light – and that I won't choose it every day, nor will anyone else – even the gurus on Instagram who post photos of food I don't have the money to make. Because the darkness isn't a place where you only go when you're weak. Diet and exercise and medication is for the privileged – and I'm privileged enough – but sometimes I don't have much money for food or the will to leave my apartment, so I reach for something I know will be easy but harder in the long run. And then I spiral down – feeling hopeless, lonely, and isolated – where my only friend is the poison that I know will kill me. Because people die from this.

The darkness leaves you feeling like there's a hole where your heart should be – where you try to fill it with things to make the pain subside. Junk food, alcohol, sex, and drugs. But the real misery comes when you realize these things are never going to be enough. It comes from the knowledge that only finding self love can fill that hole – and trying to love yourself is hard when you never did. Once you see it's just you and the darkness, you can either stay up til morning or go to sleep. And while it's easy to say some are weak for not fighting, I don't blame them.

Because right now, I am unhappy. I walk around my apartment with swollen eyes, moping about how I'm just like everyone else, posting online about how I can't do this anymore, about how it happens every month, and every month like clockwork the darkness returns. But I know that soon the light will appear – so for today, I eat well, do yoga, meditate and run. I know it isn't a “cure,” but I know the more I take care of my body the more I'll see God through me. And maybe she can give me strength so I can see the light another day and remember what it's like to be happy – to smile ear to ear, thinking that maybe – hopefully, this time – I've escaped the darkness.

PMDD and Why Me?

Okay, we’ve heard enough stories for a while of what it’s like to have PMDD.We all know what it is by now.  And we know there is not much we can do about it once an episode hits.  The best we can hope for is to ride out the storm.  So a question I’m sure all of us have asked at one point or another is Why Me?

 Well, today I’m going to look into the possibilities I’ve uncovered so far.   First, however, a little background.  When does PMDD happen?  And How does PMDD progress? 

You don’t get it before your first period.  Girls, on average, in part due to the tremendous amount of environmental toxins being dumped into our lives, are now getting their first period at age 12.  Your probability of developing PMDD increases with each hormonal event in your life thereafter: pregnancy, miscarriage, abortion, or birth.  (You do not experience PMDD when you are pregnant, because you are not menstruating.) With each new pregnancy, your chances of developing PMDD increase.  And unless your PMDD is addressed, it will continue to worsen with each hormonal event, and as you age, becoming increasingly difficult through perimenopause, until it stops when you reach menopause.

But don’t start cheering yet…if your PMDD is not addressed before menopause, you run the serious risk of developing Major Depressive Disorder after menopause. 

The average age of menopause is 51. 

So, that means, on average, women have approximately 40 years during which we can develop PMDD.

What causes PMDD?

Nobody knows for sure just yet, but scientists do know it is a biological event that manifests as emotional symptoms.  What does that mean?  It means PMDD is caused by something that happens in your body and shows itself in your moods.  The closest science has come to defining what happens is that whatever happens, happens in concert with your menstrual cycle, and involves your hormones.  The hormones they are looking at the most these days are estrogen and progesterone.  It’s not that you have too much or too little, or maybe not even the balance between them, as this is still being studied, but that something goes awry in your brain when processing these hormonal fluctuations in your body.

That’s right.  Something goes wrong in your brain.  No news to us, right?  We’ve known all along something wasn’t right with our brains, with our thinking processes, during an episode of PMDD.  Why else would we say and do the things we say and do during an episode and not the rest of the month?

But I won’t go into all of that right now.  For now it’s good enough to know there is a biological “something” that happens where our brain does not properly process the fluctuating levels of our reproductive hormones during the second half of our menstrual cycle.  This leads to a disconnect in the brain, like when an extension cord comes apart from a plug, or when your cell phone coverage drops.  The result of this disconnect is a depletion of serotonin in the brain, the neurotransmitter that in part governs our moods, and our ability to be happy. 

This is why we crave carbs.  Carbs increase the level of serotonin in our bodies, and therefore improve our moods.  Problem is, most of us reach for the WRONG kind of carbs.  You know who you are and what you eat.  Not just any carbs will do.  But that’s the subject of another post. 

This is why doctors prescribe anti-depressants.  Certain antidepressants, called SSRI’s, help to increase the level of serotonin in our brains.  Problem is, we’re not low on serotonin all the time, and antidepressants come with a bunch of side effects that can make your symptoms worse.  Plus they don’t work at all for at least 40% of the women who take them.  (So if you’re one of the 40% or more, don’t blame yourself!)

This is why doctors prescribe birth control pills.  Birth control pills keep you from ovulating, which is the main cause of this shift in your hormones that your brain does not process correctly.  But again, this is treating only the symptoms and not the underlying cause, and birth control pills have their own array of side effects -- including death. 

Never mind that some women would rather be dead than suffer from another episode of PMDD.  I, for one, am not interested in taking something that could kill me when there are so many less drastic options to try.

Which brings me to the question of what contributes to PMDD?  Weight, lifestyle habits, including smoking, drinking, drug use, caffeine and sugar consumption, stress, trauma, abuse, and yes, genetics.  We’ll get more into genetics in another post.  For now it’s enough to know that in some cases, you really “can’t” help what happens to you when you’re experiencing an episode of PMDD.  It could be in your genes.

