An Open Letter to Partners of Women with PMDD

Today I'm honored to host a guest post by Chef Jay, who has decided to help raise PMDD awareness by starting a blog for men about PMDD.  You can find his original post, and others, here. 

Dearest Partners of Women with PMDD,

First of all, let me be clear. This letter does not come with answers or solutions. This is not a "be all & end all" to the chaos of PMDD. Every situation for every woman is different. Ergo (a word not used often enough), no household is the same. After many conversations and emails with men and women around the world, I've realized a few common traits, however. There are similar feelings, circumstances, emotions, issues and experiences...this letter addresses and recognizes them. This note recognizes the real, true emotions and thoughts emanating from the souls of men (and women) coping with a partner with PMDD. This is not a happy letter to make everyone feel better...it's one that draws attention to the mindset reality of living with PMDD. This isn't about me. It's about all of us.

I know you.

You're tired. Exhausted. You feel drained of all energy - emotional, physical, spiritual. Perhaps you feel absolutely nothing at all. You're like a zombie, going through the motions every day. But you're used to it...it's who you've become. You don't like it - you wish you had more energy and lust for life - but you give yourself a daily pep talk to survive the day, praying that today might be better...and you're not even the one with PMDD.

You are constantly on edge. You never know when her hurricane will hit. Predicting how one day to the next will transpire is fruitless. Hour to hour, day to day...hell, even minute to minute, is a pointless exercise. You see her, you love her, you feel for her but you wonder, "What else can I do?" - you've already tried everything!

You've thought about divorce. You've thought about having an affair. You've questioned your life choices...and those thoughts scare the hell out of you. So why do you stay? Why do you remain committed in a relationship that causes you stress and, most likely, shaves years off your life? Perhaps it's because of the words, "...in sickness and health...'til death do us part..." or maybe you're a glutton for punishment or feel, deep down, you can fix her or save her. Possibly, you fear what she'd do if you left. If you have kids, my guess is, you're there for them, more than her.

You've probably heard from her, more times than can count, that she "needs to do (this) or (that) because it might help" - this may include taking a course, going for a run, spending a day or two at the spa, getting massages, nights out with her girlfriends, binge watching Sex & the City or Supernatural, spending a few days here and there away from you (and the kids)...but can you do the same? No. Can you just take off for a few hours and have the day just for you? Probably not. Deep down, you wonder, could she handle the kids for 3 days without me? Your/my gut says no. The time you have out of the house is, most likely, spent getting groceries and doing things that need to be done to make the house and your life a little better.

You don't get enough downtime and, when you do have the opportunity to sit back and chill, your mind's still racing. Most likely, you just want to watch something pointless or mindless, have a beer and fall asleep. The thought of watching a show that has deep thoughts, intellectual content or educational information further stresses you out because your mind can't relax...there's no shut off switch to settle your brain.

You probably don't hear "Thank you" or "I love you" nearly often enough...and, as for, physical expressions of love? Not so much. (Or, at least, not like it used to be). But when SHE wants it, you must provide! Perhaps sex - or any form of intimacy - feels like a chore...another task to complete. Or perhaps, when it finally happens - a moment together, both of you in a positive, awake state of mind - it's a relief...an opportunity to forget about the trials of tribulations of the past few days.

You say words but may not mean them...or they don't have the same feeling behind them like they used to: "I love you" - perhaps it's said so she can hear the words but, your feeling behind them is different. "It'll be okay" - knowing, deep down, it'll get better for her but not for you. Her diatribes, constant needs, argumentative statements, vitriolic, mean words...you'll remember them and hold onto them and think of them all too often. You'll start to believe them - or, at minimum, question who you are based on her hurtful words. You say, "I'm here for you" but, perhaps deep down, you wish at that moment, you weren't. "

You question everything & constantly overthink. When you're sitting on the porch with her, having your coffee or glass of wine, and you hear her sigh heavily, you wonder if that's a sign of impending doom - something dark on her mind, or a coping mechanism to calm herself...or maybe she's just relaxing for the first time in awhile. In any case, you don't ask because "is everything okay?" or "what're you thinking?" or "something wrong?" might set off a chain of events you don't want to deal with.

You constantly look for ways to control your environment - from the way you schedule your day to what you cook for supper or how you organize things around the house. More often than not, when she's in her state, decisions are a further stress and amplify her anxiety. What do you do? You make all the decisions, thinking that'll make life easier for her. Yet, unfortunately, it doesn't often work out that way. Perhaps it's her response of "you should've asked/told me" or "why didn't you let me know?" or "if you loved me you'd have..." Friends may say, "Damned if you do, damned if you don't" but, to you, it had to be done. Survival instinct kicks in and you do what you need to do.

On the good days, when she's positive, upbeat, full of energy, revitalized, you struggle to enjoy the moment...you don't know how long it'll last...you fear the bubble popping...you're still on edge and, most likely, get down on yourself for not being fully present with her. Even when you know you SHOULD be enjoying yourself, you can't.

You're not fully present on a good day. You're not fully present when you're supposed to be having fun or enjoying life. But you ARE fully present when you're surrounded by her chaos, negativity, anger, frustration and darkness. Think about that for a moment:

You're only fully alive when you're being torn down, when your life force is being given to someone else, when every moment of your day is spent making sure your partner (and your household) lives to see another day.

You probably mutter or mumble under your breath as you walk away from her...things you wish you could say out loud but, knowing the damage they'd do to both of you, respecting her mental state, you keep it to yourself, tucking it deep inside where the feelings fester and ferment. Maybe those words of resentment will go away...or, maybe they've established a symbiotic relationship with your soul. These periods of resentment...they grow in number as the years go on...your thought process dips its toes into the murky waters of ire more frequently and easily.

