PMDD and Negativity

It may look like I'm just recycling posts, and I am to some extent, but these are really good posts that got shuffled down to the bottom of the popular posts list over time.  It doesn't mean they are any less informative or relevant.  Today's re-post is about the neural pathways we create in our brains, and how we can focus on turning around the negativity that comes with every episode of PMDD. 

In the meantime, I am working on three new posts, the first of which I hope to put up before the month is over.  All went well with my cerebral angiogram, I finally got the *all clear* for a full year, and so now I look forward to getting back into my research and writing, and having even more good posts and information for you to discover here at Living on A Prayer.

Thank you all for your encouragement and support this past year as I dealt with my aneurysms.  What a roller coaster ride it has been. 

Stress and the PMDD Woman

So what causes stress in a PMDD woman?

Well, trauma, for one.   Trauma, (such as a life-threatening accident, war, imprisonment, witnessing or being the victim of a violent crime, including abuse of any sort, a death or major upheaval in the family, especially one over which you feel you have no control) can predispose a woman toward PMDD.  Incidents of trauma like these create neural pathways in the brain that can lead a woman with PMDD to over-react both physiologically and emotionally to normal everyday stressors in her life by producing an excess of "fight or flight" hormones, among other things.  Once this neural pathway has been opened, via trauma, the ruts are established and only get deeper with each new stressor.

 

To top it off, stress can contribute to further chemical imbalances in the brain.

So which came first, the chicken or the egg?  Is it stress that aggravates your PMDD or does your PMDD stress you out? 

 

The answer is both.  Lucky you.

Other sources of stress that work both ways include: 

Addiction

PMDD women are more prone to addictive behaviors, including sexual addiction, relationships addiction, drug addiction, nicotine addiction, alcohol abuse, and emotional eating, all of which bring stress into your life. 

Substance Abuse

This has to do with the reward/pleasure center of the brain, which is basically not working right during an episode of PMDD.  What you think will bring you pleasure or relief from your weepiness and edginess and anger in fact does not, because your brain is not processing information properly to start with.

The following has nothing to do with substance abuse, but is just one example of how my brain doesn't work right during that time...I walk around the track at my local gym.  I time myself.  On a good, comfortable day, I can do one lap in one minute.  Sometimes I can do it in 55 seconds, when I am pushing myself, and sometimes I'm just not feeling up to par and it takes an extra 5 - 10 seconds.  

But on an average day, I do one lap in one minute.

When I am having an episode of PMDD and force myself to go and walk around the track, and I feel like I am moving through molasses and every step is a challenge...imagine my surprise to discover that according to the second hand of the clock, I am actually moving at my normal pace of one lap per minute.

PMDD screws with your perceptions.  Of everything.

This includes what you see, what you hear, what you feel, what you think, and what you reach for to numb the pain.

Depressed people in general like to self-medicate (Remember, the first D in PMDD stands for Dysphoria, or depression) and jumpstart the reward/pleasure center of the brain with external substances, both legal and illegal.  But the PMDD brain does not respond properly to these stimulants, leaving the woman vulnerable to addiction.  Things that only add to the muddle going on in your brain are unresolved conflicts from the past, destructive behavior patterns, cycles of abuse, day to day stress, relationship issues, and cultural conditioning--all of which can lead to substance abuse in non-PMDD women as well.

So not only do the same things that set other women off set PMDD women off, but:

Our brains do not process the information properly during an episode...which leads to all sorts of drama...which only adds to our level of stress...thus leaving PMDD women more prone to substance abuse disorders, whether from the differences in our brain chemistry or the issues and situations that arise as a result of our choices and actions...which are also in part dictated by our abnormal brain chemistry.  

Did you get all that? 

The bottom line is it's a vicious cycle, and no matter which way you look at it, PMDD women lose.

Adolescent Abuse

Briefly, studies have shown that women who have been abused in adolescence are more likely to develop PMDD.

Childhood Abuse

A scientific link has been found between women who were abused as children, and women who develop PMDD.  Again, this has to do with the faulty neural pathways developed in times of trauma, affecting the "fight or flight" response in the brain.