And if it’s in your genes, you’re not going to be able to cure it with a magic pill, be it synthetic or natural.  The best you can hope to do is manage the condition.

So what can you do about your PMDD?

You can address the things that apply to you. I’m not going to touch weight, because there are sooo many factors that go into a woman being overweight that it’s the most difficult of all for us to address.  (That’s a whole other blog post in itself as well, maybe even two or three.)  But yes, you can quit smoking, yes, you can cut down on your drinking, maybe even eliminate it altogether.  Same goes for caffeine -  you can cut out caffeine and not die – not like other options mentioned above.   You can cut back and even eliminate eating sugar.  And please do not make the mistake of thinking sugar substitutes are the answer to the situation.  If you’re determined to go that route, you’d be better off to keep eating sugar.  Raw sugar if you must, but no sugar is the best route of all.  Sugar feeds PMDD, and it also feeds cancer.  So think about it, and do what you can.

If you’re a sedentary soul, you can get more exercise.  Two to three half hour walks a week will do wonders for your PMDD.  45 minutes is even better.  Work your way up to whatever time you can spare.  Really, how can you not spare the time, when your life is at stake? 

Over-exercising is just as bad as not getting enough exercise.  More on why some other time.

Stress – starting to sound like a broken recording here, I know.  The stresses in our lives are as numerous and varied as our PMDD symptoms.  You know yours.  Get rid of them.   Don’t you deserve a better life? 

Rest – get as much as you can, especially during an episode.  Learn how to “Just Say No.”  Start small and work your way up.  And do it gently.  Don’t put it off until it becomes a snarl.

Nutrition – there’s a reason fresh, whole foods are good for you.  They’re packed with the nutrients your body, including your brain, needs to function properly.  You can’t get good nutrition from a box any more.  It just doesn’t happen.  And taking high quality, pharmaceutical grade vitamin supplements (not the cheap ones!) does help, but it doesn’t by a long shot make up for what you can do to make yourself feel better by simply eating foods as close to their natural state as possible.  Vitamins are meant to boost your nutritional balance, not replace what you lost from not eating right and depleting your body’s nutrients when you drink, smoke, and/or take drugs -- even common over the counter drugs. 

So there are a lot of things you can do to make your PMDD better.  Most, however, require time and effort.  It takes time to make good, healthy meals.  It takes time to listen to your body and become aware of what makes you feel better and what makes you feel worse.  It takes time to find the right treatment for your particular symptoms.  It takes time to make time for you, take time out for rest and relaxation, or deal with those messy stresses eating up your life.  It takes time to become comfortable with your emotions.  It takes time to work on your relationships.  It takes time to quit using the crutches you’ve been using to get through your however many years of PMDD.

But think of how many more years you have to go, and how it will only get worse if you don’t do something about it.  Do you want to spend your golden years depressed?

I know I don’t.  And I don’t want you to have to do it, either. 

You didn’t ask for the hand of cards you were dealt.  The best you can do is learn how to play them.  The information is out there. The willpower is inside you.  Are you going to sit around asking Why Me?

Or are you going to come to the table and say, Not Me. Not Today.

One day at a time.  That’s all you need to work with.  One hour at a time, if that’s all you have.  Pick one positive thing mentioned in this post, and do it for yourself, do it today.  Do the same thing tomorrow.  Keep doing it, one day at a time, until you have it down.  Then pick something else, and start the process all over again.  Baby steps are still steps in the right direction.

You can do it.  Because PMDD women are strong.  Super strong.  We have to be, with all that we have to deal with.

Liana is the author of PMDD and Relationships, a book written to help a woman with PMDD gain personal awareness, and insight into why she says and does the things she does.  PMDD: A Handbook for Partners, was written to help explain the unexplainable to partners of women with PMDD.  Either one of them can be used as a resource on tips for how to handle PMDD, or as a conversation starter for someone who wants to explain their PMDD to a loved one to someone they care about.  Both are available in ebook from Amazon and Smashwords (Kobo, ibooks, Nook, and Overdrive), and in print from Amazon, and the International Association for Premenstrual Disorders, or IAPMD.  For more information, please check out Liana's Facebook Page, Living with PMDD.

The Queen of Denial

She’s baaaack! And I’m not talking about me, writing this blog post. I’m talking about The Alien, or my PMDD self. After several months of relatively mild episodes, suddenly I’m hit with a humdinger. You know from my previous post, A Perfect Storm of PMDD, that I am one of the unfortunate many who have atypical PMDD, in that it occurs both before and after I menstruate. Kind of like a hurricane, with menstruation in the middle, serving as the eye of the storm, where I might feel lousy physically, but I’m clear-headed and things are relatively calm.

So, about ten days ago, I could feel a storm blowing in. I notice I’m starting to get agitated about things that don’t usually faze me. I realize I am emotionally looking for a fight, anywhere I can find it. I check the calendar, confirm it’s about that time of the month, and warn those closest to me that it may be a rocky few days. I back away from conversations and situations I know will set me off, and postpone any important decisions or discussions for a few days.