You're constantly seeking an outlet for your tension. Nothing seems to work. Perhaps you go to the gym but, for some reason, you cut your workout short because you're worried about her...or you're too stressed to even relax to workout fully. Or, maybe, you go for a pint with your mates but, you're not fully present...your mind is elsewhere, wondering if she's okay. And you cut your night short because you know you need your energy to deal with the next day.

You feel guilty when you do something for you. Whether a ball game or buying something online, you wonder how she'll react or what she'll think or if she'll resent your 'selfish' ways. So you begin doing less and less for yourself, channeling your energy into your family and her.

If you have kids, you wonder what they'll remember about life in the house, growing up. Will they remember how Mommy hardly slept in the same bed as Daddy? Will they remember how Daddy would always wake them up in the morning, get them dressed, make them breakfast, pack their lunches, cook supper, clean the kitchen, do the laundry, get the groceries? Or will they remember that Daddy didn't have enough time to play with them because of everything he did to make the house function?

You cry. Sometimes there are tears streaming down your face or sometimes you're crying on the inside. But, regardless, you're sad. You're upset - at yourself, at her, at a higher power, at anyone, at no one - yet you keep it to yourself. It's your burden. Perhaps you feel like you asked for this. Perhaps you believe this is your own private challenge. Know you're not alone. There are people out there to help. People are there for you. They want to help...they're waiting at your doorstep...it's up to you to let them in.

This letter is part vent, part affirmation. Maybe you've had some (or all) of these thoughts. Maybe you can't relate at all. In any case, you aren't alone. Like a phoenix rising from the ashes, strength builds from pain. For whatever your reasons, your resolve to remain committed to someone struggling with the very fabric of being, is powerful. While my words may not be enough, you are a great person, standing beside someone who needs you more than words. You may not hear it enough or feel it or even believe it but your presence is an amazing gift - not only to her but to the universe. You make her world - and the world around you - a better place.

PMDD: Into Me See

The following is a guest post by the blgger Cheekyminx. With her permission, several of her posts about PMDD are being featured on this blog. To find out more about her work as a PMDD Advocate, please visit her Facebook page, PMDD Life Support.

I've said I wanted to write about some of the things that help me to cope with PMDD. Maybe another day. Right now, NOTHING is helping. In fact, everything is just making it worse! I suspect, hell, I know from reading the forums, that this is pretty common. Nothing helps, at least it seems that way, and everything is an irritation. A speck of dust in the wrong place can make me want to jump out the window. Yes, it’s irrational. That’s kind of the point, and I don’t need to be reminded of it…  At least I have some control over a speck of dust.

The reason nothing helps is because nothing makes this chemical shit-storm of body and mind go away. It is still there, demanding attention, making me behave in ways I cannot stand. But there are things that do bring modicums of comfort. I can take a bath. Sitting in the sunshine smelling the grass helps, too. There are also my standbys of yoga and meditation. I would be lost without them, but sometimes, they aren’t enough. Really, they’re never enough…not during PMDD. They just offer a bit of relief and keep me as stable as possible.

The saddest thing may just be that so many of us have to get through this pretty much unsupported and alone. Very few people get it enough to be of help. The fact is, if you don’t have it, you just don’t get it. This includes friends, roommates and partners who, needless to say, have a very hard time of it, and often wind up making everything worse, even if they don’t intend to. Even if it was me on the receiving end of this phenomenon, I don’t know how I would respond. I guess it would depend on my own mental state that day. Sadly, PMDD ruins plenty of relationships.

But one can dream that suddenly, it wasn’t such a horrible thing for others to cope with…

Dream Sequence

I wake up and I can feel the stirring of hormonal reaction inside my body. The good days have passed. Shit! Here we go again. Two weeks until my period when I can think and act straight again and not detest myself for having no control.

In walks my husband with a bouquet of flowers. “Good morning, sunshine!” he says.

“Drop dead.” Shit, I think to myself. Did that just come out? Oh, crap, oh crap, oh crap. I want to enjoy the flowers. They are so beautiful. Please, please, please let me just enjoy the flowers. How did he know how much they would mean to me? And yet, I can’t express it. The only words out of my mouth are “drop dead?” What is wrong with me?

“Honey, I won’t take what you said to mean anything,” he says. “I know what day this is…um…I know any day now I’ll be losing you for a week or two to that whatever it is…but I just want you to know, I’m going to do everything I can to make it easier for you this time.”

Really? I think, heart melting inside while I roll my eyes on the outside thinking of what a damned irritating [insert cuss word] he usually is at this time. How does he intend to do that? Go on vacation for two weeks without me? He would abandon me like that!

I go down to the kitchen expecting crumbs on the cutting board, knowing I’m about to get all wound up, and what’s this? The kitchen has been cleaned! I mean, really cleaned! The floor actually sparkles. It’s a miracle!

“Do you want breakfast?”

“Just leave me alone,” comes out of my mouth while "Yes, please make me your lovely eggs" never leaves my lips.

“I’ll make some eggs. If you don’t want them, you don’t have to eat them. If you do, I’ll leave them here for you.”

Hmm…what’s gotten into him? I start to think paranoid and judgmental thoughts. I just manage to hold back the bitter words that want to exert my independence, “I can make my own eggs!”

“Oh, by the way, I know how much it’s been bothering you that I hadn’t fixed that sink since we moved in two months ago, so guess what?”

What? Another empty promise to fix it…someday…next year? I’m biting my tongue because I KNOW I’m thinking with way too much exaggeration. Words start leaking out…words I KNOW will only do more harm than good…

“I called the plumber. He’ll be here next week when you feel better.”

He… I can’t help but smile. The tension in my body that usually just gets tighter and tighter is starting to untwine. This is all getting to be too much.

“I also tidied my room just so you won’t have to be repeatedly irritated by the disorder in there. I know it affects you and makes things worse. In fact, I’ve decided to take care of everything on this here list that I normally force you to tolerate and remind me of month after month like I’m deaf. I may let things slide at other times, but I realize it just makes things worse once your cycle again. Besides, it really is my responsibility…”

Oh, my God! I just want to cry now. I have to cry. So out it comes. I am sobbing uncontrollably. Great. Now he’ll take it personally and the world falls to shit.

