The Voices of PMDD: Tough on Relationships

Anyone with experience can tell you, PMDD is tough on relationships. By the time I was 25, it was certainly getting tough on my parents and sisters, and then my first husband. This was before I knew anything about PMDD. I thought it was just PMS, but no one else with “just PMS” seemed to be going through what I was. When I would try and explain to confidants, I would be warned off blaming everything on hormones. Yet once a month, like clockwork, I would dread interacting; I could feel my personality morphing. I would cancel plans, back out of things, even leave vacations to go home! I would have massive flip-outs. Family thought I was just a moody, selfish and spoiled brat. In truth, I was being ruled by my hormones. I hated it as much as they did. It made it so hard to make plans or get excited about anything. And since it was cyclical, it seemed like “just who I was”.

I’m married for the second time now, and it seems I decide to divorce my husband pretty much every month. For nearly a year, I’ve been pulling my luggage out of storage and packing my bags only to put it all away again a week or so later when my cycle shifts again.

Maybe I had no business getting married in the first place, but we had to. We lived in separate countries, and it was the only way to be together. As much as I may have wanted to live abroad, I quickly realized I didn’t have it in me to deal with the culture shock, language shock, new roommate shock, etc. and all of the loss…of home, work, friends, family, belongings, car, etc. I had no idea the impact of moving overseas and all it entailed would have on PMDD!

Over the first two years of our relationship, the stress I endured was enough to give me PTSD and a whole new level of experience with PMDD, which by the way, I had only learned about half-way through our marriage, as I desperately looked for answers about why I was suddenly such a full-on raging lunatic every month. When I read about it, it was like a string of lights lit up in my DNA. When I started tracking my symptoms, I had all the evidence I needed. I hadn’t been imagining this plague! It was only in hindsight I was able to piece together aspects of my history that pointed toward PMDD and that those pieces of a near life-long puzzle started snapping into place.

In this marriage, our problems have centered around my PMDD. It’s an easy target. Once I knew what it was, we’d talk about it on the good days; I’d try to explain it and tell him what I needed from him. He’d listen and nod and say he understood. But for some reason, month after month, he just couldn’t deliver. Was it me? I thought so. I really, honestly blamed myself. Maybe I was asking for too much space. Maybe I was demanding too much help. Maybe I wasn’t trying hard enough!

Our marriage passed through a very difficult season of intense arguments, usually when I was in the throes of PMDD. These arguments only served to further impair my already affected mental state and merely re-traumatize me in all the ways I’d lived with growing up. It was becoming unbearably painful. Again, I blamed myself. If only I didn’t have this disorder. If only I wasn’t so needy, so messed up, so controlling, so…me. Of course, I blamed him too. If only he’d clean up, do what he promised, give me space, be…someone else!

Then one day, after an excruciating and emotionally abusive exchange between us, a genuine turning point arrived. I realized this endless struggle simply wasn’t what I wanted for my life. If I had a disorder that made relationships challenging, then I had to decide whether my marriage was a help or hindrance to my healing. I realized it had become a hindrance. Yes, I had my issues, AND my husband had his own issues, and all of it was creating a mess I couldn’t bear. We weren’t being “good for each other”. It was plain and simple reality, regardless of fault. That’s when I knew it was really over. I told him I wanted out, for real this time.

I started to focus on my own healing (or refocus, truth be told). I got into positive psychology, started taking B-12, Magnesium, and Ashwaganda for my blown-out adrenals, and hired a counselor, too. I learned to focus my mind out of hormone-created mental “shit storms”, and on the days I couldn’t, I treated myself gently. I began to process all the changes and losses of the past couple of years. I thought about what I still valued in life and took notes. I also realized that I had to at least try and communicate with my husband what I was going through, if just for my own experience. It didn’t matter if he got it or not; I just had to learn to communicate it. I began to want to understand what it was like for him too. I wanted to know all the ways I had been unskillful in our marriage so that if I ever got into another one, it would be better. It was really painful work, digging in the underbelly of so much suffering, much of it self-created. It was also difficult letting go of all the things I simply couldn’t control…like certain symptoms of PMDD or my husband’s perception, understanding, or lack thereof.

Shortly after I took on this mending, a miracle happened. We started really talking again and meeting each other in a different playing field. We both got more skillful. We accepted what we’d been resisting and/or taking personally. We found our love for each other again. We were finding our way to being “good for each other” again.

We are definitely a work-in-progress. Believe me, we still piss each other off, but now, we know when to back off and give each other space, and we know and understand a little better the ways we are either too different or too much alike to help one another. There’s more respect between us.