The storm came and went, no major incidents, other than a couple of afternoon naps due to extreme sleepiness. Menstruation started, and life was good again, aside from the physical discomforts of having a period. Usually, the second half of my PMDD begins on Day 3 of my period. So when Day 3 came and went with no trouble, I thought I was in the clear, home free, another PMDD episode averted. Kudos to me once again for not letting my PMDD get the better of me and wreaking all sorts of havoc in my life and personal relationships.

But this was not my usual period. This one lasted six days instead of three. Not a problem. I’m okay. Life is still good.

But then yesterday morning, I started noticing things. Like I tried to address an envelope, and my handwriting was all jumpy and spiky. My hand couldn’t control the pen the way it usually does. My typing was off, too. Kept hitting the wrong keys.

No matter. I’m just in a hurry.

Then I went to a funeral, at a church I had never been to before. I got lost. Suddenly I’m feeling anxious, confused, and my thoughts are scattered.

No biggie, it can happen to anyone.

At the funeral, all I wanted to do was weep.

Not a problem. People are supposed to be sad at funerals.

I came home, fixed myself something to eat. I work at home (in part due to my PMDD), so I started to work in my sun-drenched living room.

Suddenly I couldn’t keep my eyes open any longer.

Nothing unusual there, I told myself. The room was warm and I had just eaten.

Never mind that the room is equally warm and sunny most days, and I eat lunch every day about the same time and don’t get sleepy.

Finally I give in and take a nap, unable to concentrate or stay awake. It still hasn’t dawned on me, what is happening.

I wake up, totally ravenous, and wanting nothing but CHOCOLATE.

Still haven’t caught on. Or if I have, I’m in denial. I don’t have time for this nonsense. I have work to do.

A friend calls. We’re supposed to meet later on, go to Qigong class together. I want to know how soon “later on” is. Is it 4:30, 5:30, 6:30? If it’s sooner rather than later, I’ll wait to eat with my friend. If it’s later, I’ll eat now. No big deal either way, I just want to know, so I can plan my evening accordingly.

Somehow that simple conversation goes totally awry, and I end up in tears.

Bingo. The Alien has struck again. Now I know what’s going on. My PMDD has returned for round two. My head hurts, my eyes hurt, all I want to do is cry, and go back to sleep. But I’m too agitated and upset to go back to sleep, and I’m so effing hungry I want to scream. But I just ate a full meal a couple of hours ago. There’s no logical reason to be so hungry.

My friend calls back to see if I’m all right. How do I explain that everything is fine…but it’s not? How do I explain PMDD? This isn’t the type of conversation you want to have over the phone. It’s best that the other person can see the glassiness in your eyes, the exhaustion on your face, the lack of energy and slump of your body.

I fix something to eat (healthy carbs!) and work on a small project that only needs minimal concentration for an hour or so.

My friend arrives, and I try to explain what happened. He asks, “What can I do to help?”

The only answer I can come up with is, “Just be nice to me. I’m fragile today. Oh, and you might need to run interference for me at class. I’m not feeling very social right now.”

We go to class, and all goes well. I manage to muddle through the social aspects of class. The Qigong exercises get the blood circulating, produce the necessary boost in endorphins and serotonin. By the end of class, which was the absolute last thing I wanted to go to—I’d much rather have crawled back into bed and tried to sleep away my exhaustion—I was feeling 100% again, and had bought myself a couple of PMDD-free hours.

Because in my PMDD-induced confusion and misery I had forgotten what I could do to help myself. Light aerobic exercise. When I’m in the throes of a PMDD episode, and the last thing I want to do is get up and move, that’s the very thing I need to do. A simple walk is all it takes. After about 30 minutes, I start to feel better. By 45, I’m back on an even keel. An hour of any kind of light cardio activity and all symptoms are gone…

For about two hours.

So by the time I got home, I was back to being myself again. A totally different person. I was able to make it through the rest of the evening without incident.

But as soon as I opened my eyes this morning, I felt that heavy wet blanket of depression closing in on me again. The iron band around my head, the irritated eyes, like I’ve been crying (but I haven’t), the mental fuzziness, the sense of exhaustion even before I get out of bed.

There’s no denying it this time. It’s going to be another PMDD day.

Liana Laverentz is the award-winning author of two books on PMDD, PMDD and Relationships, and PMDD: A Handbook for Partners.  Both books are based on the most asked questions by her readers, and therefore the most popular posts on her blog, Living on a Prayer, Living with PMDD.  Both books are also an excellent resource for understanding your PMDD and starting a meaningful conversation with loved ones who want to know more about this debilitating disorder we live with daily. 

Sharing Our Stories of PMDD

Today we have a guest blogger, Joya, who has graciously agreed to share her story of PMDD. I invite others to contact me who would like to share your story of how you discovered you had PMDD, were diagnosed, and what treatments--both successful and unsuccessful--you have tried in an effort to cope with this debilitating disorder. This helps every woman with PMDD to understand that while you are not alone, every case is as individual you are.