He doesn’t say anything. He gets a pained look on his face…and then, it happens. Another miracle. He takes me by the hand, leads me upstairs, and holds me on the bed while I finish crying. At first, I push him away. I can’t bear to be touched. It actually hurts. But he holds me even tighter. He isn’t trying to get me to stop crying, or offering me Kleenex, or asking me what’s wrong. He’s just there. Strong. Reassuring. And I feel safe for what feels like the first time in my life.

When I stop, I feel stupid. I feel embarrassed. And I push him away. He doesn’t say, “I can never do anything right.” He doesn’t throw up his hands. He doesn’t call me crazy or make me feel worse than I already do. He just says, “Honey, I love you. I’ll give you some time and space. I’ll go get some groceries because I know we are out of bananas and chocolate…and frankly, that scares me right now.”

I want to say, “and we need lettuce” but I can’t get it out my mouth. Why the fuck can’t he remember the fucking lettuce? And then I cry some more, ashamed of my ridiculous thoughts but also, feeling a strange sweetness inside. I think I’ll bake him some cookies.

I know. It’s just a dream. Maybe it is too much to ask. Is it catering and kowtowing? Is it just too utopian? To expect another person to be able to behave this way when faced with judgment, contempt, rage, and the other unpleasantries that consume a woman in PMDD? Is it too much to expect someone not to take such seemingly personal attacks personally? To be able to be in our heads knowing what it is we need or want when it is suddenly impossible for us to just speak it? To be able to set aside their own discomforts with whatever has taken us over to wonder, my God, what is it like for her?

I suppose so. People are people after all. There no such thing as a Stepford Husband.

Then again, maybe this is all it would take to change the patterns and break the cycles. Maybe, PMDD is a dis-ease in consciousness designed to make us learn things we never would have otherwise about ourselves and each other, given the compassion and support to get through it. What are the lessons? If we knew that, we wouldn’t be going through it. Maybe learning them would be the difference between escalation and management.

Or is it just spiritual bullshit to think there are lessons. And even if there are, what if they aren’t being learned?

If nothing else, maybe this little dream illuminates the secret machinations of the very complicated and unsettling PMDD mind.

I hope so.

Postscript: I shared this with my husband who said it helped him understand me better. I told him I wasn’t going to post it because it just felt too exposing. But then, on one of the Facebook forums, I read a post from a young woman who had just had a blowout with her boyfriend. She was so upset, and I could feel the shaking in my own body…  I thought about what my husband said, that this helped him understand. I thought about what he did for me after reading this: fixed the sink, took me grocery shopping, didn’t walk away when I was emotionally over-stimulated but held me instead. He just wants me to be happy. Given a little information, he actually wants to put it into practice. So, I’m getting over my damned self and sharing this now because it just may help someone else.

PMDD, From One Man to Another, Part 2

How do I survive? If I'm doing all of this, what am I doing for me? Well, it's taken a long time but, I've accepted the fact that it's not about me. It's not even about her. It's about the boys. If she's in a state, I trust her to handle it. I deal with the dudes.

WHAT ABOUT ME?

Don't get me wrong. I do things for me. I'm not talking about drinking or smoking or drugs (though my alcohol intake does increase on those PMDD days). For me, it's cooking. Something that has a beginning, middle, end. Something that involves the boys (so they don't bug mommy on the couch or in bed). Something that satisfies us. Something that's controllable by me. Something that's as challenging as I want to make it. Something that allows me to express myself to others. I can immerse myself in the process, pushing the stresses of the day to the side (at least temporarily).

Recently, I've been writing. I write how I'm feeling when she ups and leaves the dinner table or lashes out at me or tries to pick a fight just because she wants to argue. I keep track of the number of days she sleeps downstairs, while I deal with the boys through the night. I write lists (bucket, shopping, chores). I write quotes or words of wisdom and inspiration (to remind myself that I'm not alone...though it often feels like I am.)

My big one, though, is music. No, I don't write it or sing it or perform it. I listen to it. I have my 'mood music' to centre me. And, like her needs during her PMDD spells, what I need varies each time. It could be punk or rap or chillout or metal or classic rock or country...but when it's on, I'm in the zone, in the moment and in the mood. When I'm cooking, there's ALWAYS music on. Again, it shifts with my moods.

I'll say it: PMDD can be a selfish disorder if your partner blames every given frustration or moodiness or anxieties on it. And, trust me, it can go there. She will do what she needs to do for her when she needs to do it. Regardless of your intentions, there's very little you can do. She's been dealing with it, coping with it, handling it well before you entered the picture. She's dealt with it on her own and will continue to do so...ON HER OWN. Get over it. Seriously.

WHAT CAN YOU DO?

For the love of humanity, when she says to leave her alone, LEAVE HER ALONE.

When you're trying to decide what to make for supper, avoid at all costs, asking question after question after question. Stick to one simple question with a yes or no answer. Most likely, she won't eat any food anyway so it doesn't matter what you make!

Please ask her, once, "is there anything you need" or "can I get you anything" or "is there anything I can do?" - but do NOT ask every few minutes.

Be prepared. It's the scout's motto. It's important here, too. Have her comfort foods on hand: perhaps it's a particular chocolate bar (Lindt dark chocolate with hot peppers for my wife) or salty snacks (chips? nachos?) - don't be surprised if they disappear during her moments of deep darkness. Even if you wanted some, you can buy more. Again, this can lead down the road of selfishness but get over it.