Physical Abuse

Physical abuse has the same effect on the brain as trauma. Women in abusive situations are also more prone to anxiety and depression disorders, which adds to the burden on the brain.

Sexual Abuse

Studies have shown sexual abuse to be a precursor to both Major Depressive Disorder and PMDD, no doubt through the connection to trauma.  A link has been established between sexual abuse, PTSD, elevated thyroid ratios and PMDD.

Next up:  Ideas for reducing the amount of stress in your life.

PMDD and Neural Pathways

In next week's post (which I am already writing today), I'm going to talk about stressors specific to PMDD women.  I'm going to use words you may or may not have heard before.  Like neural pathways.  What does that mean?  Well, let's look at neural.  Neurology. Neurologist.  Having to do with nerves.  Ever have a pinched nerve or experience nerve pain?  Ever say to someone "You're getting on my nerves?"  A neural pathway is like a dirt road.  The more you use it, the more it gets worn down.  If you use it a lot, the road develops ruts.  When a road has ruts in it, you can get stuck in the mud. 

 

On the flip side of that, think of a pair of shoes.  Nothing better than a pair of shoes you've had so long that they feel totally comfortable. 

 

So we have these neural pathways in our brains.  The more we use them, the more they can either develop ruts we get stuck in, or the more comfortable they can become.   Sometimes we can get comfortable with things that are not good for us.  Like addiction and abuse.  But hey, they are familiar.  Better the devil I know than the one I don't.  So in times of stress, we reach for the familiar. Our brain sort of goes on autopilot and says "I know how to react to this" and sticks with the tried and true.

The brain does not distinguish between what is comfortable and what is a rut.  Left to its own devices, the brain just takes the path of least resistance.  To get a different result, or take a different path, you have to consciously choose to do so, and in a sense, give your brain instructions to do something different this time.  Because even while the brain reacts automatically, you are in control of your thoughts, your thoughts are not in control of you.

Hard to believe when you're in the middle of a PMDD episode, but bear with me here.

To take a different path, you have to let your brain know that's what you want to do.  It will be hard, of that there is no doubt.  Your brain has been conditioned to doing things a certain way.  It's quite content to keep doing things this way.  Basically, you have to re-train your brain. 

 

I'd much rather slip into a comfortable pair of shoes than get stuck in a dirt road rut. 

 

Screaming and yelling and crying and creating all sorts of drama is sinking into the rut.  Taking a deep breath, holding your tongue, going for a walk or into a room by yourself to calm down is breaking in a new pair of shoes.  It will feel unfamiliar and tight and pinched at first, but the more you wear those shoes, the more comfortable they will become.  The more you practice self-control, the more familiar and comfortable it will become.  Eventually, you will have created a new rut...one you don't mind being stuck in.  One that helps your relationships instead of hurts them, and one that doesn't leave you feeling destroyed every time you get stressed.

We're talking normal stressors here, the stuff people have to deal with every day.  A meeting with your boss, a new client, your kid's teacher, a presentation you have to give, just dealing with people in retail, or long lines at the grocery store.  Traffic jams, flight delays, spilled milk, and crayons on the wall.  Practice is how you retrain your brain to deal with that stuff.  Because PMDD women have a reputation for being unable to cope with everyday stresses.  But this is because our PMDD brains have been conditioned to over-react to normal everyday stresses.  We have to work hard to get out of those brain ruts and we have to start small.

One moment at a time.

Some think of PMDD women as being weak, but I think the opposite.  I think we are strong.  Stronger than most.  Because we're starting out from deep in the ruts, while everyone else is starting on solid ground.  And still we succeed.  We get the clients, give the presentations, raise our children, maintain our households, keep our families and businesses afloat,  bring home the bacon, create beautiful things, care for our loved ones, and win recognition and respect DESPITE having a brain that does not function properly.

So never put yourself down for having PMDD.  Doing so only creates another rut you have to crawl out of.