Welcome, Joya, and thank you for sharing your story with us.

I was diagnosed about three years ago.

Before I was diagnosed I felt awful & sick. I also thought I was losing my mind. It took a while for me to realize the awful feelings and the craziness were associated with my monthly cycle. I began to dread my cycle, but always looked forward to getting my period because I felt such a relief. There were times when I literally thought I was going insane. And the awful physical symptoms were at times too much to bear. I am grateful for my diagnosis as I have been empowered to find ways to help myself.

I am very fortunate I have a wonderful Doctor who listens to me and I believe he actually cares about my well being.

I have tried the following:

The Pill

Anti-Depressants

Accupuncture

Herbal treatments

Supplements

And I am currently using the Mirena IUD

Side effects & benefits I have experienced:

The pill was not a good choice, I cannot handle the extra estrogen at all. I completely lose it. For whatever reason the pill intensifies my symptoms.

Anti-Depressants-at first seemed like a cure! Then I started to feel depressed all the time, and I became listless and lethargic. I gained 25 pounds and felt awful and the benefits seemed to have flown out the window. I am not a fan of anti-depressants. I am no longer using them for treatment of my PMDD.

Acupuncture helps-mainly it helps with relaxation. It is also not a cure-all, but can be very helpful in terms of relaxation. It can be expensive and it takes quite some time before it actually reduces any symptoms. I would like to return to acupuncture if for nothing else, but the calming effect it as.

Herbal supplements & supplements: for me they help, but do not have the strength to reduce my symptoms to a manageable level. I use supplements in conjunction with the IUD.

The IUD has been helpful, it has reduced my symptoms. However, after a little over a year of using the IUD I feel the effectiveness wearing off. It makes me want to cry. And I do not really have a period at all and I don't like this part of it. The idea of searching for another effective treatment feels a little frustrating at the moment.

I consider myself blessed. I have very loving and supportive friends and family. I have been honest about my PMDD-it does affect my ability to socialize and I can withdraw pretty easily. I hate when I am unkind, or I lash out at someone I love when I am PMDD-ing. It is awful and I feel horrible, and guilty. In some ways I try to keep to myself so that I do not do anything I will regret later. I live alone and work primarily alone, so I do control my interaction with people as much as possible. I have recently entered a romantic relationship-I have been upfront about my PMDD, and he is a very understanding person. However, I am terrified I will scare him away, and I know this is a large part of why I keep to myself. I try to keep myself and others safe, but I am starting to feel that it is not the solution.

I cannot think of a shape for PMDD, as it tends to have several forms for me. At times it may be rigid and square, uptight and bound, whereas other times-it is wide open and expansive...It encompasses many colors...red would be the primary color, as well as black and dark blue...perhaps with flashes of purples and greens.

The worst thing about PMDD for me is the darkness, the sadness, and the nasty voice inside me that gets so loud that I believe it. I believe every ugly lie the voice utters. I have made some serious life decisions while under the influence of the PMDD monster, only to wonder later-'what the hell was I thinking'. The other thing is I feel like I cannot trust myself and I do not want to be around anybody. It sucks, I am for the most part a friendly, upbeat and kind person. The PMDD twists things and I get twisted with them and then come out the other side-wondering what happened. I hate that I listen to the ugly angry distrustful voice, rather than my true core voice.

I have changed my diet, I eat mostly vegetarian. I focus on nutrition. Whole grains, veggies, I do have fats, like peanut butter and such. I love fruit too! I make 90% of my meals at home, this is very helpful. Honestly, diet and exercise have had a profound effect on my ability to cope. I make sure I get enough rest as I cannot function without adequate rest. I LOVE to exercise and I LOVE yoga and walking outdoors! However, when the monster (PMDD) is in house, I have to literally fight with myself to exercise, and do what is best for me. As there are times when I drink wine, or eat too much, and usually regret it.

I also remind myself what is happening and that it is not ME-it is PMDD and it is chemical and biological, but this is not always helpful. I take hot baths and drink tea, I use drops of white chestnut for anxiety. Basically, I try to take of myself and be loving towards myself. I do struggle and sometimes I cave to the cravings for fatty food, wine, or cigarettes. I realize that this is a work in progress, and from experience I KNOW that taking excellent care of myself is my best bet!

I work with a master metal smith-he is my dad. We design and create custom wedding rings. I work with 30 stores and retail clients from all across the globe! I am very fortunate to have the work I have. I work alone as most of my correspondence is via email. I love working with an artist and I love working with my clients. I am grateful for all of my clients. So I do not have a career I have a job, a wonderful job. I long for a career, but that is a long and painful subject for me. I have searched for 15, plus years to answer the 'what am I going to do with my life'? question only to still not know the answer. It causes me extreme grief. As I have taken endless classes and been in and out of school, etc...

For now, I am letting it go. I just recently withdrew from school, as the combination of work, school, PMDD and my learning disabilities proved to be too much for me. I am struggling with not feeling like an utter failure and feeling like I have liberated myself. I do not have children, I have a cat, whom has been with me for 15 years. I care for her deeply and she has been a most loving and loyal companion over the years.