This is a disorder requiring frequent, unexpected sacrifice. You're going to need to give up stuff - she may need your attention...ooooooooorrrrrrrr....she may tell you to 'get the f--- out' meaning you need to find somewhere else to be (pub? friend's place? ANYWHERE but home). The nice thing is that, if she's coming out of her state, she'll text you to come home. When you do go home, say very little. Maybe a 'how are you feeling?' but don't you dare overwhelm her with story after story about what you saw, did, or heard. It's not - and never will be - about you during these times.

One more thing. YOU. CAN'T. FIX. HER. Don't try. Don't tell her to 'go for a walk' or ask to go out for dinner or sex. Don't even consider telling her to 'get over it' or 'snap out of it' or tell her that it's nothing. It's everything. It's all consuming and all encompassing. It is a deep, dark hole that she's allowed herself to explore and it's scary as fu--. She doesn't want you down there with her. This is her own hell. You cannot and will not be her tour guide. Trust me. I've had my nuts in a sling one too many times thinking I could be the fixer...like I could be the solution to her problems. It sucks to not be able to solve a problem for her. I love my wife, but not having the tools to fix her hurts like hell. She's stronger than words can express...and it'll make you stronger the moment you accept the fact that you are not her knight in shining armor, rescuing her from a pit of despair.

So what are the solutions? There aren't any. Every month may be a different hell. Every time it rears its ugly head, it may be a different stimulus that exacerbates her anxiety. You can usually predict when the darkness may arise but be prepared for spontaneous combustion.

There are medications (my wife's on Cipralex). Does it help? Yes. Is it a cure? No. Her PMDD still comes...but not as frequently. We're down to ~8-10 days a month now. It lowers sex drive. Decreases appetite (with sporadic bouts of gorging). Ironically, it CAN increase anxiety (!) which, I thought, it was supposed to minimize...but, whatever.

There's therapy. I'm sure there is. We just haven't explored it. Yet.

There's exercise or yoga...something that centers the mind and body. But, dear man, don't suggest she work out while she's in the middle of an episode. You're likely to have a rolled up exercise mat shoved deep inside you through a very tiny orifice. 

Why don't I go out more? Because I never know when the PMDD will kick in or when the depression or anxiety will hit. I never know, going to get groceries, if I'll come home to find her on the floor. I fear leaving her with the boys on 'bad' days because I never know what to expect when I come home - will they be trying to wake her up? will she be locked in her bedroom, sobbing? will she be unleashing her fury on the boys as they wildly chase each other through the house? It's the fear of the unknown.

Don't be surprised if you slip into your own funk after a particular bout of PMDD. It's draining. It's exhausting. You'll be physically, mentally and emotionally wiped. You'll be worrying about her, questioning yourself, wishing you could do more (once you've accepted you can't), wondering if she's ok...it's a whirlwind that is uncontrollable. It keeps you on edge. She may have said something particularly hurtful or mean (just to get you going). That sucks big time. Then, when the dark clouds pass, when she's all kinds of relieved and 'nice again', you may be relieved...but you'll be mentally overwhelmed. You'll want to talk to her...and, perhaps, she'll want to share her thoughts (what you did right, what you did wrong) and that, in itself, further drains you. You don't want to hear all the things you did wrong (or didn't do at all) do you?

It sounds mean or cruel or insensitive but, guys, suck it up. Man up and accept that your wife or partner or lover has PMDD. The more you learn about her & how she handles it the better off your relationship will be. It is an ongoing process, kind of like the Hobbits on their quest for the ring. It's an adventure but one fraught with chaos, insanity, danger and doubt.

What can you do? What can you say? It's easier said than done.

When she's not in a PMDD state, (and, please, don't inundate her with all of these questions at one time!)

~Ask her what you can have on hand for her (salty? sweet? Sex & the City box set?)

~Ask what you can do to help (tell her to be specific in what she wants from you - rub her lower back, check in without saying a word, hand her a cup of tea and walk out, etc)

~Ask her what, specifically, she needs from you (a conversation afterwards? a walk? etc)

 ~If you think medication is needed, tread carefully - choosing a safe time to mention intervention is paramount.

 If asking her to seek treatment is tricky, wait until you mention 'therapy'...that's another whole kettle of fish.

There's more, I'm sure...but if you have any questions, comments, ideas, suggestions, tips or stories to share, please do so...though it may feel like you're alone, know you're not...the fact you're exploring how you can help your partner demonstrates your strength and resolve.

Well done.

The above is a guest post in two parts by Chef Jay, who has decided to help raise PMDD awareness  by starting a blog for men about PMDD.  You can find his original post, and others, here.

PMDD, From One Man to Another, Part 1

What follows is a guest post in two parts by Chef Jay, who has decided to help raise PMDD awareness  by starting a blog for men about PMDD.  You can find his original post, and others, here.

Why am I writing this dissertation on PMDD? Simple. I need to. There aren't many resources out there for guys. There isn't a strong support system - the number of comments I've seen by guys saying "run away" or "get the F out of the relationship" or "she's crazy" are overwhelming, insulting and, at the very least, a disappointing commentary on the state of men.

Living with a wife with PMDD (who's had it most of her life) and growing up with a sister who, looking back, had something along the same lines, I can say the following: It's worse that what's described. Does it need to be said that PMDD is NOT PMS? Duh.

"...symptoms begin 7 to 10 days" - not always. It can hit at a moment's notice. The anxieties can skyrocket in a heartbeat. The moodiness can take over without warning...a sound, a question, proximity to other humans...anything. One moment, she's sitting at the dining room table, the next, she's heading to the basement to burrow into pillows and blankets, watching Downton Abbey (or whichever show makes her feel better).

If your partner, wife, girlfriend, significant other is anything like my wife (who, according to her doctor, is a textbook case for PMDD), hopefully my words might help, enlighten or support you in your relationship. It's not easy. I feel for you. Really. It's hard as hell. You can do this.

Let me say this first (and I'll say it a couple more times before this is through):

YOU ARE NOT ALONE.

Family is key. Hers, Yours...they need to understand what you're going through, why she couldn't make it to Thanksgiving supper or church or your nephew's recital. She probably doesn't want to be around people. Including you. Your life must continue.

But here's the tough part: she will take it out on you. Why? Because she loves you. If she's letting loose her irritations, her tirades, her anger, her frustrations upon you, it means she trusts you. She's let you behind the curtain. But what sucks is that you will be yelled at, loathed, be the focal point of her ire. And, most likely, she won't want to talk about it. She won't want to dwell on it. Once its passed, she's done with it, not wanting to recall the dark place she endured. Why? Because it's over...and, most likely, she won't want to consider how her words or actions (which she may or may not remember expressing) affect you or those around her. It makes matters worse. Or, at least, that's what I've learned. Often, picking fights is an outlet for the tension in her mind and body. My wife says it's because she loves me. It's hard as hell, but don't give into the temptation to engage in an argument when she's PMDD-y. Walk away. Seriously. She will, likely, say things to get you going, get under your skin or piss you off. Walk away. She's only doing it to drag you down. It'll make things so much worse because, likely, she won't recall engaging you in a volatile discussion and you will. And, if you're like me, you'll hold it against her. Remember, dysphoria is 'a state of unease or generalized dissatisfaction with life' - compounded with her anxiety, depression, restlessness, agitation and irritation...it's like a tornado within her body and her words are letting some of the destructive forces out, wrecking you in the process. The tornado knows not what it destroys. Walk away.

Here's the best way my wife described it: She's in a deep, dark hole. There's only one way out and, to get there, she has to go through the darkness. She said, 'when I come out, into the light, it helps if you're there waiting for me...it makes things easier.' - that, for her, for our family, I can do.

We have 2 kids. They're realising (at the ages of 4 & 6) that "mommy doesn't feel very good" rather often. Until medication entered our house, her PMDD symptoms were, on average, 16 out of 30 days. Things are getting better...the boys are well versed in the "don't wake mommy" talk...or "mommy's very tired today" chat...my 4 y/o will come into our bedroom to sleep with me when mommy stays downstairs. As he puts it "I'll sleep with you, daddy, so you don't get sad". 

One thing that's not often identified when discussing symptoms of PMDD is suicidal fantasies. I learned, quickly, that the fantasies are VERY different from tendencies. I was told, "hide the pain pills away from me because that's the way I'd probably do it...less mess for you to clean up". WTF? Nobody prepares you for that mindset.

So...What do I do? How do I cope? What keeps me grounded? Why do I stay in a relationship that, clearly, is emotionally volatile?

First off, the boys. Dude & Lil Dude. I'm there for them. I take them away, keep them occupied, keep them entertained, keep them busy...but I also get their meals, make their lunches, do their laundry, bathe them and put them to bed...and I wake them up, make them breakfast, get them ready for school...it's not an equal division of labor, I know...but it's what needs to be done.

Why do I do all that? Why do I also do the groceries and the laundry and make suppers? Simple. I don't know if it's going to be one of THOSE days. I made a promise to myself that I'd do what I could to start the day off positively and easily for her. I anticipate the worst (it's gotten to the point where I have a 50/50 chance of  being right). I try and do everything I can so her anxiety is lessened. I can't get rid of it...but I can lower it. She calls me a martyr. So be it. I'd rather do that than be one of the guys who, at the first sign of adversity, turns tail and runs.

Next Up:  PMDD  - From One Man to Another, Part 2 - How do I survive?

PMDD in the Trenches -- A Partner Speaks Out

Hello. My wife is a survivor of PMDD and successfully had a hysterectomy last year.

Everybody's partner has their own unique perspective, story, and battle scars. However, I can only imagine what it is or was like for each and every woman that has battled uphill fighting PMDD. My story plays out in three segments: Pre-PMDD, PMDD in the trenches, and post-PMDD.  I'll present the first two here today.

Pre-PMDD: The Quiet Volcano

Before our daughter was born, my wife had fundamental characteristics, that looking back now could have somewhat prepared us for what was to be PMDD. However, I am not a doctor and I don't play one on TV and I am not the Amazing Kreskin, so in hindsight, it wasn't our fault that we were not able to predict the future. We had a wonderful courtship, engagement, and newlywed life; everything that you would want pre-children.

But bubbling under the surface was the volcano. I still somewhat to this day wished I had been a more cognizant partner. Maybe those fundamental characteristics could have prepared me to be on the lookout postpartum. I am a planner. I like to stick to schedules, show up on time, and live by the preparation sword. So you can imagine that when my wife and PMDD met; it was nothing you can prepare for.

No partner can gameplan to tackle PMDD head-on. Heck, 90% of the country hasn't even heard of it. Those of you who might be reading this as a partner, might feel the same way I did. I implore you to step back and give yourself some reprieve today and every day moving forward. Likely now you might be in the thick of it, or maybe you're in the [somewhat more peaceful] post-PMDD phase. All you can do [either way] is live in the present moment because there is no point--I promise you--in focusing on anything else [when you are in the throes of PMDD].

PMDD in the Trenches

I can honestly say there has never been a period in my life and during my married life that I felt the walls caving in like they were during "PMDD in the trenches." This is where all the battle scars happened, horrible words were thrown around, bombs dropped, and at the end of it all there were no winners. It was nearly a 5 year period of some of the most tumultuous scenes of my life played out for all to see sometimes, sometimes played out in a shroud of silence. Scenes that looked like they could have been on a Thursday Night Lifetime Movie event, or sometimes things that you see on the local news channel --Yeah, that bad. Remember, I'm a planner; I like things in order, I believe that all things have a place...I am a huge advocate for keeping my life as efficiently run as a possible. My wife having PMDD was the antithesis of all those things.