I would like to have a career that I can pour my heart and soul into. I would like to love freely and create. I would like to be of service to the people, the Earth and the animals. It is unfortunate that every single month for two weeks I kinda fall apart and lose my grip. However, I refuse to give up and I hope that I can find a way to do what I long to and be even with PMDD.

I believe yoga and meditation are helpful. Yes, they help me to relax and change my focus and help me to slow down and breathe.

"Love all, trust a few. Do wrong to none." Unknown.

"Everything we see or seem is but a dream within a dream." Edger Allen Poe

Cat Stone's PMDD Crisis Guide Continues

Today is a follow up to last week's intro to Cat Stone's Crisis Guide to PMDD. Today Cat discusses several excellent ways to help yourself feel better when you are in crisis, courtesy of your PMDD. I hope everyone is able to take away at least one piece of advice that helps to ease the pain of your PMDD. Thank you, Cat, for sharing your thoughts with us.

You can find the intro to this guide either in last week's post, or at Cat's blog.

The Physical Realm of PMDD

This is an easy 'realm' to understand. It's the one we are most aware of. This is where PMDD is manifesting in most cases. There are many theories, from an imbalance or sensitivity to hormones, to a bug that lives in your system called H-Pylori. One thing that is common, is that it is hormonal, cyclical, and very hard to treat. Treatment is different for all women, and many have to try various medications and treatments before they find one that works.

Physical symptoms of PMDD are much like that of PMS. Bloating, painful breasts, cramps, heavy bleeding, back ache, digestive problems and insomnia, to name a few. Tiredness and lethargy is also a big problem, some days, it is hard to even get out of bed.

Weight problems can occur due to the imbalance in hormones, sporadic eating habits and lack of exercise. Acne is another troublesome physical symptom. I for one get new spots every time I ovulate or menstruate. These spots are hard, painful and more like boils. They take ages to clear up and often leave scars.

To start treating the physical symptoms (and in turn, improving your general well being) a plan of action should be devised. In it's most simple form, you should have a check-list that covers your body's basic needs. Maybe you can see it as a tool kit.

Exercise

We can actually take charge of this aspect quite easily. We can change what we eat and how much exercise we do. We have control over that. It is well known that exercise helps to relieve stress, keep the body healthy and can relieve cramps. It is easy to feel out of control when you suffer from PMDD, so by taking control over this aspect of your health, you can feel more in control of yourself in general. Sometimes, leaving the house before you blow is a good option. A brisk walk round the block will help you calm down, think, and work off some of that pent up energy. I'm sure most PMDD women go around like a coiled spring, just waiting to ping. This is energy waiting to come out. You could use it in a healthy way, or you can wait for the volcano to blow, inevitably hurting those around you with words or your own actions. Punching pillows helps... although in my house, (and I'm not proud of it) I am chief door slammer. It's the pent up energy that turns into rage. If you don't release this energy you will feel anger, you will feel rage, you will feel like fighting.

Try and incorporate some form of exercise into your daily routine. Getting outside really helps, maybe for a walk or bike ride. Join a Yoga class. This is the best way to learn to relax too, and become more sensitive to your body and what it's telling you. If nothing else, stick on your favourite album and dance and sing round the living room!

Stress

A special mention here goes to Stress. We underestimate how much stress can affect our body. Stress is not just in your head, stress affects every cell of your body. When we get stressed, our body reacts, putting a strain on our adrenal glands. In genuine situations, this reaction (known as fight or flight) can save our lives. When we are constantly stressing ourselves sick over our illness, weight, money, kids... we are abusing those reactions and leaving our bodies exhausted. Stress puts added pressure onto our hearts and can tie our stomach up in knots leading to erratic eating habits and IBS. You can overwork your adrenal glands, so they become so tired they don't function properly. This is when you health will really suffer and you will more than likely hit rock bottom. Your immune system will be lower, your 'feel good' hormones (serotonin), will be depleted and you will feel lethargic and depressed. Physical activity has been proven to help relieve stress, and should be a regular part of your tool kit.

Food and water.

The next simple tool to keeping our moods stable is eating, and drinking water. If I feel myself spiralling out of control, or I've just screamed at the kids for leaving a toy in the wrong place, I have to immediately check whether I have eaten that day. Our moods get worse if we don't eat. Obviously, try and make healthy choices, but it's better to eat than not, so if all you can manage is a piece of toast with jam, then do it. The aim is to try and keep yourself topped up with energy. Little and often is good, and will help keep your blood sugar levels stable.

Dehydration is another problem. If we aren't remembering to eat, we probably aren't drinking enough either. Tea and coffee and alcohol all dehydrates the body. Dehydration leads to mood swings, headaches and fatigue. This in turn can lead to more digestive issues such as constipation.

If we try and run on empty all day, we are setting ourselves up for a screaming rage at teatime, or a sobbing wreck at bedtime. We don't even expect our cars to go far with no fuel in the tank, but are quite happy to do it to our own bodies.

Sleep and rest.

Rest and relaxation should be the next tool in the tool kit. PMDD sufferers can have irregular sleeping patterns. Depending on what part of your cycle you are in, you may feel overwhelmed with tiredness and want to sleep all day, when at other times you cant sleep at all.

Getting plenty of sleep is essential to maintaining a stable mood. If you go to bed at 2am, and are then up for work or the school run at 7am you are going to be tired, whether you have PMDD or not, but add PMDD into that mix and you will have one very grumpy lady. You are more likely to snap, rant, cry, blow your top or worse, if you are tired. If you cant sleep, it is still important to rest your body. Try a long hot bath, meditation, or just lie down and watch a film or listen to music.

Maybe you like to read, or sew, or paint. Taking time for yourself and indulging in your favourite past time will help you relax. It is easy to deny yourself these little things, to write them off as unimportant, and say, 'how can I possibly deserve to sit here and enjoy myself when I'm such an awful person' or ' I cant take time out for myself, what about the washing up.. cooking tea... etc' If you like.. I'll give you permission! In fact, even better... I'll prescribe it!

Light.

Get out into natural light. The winter brings S.A.D. Seasonal Affective Disorder. If you are already sensitive to hormones, stress etc, you may find the winter becomes a hard time of the year. Low levels of light takes it's toll on energy levels and you may find yourself more depressed in the winter. If it's really severe, on top of the PMDD, you may find it hard to get up, stay awake in the daytime, or your depression and anxiety can worsen. Light boxes work well, but if you can't afford one, just make sure you get out in any sunshine (when we get it), put lights on in the house, and be kind to yourself. It is easy to assume your PMDD is getting worse in the winter, but it's more likely to be the added darkness of S.A.D.

Writing.

OK, so why would this be on the list? Because it's a physical activity. It anchors thoughts down on paper. Thoughts are like air, they flit and change. Writing things down, gets things out of you head and into the physical world. Keeping a diary, writing lists or post it notes helps you to keep track of your mind. Sometimes, making a plan on paper, is the difference to a day saved, or a day lost. Making lists will help you organise. Crossing off stuff on the list will give you a feeling of achievement. EVEN IF that list is nothing more than..

• brush teeth
• take kids to school
• wash up dishes
• go for a walk
• EAT
• have a shower

You will find you get more done by having a reminder list.

It is good to write out your feelings. If you feel weird about other people reading them, then keep a diary for yourself. If you feel you can share with other sufferers, even if it's under a false name, you should think about setting up a blog. Writing get things out of our system. The physical activity of sitting and focussing, helps us to become calmer.

Self destruction

If you suffer with PMDD you will know all about self destruction. My ability to cope with symptoms fluctuates. When I hit a low, and get ill, I forget about all the things I 'should' do. I spiral out of control and turn inwards. I become self-hating, self-destructing and down right cruel and hard on myself. Sometimes, holding onto sanity becomes too much in itself, and I let go. I free fall, I become some caught up in myself, I cant think about others. I can get really depressed and suicidal. I don't eat. I survive. I pass every hour in the day, waiting for bed, so I can try and start a fresh the next day. If I really want to hurt myself, I'll drink. Alcohol is not my friend, but I'll drink, because I hate myself, everyone must hate me, I want to hurt myself, I don't want this life, everything is wrong, why am I like this? I hate you.. and you.. why did I have kids? I'm a rubbish mother, I don't deserve them... Sound familiar? It will if you have PMDD.

Physical self destruction is something you can control. If you know you will drink yourself silly, then stay away from the bottle. If you are suicidal, then stay away from dangers, risks.. like driving for instance.

Remember that not eating or drinking, not looking after yourself, not allowing yourself rest time can all lead to a worsening of PMDD symptoms. You are in control of that. You must look after yourself. Don't allow yourself to self destruct. There is always tomorrow, the feelings will pass, and you will need your body to be there for you.

If you are feeling suicidal and have no-one to talk to, there is always the Samaritans here in UK on 08457 909090 or in the US call 1-800-SUICIDE. Or if you are a member of my Facebook group, there will always be someone around to help you through the bad days..

Top 20 Tips for Partners Dealing With PMDD

What follows is my most widely-read blog post, completely updated in December 2015 and included in my book, PMDD: A Handbook for Partners. That said, here is the post that inspired the book.