PMDD ran our life. It was a Gestapo, a real son of a bitch. My wife's life was controlled by a parasitic mind fuck over mind, body, and soul. It took everything out of her and undoubtedly took everything out of me. I wanted to quit. I wanted to run away. I wanted nothing more than to take my children away and never come back. I found solitude in imaginary places that existed far from my wife and far away from any PMDD.

For 2 weeks a month, we were at the mercy of PMDD. It had a massive effect on our lives. I lived by the theory of "hope." I continually held out hope that things would improve. Maybe this month she won't want to lock herself in the closet. Maybe this month she'll want to parent her children. Maybe this month she won't have a panic attack. Maybe this month she'll toughen up--Yes I was thinking that, sadly enough. I was desperate for truth...Desperate for answers....Desperate for normalcy.

I knew as much as she did. I knew probably as much as some of the doctors & therapists knew. What I knew more than anybody though is I still loved my wife through and through. I wasn't going to run, though I wanted to. I wasn't going to get divorced, though I wanted to. I just wanted PMDD to stop ruining our lives. I wanted my lovely wife healthy, happy, balanced, and present--no longer consumed by the heavy fog that is PMDD. I can honestly say we were both held as emotional hostages each and every month.  By a pair of ovaries.

Note from Liana:  A hysterectomy alone will not eliminate PMDD.  If you choose this treatment option, you  need to have the ovaries removed as well.  PMDD stems from something that starts in the ovaries.

I encourage you all today to hold out hope. Hope is all we have. Like Andy Dufresne in The Shawshank Redemption said to Red, "Remember Red, hope is a good thing, maybe the best of things, and no good thing ever dies." I am glad I held out hope because, know this....there is a light at the end of the tunnel. There is an end [to PMDD] and a post-PMDD world exists......

More on this next week.  

The Voices of PMDD: Our Seven-Year Struggle With My Wife's PMDD

Recently on Facebook I came across a conversation where one couple who had experienced PMDD was reaching out to help another. The first woman had asked her husband to write a letter to the other woman, to help the second woman explain PMDD to her husband. She then posted his letter on Facebook. I knew right away this man's wisdom and clarity could help so many others...so I asked the couple if I might share the letter on my blog, and they graciously agreed.

Her name is Twilah, and she has a blog of her own, one having to do with navigating the American medical system. His name is Alec Johnson, and here is his letter:

I was asked to write this in an attempt to explain PMDD from my perspective as a husband who has experienced PMDD. I am also a Clinical Scientist with a quarter century experience in medicine and healthcare. I can tell you from my experience, PMDD is one of the most difficult disorders [to diagnose and cope with], for both the patient and her family.

I speak from seven years of experience living with my wife, who was Jekyll and Hyde. I only hope to provide some assurance to you that your feelings of frustration, anger, hurt, and disbelief are normal and understandable.

I also wish to convey from a clinical standpoint that your wife is not making anything up, nor is she able to control her disorder. Even if she had the greatest willpower of any human, she cannot will a hormonally-mediated disorder away.

My wife is a very intelligent, driven, and willful person whom I adore. That's why I married her! When we met she was a runner who ran 4-6 miles every day of the week. She was less than 10% body fat, and thus did not have periods. It is common for women with this low amount of body fat to stop menstruating. When we began dating we went out to dinner often, and shared more than a few bottles of wine. This slight change in her lifestyle over approximately 2 years caused her to gain a small amount of weight. Maybe 8-10 pounds on her 105-pound frame was enough to restart her hormones and periods. She began to change.

I noticed her becoming moody and anxious as well as not being very nice to me. I marked it off as stress from our upcoming wedding and honeymoon as well as normal work and life stress. Things were mostly fine and then one morning she called me from the emergency room saying she wanted to kill herself. This was all completely from left field. I had no idea what was going on.

My wife had been experiencing PMDD for a number of months at that point, and was doing okay at suppressing the symptoms. On this particular day she could no longer control the most powerful human chemical, hormones. Hormones are intensely powerful chemicals for both men and women. I would imagine you and I are at least similar in experiences as teen men. You most likely remember the intense desire for girls. Hormones, and particularly testosterone, were front and center in that. You and I could no more control that intense desire that my wife could control her desire to die due to progesterone and PMDD.

I will not bore you with many details, but she and I went through hell for 7 years before her PMDD was eventually properly diagnosed and treated.

PMDD primarily manifests as a mental disorder. It appears as if the woman is depressed, or anxious, or suicidal, or any number of mental disorders or combination of mental disorders. My wife was treated with every depression, anxiety, and mood compound known to man—with no positive effect. There were numerous bad side effects though. After 4 years it was obvious that it was directly linked to her hormonal cycle. For about 2 weeks of the month she was perfectly normal. Then every month without fail she would wake up as a person I didn't recognize.

She was suicidal, depressed, and most of all had the worst anxiety imaginable. We told every physician we could tell that her symptoms were hormonal and directly linked to her cycle. They gave her more mood drugs and ignored the hormonal aspect.

Finally quite by accident she saw a reproductive endocrinologist doctor. This physician not only recognized PMDD, she knew how to treat it appropriately. Some women can be treated successfully with birth control pills or psychiatric drugs. Some women can't take those because of side effects or other reasons. For some women there are only 2 cures for PMDD, either a COMPLETE hysterectomy, or menopause.

To prove that it was PMDD, the reproductive endocrinologist prescribed a drug named Lupron. This is a once a month or once every 3 months injection. My wife was to take the injection for 6 months. Lupron shuts off the ovaries and hence mimics menopause or hysterectomy. After a couple of weeks on Lupron my wife was back. It was completely obvious that what we had been telling many doctors for years was true. She had PMDD. No amount of willpower or mood drugs was going to fix or control my wife's complete [and biological] inability to tolerate progesterone.

Progesterone intolerance made her crazy and out of control, and controlled our lives for 7 years.