Unfortunately, my research has uncovered a complete lack
of serious information for men on the subject of PMDD, so here
it is, short and sweet, a list of the top 20 things you can do for
your partner with PMDD.
1. Believe her. When she tells you what she’s
experiencing, believe her. Even if it doesn’t make sense.
Because PMDD doesn’t make sense. The symptoms are as
unique and individual as the woman having them.
2. Do not tease her. Do not make fun of her, as this is a
serious and often debilitating condition. Would you tease a
combat veteran for having PTSD? During an episode, a PET
scan of a woman with PMDDʼs brain shows the exact same
configuration as that of a vet with PTSD. This womanʼs brain
truly believes she is under attack, and will respond accordingly.
(This will cause her to do and say things she would never even
consider during her non-PMDD days.)
3. Chart her symptoms daily, either together or on
your own. If she refuses to admit there’s a problem, then do it
on your own so that you can be prepared for when the storm
hits.
4. Consult your chart or app when considering social
events, activities, or vacations and such. Surprises and big
decisions come under this heading, too.
5. Learn as much information as you can about
PMDD from reliable resources. If they have a product to sell
you, any type of product, proceed with caution.
6. Understand that if it is not treated, her PMDD can
only get worse. It could end up as Major Depressive Disorder.
7. Help her to find a doctor who will listen to her and
help her. This may take several tries, as most doctors are not
trained in the treatment of PMDD. Traditionally trained
medical doctors will only offer you birth control or
antidepressants, since they are the only drugs medically approved
for treatment of PMDD by the FDA. Your best bet is to find a
naturopathic doctor or nurse practitioner.
8. Don’t let her negative thoughts and feelings get the
better of her—or you. If she shares them with you, gently
remind her it’s the PMDD talking, not her, and postpone any
major changes or discussions/decision making for a few days.
9. Be supportive and encouraging as she tries different
things to feel better. Make a note of what works and what
doesn’t. Share this with her doctor. Do not blame her if any
medication she is prescribed does not work. It does not work for
most women. Science does not yet understand the brain well
enough to know what is biologically going on during an episode
of PMDD, despite what the television ads tell you.
10. Help her to get enough rest. Sleep is when our
bodies re-regulate themselves. If we don’t have enough (sleep)
time to do the work needed, we start the day at a disadvantage.
11. Join her for moderate exercise. Exercise is always
more fun with a friend. I have found a walk of 45 minutes can
buy me up to two hours of PMDD-free time.
12. Encourage her to eat healthy. (Avoid alcohol,
caffeine, sugar, sugar substitutes, energy drinks, anything made
with high fructose corn syrup, and white rice and flour, for
starters.)
13. Buy her some high quality dark chocolate. Keep it
on hand for the bad days.
14. Do what you can to keep stressful situations to a
minimum. PMDD feeds on stress.
15. Do not accept any behavior that is abusive. Ever.
16. Do not return such behavior if it happens. Calmly
walk away and resume your conversation when she is more in
control of herself. Be firm about refusing to engage when she is
out of control or abusive. When she gets this way, the PMDD
bully in her brain is in full control, and determined to destroy
whatever it can.
17. Remember that she literally is not herself during
an episode of PMDD. Try not to hold the things she says and
does against her. It’s not personal, and it’s not about you. It’s the
bully that has taken over her brain egging her on.
18. Be as comforting as she will allow you to. If she
won’t let you near her, let her know you will be nearby if she
needs you. To her brain during this time, allowing comfort
equals weakness. Weakness equals vulnerability. Vulnerability is
dangerous to the PMDD brain.
19. Don’t expect her to be full of sunshine and
laughter when she’s not having a PMDD episode. A
healthy, balanced, and emotionally well-rounded woman feels
every emotion—not just the good ones.
20. Last, but not least: Do not blame every time she
becomes irritated, annoyed, angry, afraid, or upset on her
PMDD. Nothing is more irritating than having a genuine
concern or grievance, and being told, “It’s your PMDD again,
isn’t it?”
Maybe it is, and maybe it isn’t. Take the time to check her
chart to see if she’s supposed to be having an episode, and then
carefully sort through (usually by talking it out) and separate
what is her PMDD and what is a genuine fear or concern on her
part. Encourage her to feel and express the full range of
emotions, just like people without PMDD do.
More than anything, a woman with PMDD just wants to
feel normal. These 20 tips will go a long way toward helping
your partner do just that.

Note:  PMDD: A Handbook for Partners, and its sister book, PMDD and Relationships, are available in both ebook and print.  If you participate in the Amazon Smile program, please consider designating the National Association for Premenstrual Dysphoric Disorder (NAPMDD) as your chosen charity.  You can also buy these (print) books on the NAPMDD website, where $1 from each purchase goes to support the NAPMDD Awareness Fund.