After 4 months the side effects of Lupron became debilitating, so the doctor referred my wife for a complete hysterectomy. That's when the real hell began. From the time between when the Lupron wore off and before the surgery could be arranged, my wife's ovaries rebounded. They produced massive amounts of hormone in an attempt to bring her absent hormone levels back into range. It was so bad I truly believed my wife would be arrested and put in jail before we could get her into surgery. I could tell you stories...

She finally had surgery on 24 December 2014. Literally the next day my wife looked at me and said, "I feel a calmness I've not felt in many years."

She was cured and our life together saved. This is our story.

I would imagine that right now you are experiencing the worst PMDD has to offer. Please understand that your wife can't will her PMDD away. She cannot "just try harder." She cannot simply "pull herself up" and "get it done" at times you might feel she should. I COMPLETELY understand. I'm sure I was not the nicest husband all the time when we were going through our hell. There were times I could barely maintain my sanity.

The only things that got me through was my love for my wife and knowing it was not her fault or choice. If I ever thought she could have chosen to act differently and she just chose not to, I would have left. Thankfully I knew it was not her fault.

From someone who has been in your shoes, I ask you to please understand your wife needs you more than ever. I know how completely maddening and frustrating it is to deal with right now. Get her to a reproductive endocrinologist who understands PMDD. Make peace with the fact that she may need birth control, psychiatric medication, or even a complete hysterectomy, and do what you can to get her the necessary treatment.

If surgery is appropriate do not allow a doctor to leave either of her ovaries. Ovaries are the problem.

As an aside, both my wife and I had our DNA sequenced for genealogy purposes last year. After that we found a website that would analyze our DNA and give us health information. It shows my wife has a known genetic mutation that makes her unable to metabolize her own progesterone.

I didn't need a DNA test to know that, but it was a nice confirmation of what we had experienced. 

PMDD Quote of the Week

Women with PMDD want to feel normal,  We don't want to admit there's something going on in our brain that isn't right.  Something that even the medical professionals can't agree on, much less define.  We can find a thousand excuses for why we are so clumsy at times, or so ravenous, or irritable, edgy, disoriented, anxious, or weepy.  We deny and deny and deny there is anything wrong with us, or that we are in any way acting strangely, because to admit that we are doing so means we will have to stop and deal with it somehow, and how can you deal with something that defies description?

Sometimes it's a battle you just don't want to fight. 

From my books, PMDD and Relationships and PMDD: A Handbook for Partners  

PMDD: A Handbook for Partners

At the request of my readers, I have written a PMDD book especially for partners of women with PMDD:

PMDD: A Handbook for Partners  

Does your wife or girlfriendʼs personality change drastically every month? Like clockwork? Youʼre far from alone. It could be Pre-Menstrual Dysphoric Disorder, or PMDD, a debilitating hormonal disorder which affects 3 - 8% of women in their fertile years, including many using birth control. PMDD is what makes it seem like sheʼs gone Dr. Jekyll and Mr. Hyde on you once, sometimes twice a month. Sometimes even for half of each month or more.

Inspired by the most-read posts in the blog Living on a Prayer, Living with PMDD, this book is for the partners of women with PMDD. Inside you will find insights as to what is going on in her mind during her seemingly inexplicable bouts of confusion, irritability, anger, rage, fear, anxiety, sadness and/or despair, what contributes to her state of emotional chaos, and tips on how to cope with and care for the woman you love during these, her most vulnerable days of the month.

Thereʼs no need for you to ride the rollercoaster of PMDD like you do. There are ways to help her manage her PMDD. Let this book help you to do just that, and find peace in the midst of the wildly careening emotions that PMDD brings into your relationship and life.

On sale now for Kindle at Amazon.  Introductory price of $4.99.  Available in print from Amazon as well for $9.99.  More than 200 pages of information and understanding about what itʼs like to be caught up in the unpredictability of a relationship with a woman who has PMDD, and what you can do about it.

Readers Speak Out: Advice for Partners of Women with PMDD

Today I uncovered another gem of wisdom from a reader on how to approach your partner's PMDD.  Rather than leaving it buried in the comments section of another post, I've decided to feature it here:

I just found this blog searching for something to help my husband know what to do with me. I feel better now, but I fear I'll regress and we'll struggle again as a family. I have PMDD. I say DO NOT bring it up when she is at her worst. She is completely irrational and doesn't want to answer stupid questions or talk about how she is feeling. [In that moment] it seems so obvious to her that you should know how she is doing. Don't bring it up on a date or otherwise special time between you two. It is better to ruin a good day or week to get her help, than to keep living like how you are and end up divorced.

First, you need to get your wife medical help. When you have an opportunity to talk—not in public—ask her if she's ever had PMS. She may not have realized her moods are associated with her cycle. You're either going to get a "Yes, dumb***" answer or a "No, not really, I don't think so."

Depending on how that goes, tell her you've done some research, you think her moods might be associated to her cycle, or, if she knows she has PMS, that it might be something more serious. Tell her about PMDD. Read her the symptoms. Ask her if this is how she feels sometimes. Feel bad for her, say you're sorry she has to endure that every month. Let her know there is help available.

I know it sounds insane. I know you shouldn't have to put up with it. I also know how well I'm doing now and wonder how much better last year could have been for my marriage if my husband would have reacted to me differently. If he could have said, "How are you doing? Not well? Let's get you to the doctor," instead of "You're so mean and I don’t have to put up with this." I think I would have felt better. I was already on an antidepressant. It wasn't working.

What I need to feel better is a new prescription and a husband who will back off when I'm irritable and take care of the kids. When I have a bad day, I need him to think, "She's mad, hmm, let's look at the calendar, yep, she's pre-menstrual, I'm going to leave her alone, not mention PMS, and take care of the kids until she feels better."

It might be a few hours, it might be a few days, but it won't be a few weeks like it was last year when he was mad at me for having a bad day; then I felt worse, then there was a fear he'd leave me. I get it, I wanted to leave me, too, but women with PMDD, I'll speak for myself at least, need to feel wanted and loved and worth it to help.

So that is my advice, stranger. Ruin a good day to get her the medical help she needs. Say, "I took next Thursday off work, would you like me to take you to the doctor?" If you have kids, arrange babysitting. It's so hard for moms to find an hour to go to the doctor, especially if she doesn't feel she's worth helping. Even if it's not PMDD she has, make sure she gets bloodwork done. They should be testing her thyroid to make sure there aren't issues there.

Either way, good luck, and from the wife's perspective, thank you husbands who stick it out and deal with us. Some of these marriages seem beyond repair, but husbands can do so much to help. Think of how she is doing and what you can do to help, even if that means just leaving her alone for a bit. She’s not rejecting you. She feels like s***. Unless she comes to you, your touch will be repulsive. It’s not personal, it’s just how she feels. Know that she cannot help how she feels when she is pre-menstrual. For me, I feel angry, tired, sad, and irritable so I am distant to try to protect the ones I love most (from me).

Perhaps your wife [doesn't] care so much if she is mean, but I care. I bet deep down she cares too because she loved you enough to marry you and doesn’t want to be mean to you. You don't have to understand it, you won't ever. You just have to love her through it. Hopefully she's worth it to you.

PMDD Wisdom for the Holidays and Beyond

I received two excellent comments from readers this week, both of them spot on, and rather than leave this straightforward wisdom buried in the comments section at the end of an older post, I thought I'd bring it front and center for your consideration.  Please keep these comments in mind as we move into the craziest and most emotion-filled time of the year, and may your next six weeks be filled with more peace and understanding because of it:

Here’s some advice for anybody who lives with a woman experiencing PMDD from somebody who has it herself: If you suddenly find that the woman you live with is irritable, seems distant, or has actually left to be by herself, leave her alone! She’s not mad at you, you didn’t do anything wrong. If you follow her around, touch her, stare at her, and ask her questions when all she needs is to be by herself for a bit, you’re going to piss her off. Look at the calendar. Is she premenstrual? Yes? Then that is your explanation for her behavior. She doesn’t need to explain it to you every month. She doesn’t want to talk about it. This is super predictable, guys. I know you may see her not feeling well and worry about her and your natural reaction is to touch and comfort and find out what’s wrong. For the love of all that is holy, just leave her alone. She can’t control how she feels and she doesn’t like it either. Don’t make it worse. She most likely already feels terrible you have to deal with her. :(  ~Anonymous comment on my post, Dealing with PMDD - Advice for Men

Guys. I’m a wife. I’m a mom. I have PMDD. I get how you would think that if your wife/girlfriend can keep it together at work that you would think you are not her top priority. But, consider this. What if she is a mess around you because you and your kids are everything to her? Think about it. Work is important, but it’s just a job. Friends are important, but they are just friends. Wanting to be a good wife and mom is everything to most women I know. Personally, I find it challenging, if not impossible, to be a good wife and a good mom at the same time. Both roles require completely different demands. This is stressful. So then, take into account that when your wife is premenstrual, she has lost her ability to cope. She’s so stressed out and so overwhelmed she cannot deal with anything. It’s upsetting when the toast is taking too long to pop up let alone the child who is screaming because she said he can’t play with the electrical cords. So, it’s hard. We care so much about being a good wife and mom, that when we can’t be, we feel incredible guilt. We are incapable of being loving, fun and efficient all time and feel so bad about it that we think you and the kids would be better off without us. These feelings can affect us physically to the point that we can’t fulfill any of our roles. If we didn’t care about being a good wife and mom, it wouldn’t stress us out. When we’re premenstrual, we can’t handle the stress.
If that’s not the case with your wife, there’s another explanation. If she’s at work all day and comes home to you and the kids at night, that means she has spent the whole day trying so hard to not be a monster. This is exhausting. There is so much she wants to do and say, but she can’t. She holds it in. Coming home to the demands of being a wife and mom put her over the top, she has nothing left. She just can’t deal with it anymore. It’s not that you aren’t her top priority, it’s that when she has time with you, she literally has nothing left to offer.
Another reason would be that work is validating for her. She's probably good at what she does, and she gets a paycheck for it. There's a reward and purpose and it feels good to be a good employee. There is not much that makes you feel good about being a wife and mom. If the house is messy, you don't know what to make for dinner, dinner sucks, laundry isn't done, etc., it's easy to feel like a subpar wife. If your 3 year old isn't potty trained, your 15 year old doesn't know how to load a dishwasher, your kids watch too much t.v., your kids eat nothing but junk, your kids fight, your kids don't obey, you forgot your tooth fairy duties, etc., it's easy to feel like a failure as a mom. It's not hard to feel inadequate at home. Maybe the "needed benefit" for her going to work is that she feels good about herself the 8 hours she's there, and that 8 hours is what gets her through the other 16 every day.
There you have three explanations. I hope this gives you insight on what you’re wife might be thinking. We’re all different, but it was sad for me to hear you think you’re not a priority or of less importance to your wife because for me, it’s the opposite. It’s the anger and frustration and questioning of our love for you that gets us stuck in depression. Try responding to her with love. If she comes home from work a crazy angry person, or if you come home from work and she’s clearly irritable, that would be a good time for you to say, “Kids, Mom doesn’t feel well. Come to me for everything you need. Let’s clean up your toys, I’ll help with homework, I’ll feed you dinner, I’ll give you baths, I’ll put you to bed.” Just try it. See how much sooner she feels better. She needs to know you love her even though she’s having a bad day. I know it’s a lot of work to do everything at home after you’ve worked so hard all day, but contemplate this: If you get divorced or she kills herself, which is something women with PMDD think of often, you’re going to be doing everything every day anyway for the rest of time. ~Anonymous comment on my post, Dealing with PMDD - Advice for Men