Relationships Begin With You

I’ve been getting a lot of requests for information on relationships, so I’d like to start writing about that subject today.
Relationships are hard, no matter who you are, or what your situation might be. Relationships for a PMDD woman can be almost impossible to sustain, because, due to our hormonal fluctuations, we’re literally a different woman every day. We feel differently, think differently, and act differently every single day.
There’s an old joke that goes like this: A woman marries a man thinking he will change. A man marries a woman thinking she won’t change.
Unfortunately, both end up being disappointed.
Change is inevitable. That’s our only guarantee in life, short of death and taxes. Life comes and goes in cycles, and nothing stays the same. You will change, I will change, your family and/or partner will change, your circumstances and situations will change. Mentally, physically, emotionally, spiritually, financially, and otherwise. Accept that now, and you’ll be a lot further ahead of the game than most of us.
Why? Because nobody likes change, even when it’s a change for the better. Change takes work, whether it’s a change we embrace, or a change we resist. We like to be comfortable in our surroundings and relationships. We like knowing what we’re in for, how our day will go, what we’re up against, what to expect. A certain stability gives us a good foundation for dealing with all the surprises Life throws our way, be they blessings or challenges.
A PMDD woman, just like anyone else, likes to have stability in her life. Unfortunately, that’s not a luxury we can rely on, given the tumultuous ups and downs caused by our menstrual cycles. And what affect us, affects the people around us—in particular the people closest to us. Our friends, relatives, and significant others. It takes an incredible amount of inner strength to be the kind of people we want to be, when our brains just won’t work right. Even the most patient and loving person loses it at times—think of Jesus in the temple, ranting at the moneychangers.
So how can you expect yourself to be any better, or different? How can you have the kind of relationships you want?
The first step is awareness. First you have to realize and accept that your PMDD is a part of you, and isn’t going to go away, not without making some serious changes in your life. The more awareness you have, the better it gets, but it never really goes away. You have to stay vigilant, and when you slip, as we all inevitably do, there’s a very good chance our symptoms will return.
So how do you gain this awareness? By taking the time to listen to your body and be good to yourself. Your first, and most important relationship, needs to be the relationship you have with yourself. You’ve got to take care of you, before you can take care of anyone else. You’ve got to love yourself, before you can truly love someone else, no matter who that someone else might be.
Most PMDD women spend a great deal of time hating ourselves. Beating ourselves up, for things over which we have no control—in particular our thoughts and moods, which then affect our words and actions. I don’t need to tell you how the cycle goes. You’ve already been there, done that, at least once a month for as long as you’ve had PMDD.
So the first thing you have to do, no matter how awful may think you are, or might have been to yourself in others in the past, is to stop beating yourself up. Just stop it. Right here. Right now. Stop it. You are who you are, and that’s where you start. Don’t be dragging all that baggage from past PMDD episodes along with you. Let go of it and start anew. Today is a new day, and today you are going to be good to yourself, if only for a few minutes.
Because change is hard, and works the best if you do it in baby steps. Not many of us can suddenly start shoving everyone else aside to carve out time to be good to ourselves. We have commitments and responsibilities, and if we’re very lucky, people who depend on us for some measure of support, comfort, and stability.
But we also have a commitment and responsibility to ourselves, to be as good to ourselves as we can possibly be. That doesn’t mean chucking it all and hopping the next plane or cruise ship to some exotic destination, as tempting as that sounds. It just means take a few minutes, either at the beginning or the end of your day—or even in the middle, if you miraculously find yourself alone for a few minutes with nobody around you wanting or needing something from you—and remember what it is that makes you happy.
The choices are as limitless as the number of people reading this. Each one of us has at least one thing in this world that makes us truly happy, probably a couple dozen such things if we really take the time to think about it, but for now, just start with one. What is it that makes you happy?
Now what do you need to do or change to make that situation happen? How far are you right now from making that happen? What do you need to do right now to get there? Is it something you do, or something you want to do for someone else? Is it some way of being? If it’s something you do, then what do you need right now to do it? Do you need ingredients? Supplies? Or do you just need to pick up the phone and call someone? Send them a letter or card? Get in the car and go and see them? Or do you just need to cross the room?
Figure out what it is you need, then figure out a time when you can do it. If you’re not doing anything right now, then get started. Make a list if you want to. Write it down. Then put it somewhere you’ll see it often. Go to the store if you have to, to get those supplies or ingredients. If you’re not feeling up to doing that, then work with what you have right around you. Do you like to doodle? Read? Pray? Listen to music? Take a bath or long, hot shower? Talk to friends? Cook? Sing? Dance? Sew? Garden? Take walks? Maybe playing with your children brings you joy. Or spending time with a pet. Spending time with your significant other. Not everybody recharges best when they are alone.
The bottom line is whatever it is that makes you happy, find a way to do it. Nobody should deny you the time and space you need to soothe your spirit and settle yourself. If they try, be gentle but firm. Say I’m doing this for me, so that I can be a better mother, spouse, partner, sibling, daughter to you. Be the change you want to see in the world, and your world will change around you.
But don’t expect it to happen overnight. Part of the problem is we live in a world of quick fixes and instant gratification. People have come to expect things to be easy, to right themselves with the swipe of a credit card, the popping of a pill, the immediacy of a text message. With PMDD, it doesn’t work that way. With PMDD, you have to work doubly hard to be the change you want to see in the world, because not only are you bumping up against the rest of the world, who most of the time is bumping back (to say the least), half the time you’re fighting yourself.
But it’s not really yourself you’re fighting. It’s your PMDD. I don’t want to be like this, you say. Then don’t. Stop fighting your PMDD. Accept it and roll with it. Start where you are, and start being good to yourself, by eating right, getting enough rest, taking the time you need to calm and settle yourself, then listening to your body and giving it what it needs, and listening to your heart and doing the same.
As your relationship with yourself improves, little by little, your relationships with others will improve, and your PMDD won’t be running (or ruining) your life anymore. Eventually, it will end up being nothing more than a bad memory.
Liana Laverentz is the award-winning author of two books on PMDD, PMDD and Relationships, and PMDD: A Handbook for Partners.  Both books are based on the most asked questions by her readers, and therefore the most popular posts on this blog. Both books are also an excellent resource for understanding your PMDD and for starting a meaningful conversation with loved ones who want to know more about this debilitating disorder we live with daily.