 So, despite hiring a divorce lawyer, we’re still married and going on three years now. Will we make it to four? It’s possible now, though it had gotten to a point where it wasn’t. There are still times of the month when my cycle shifts gears that I see through the eyes of judgment instead of love, when I just want to get the hell out of here, and when fear tries to take a hold and make me see only problems. Yeah, yeah.

Whatever, dragon!

When I try too hard to understand it all, I often don’t know what to believe. Do I believe the judgments that say he’s a total jerk, agonize over the crumbs and spills in the kitchen, and ruminate on stories about how everything is so terribly wrong? Or do I put my faith in the days when I’m overjoyed to see him, love his hugs and kisses, laugh with him, and feel grateful for his presence in my life and all the ways he blesses it? I know now that for the most part, both heaven and hell are inside me, and no matter where I go, I’ll take them with me. It all boils down to where I place my focus! 

Liana's note:  The above guest post was written by the blogger Cheekyminx. With her permission, several of her posts about PMDD are featured on this blog. In the meantime, to find out more about her work as a PMDD Advocate, please visit her Facebook page, PMDD Life Support.

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.

Declare Your Independence from PMDD - Nutrition Matters

Today we offer a two-for-one post, with a guest segment from Julie, a woman who, like me, has taken the responsibility for management of her PMDD symptoms into her own hands.  Read on to find out how and why. 

Let food be thy medicine and medicine be thy food. ~Hippocrates, founder of the Hippocratic School of Medicine

Julie starts:  Over a decade ago, I sat down with a doctor and burst into tears. Literally within moments, I had a prescription for an antidepressant.

I left feeling ashamed and deficient somehow. The drug didn't help at all and I was cycled through various others to see if one would finally work for me. When I decided to quit the search, I was tapered off of everything and felt like bolts of lightning were jolting through my body for weeks.

Nobody ever asked about my diet.

I've had three idiopathic blood clots. That means doctors can't identify what caused them. But now I take an anticoagulant for the rest of my life. For years, I've had to be careful about which foods I ate because certain foods could interfere with the medicine.

I even saw a gastroenterologist who wrote me a prescription for an anti-anxiety drug before printing me a list of foods that might be the culprit behind my constantly upset belly. There was no real plan, no follow-through. Just a drug to treat the symptoms.

I was told that my symptoms were all in my head and just manifesting themselves in my gut. I felt broken and shamed again.

Yoga was my first step in recovering from depression. I'm now a registered yoga teacher and practice almost daily. I meditate and take long walks to soothe my nervous anxiety. I have been gluten-free for years and until recently ate what I thought to be a fairly healthy diet. I don't drink or smoke or even drink caffeine. Most people who know me would probably consider me somewhat of a health nut.

One day it occurred to me that I would never just "open my medicine cabinet and start swallowing random handfuls of drugs." I don't even take Tylenol without checking to see if it's safe with anything else I have to take. But I do this with food. I open the refrigerator and...

I [finally realized that I] paid more attention to the appetizing picture on the package than to what was actually in the package. I finally understood that FOOD IS MEDICINE and that literally every single cell in my body was made of the food I chose to eat.

For the past several weeks, I've been eating nothing but clean food. I've removed all dairy, grains, legumes, soy, and sugar from my diet. I have piled my plate with veggies, fruit, and protein. Everything has been delicious and satisfying. I've definitely lost weight, and I've never felt deprived or gone to bed hungry.

But I've also gained strength and endurance. My sleep has improved. My skin is happy. And my resting heart rate has dropped steadily.

And this happened after only two weeks!

I'm much happier these days than I was a decade ago. I've fought for my own happiness. I now know who I am and what I need to feel like me. Antidepressants and anti-anxiety drugs are helpful to many and there's no shame in taking them—none—but they've become so stigmatized that we sometimes get defensive about them instead of fairly examining the whole picture.

None of the doctors I met ever asked me about my diet. I was told that my symptoms were all in my head. Who cares that my head happens to be connected to the rest of my body?

What we eat matters and affects our entire being, not just our physical body.

Did you know that body fat secretes hormones? It works like an organ. If any other organ were enlarged and throwing the rest of your system out of whack, you'd probably consider that a problem.

Food is comforting. These past weeks have been emotionally exhausting. I got a call from the vet who has been treating our beloved dog for his leukemia. When they diagnosed him, they said he had 7-60 days left. He fought for more than six months! Even so, the vet confirmed that we had to say goodbye. He suggested euthanasia was the most compassionate response. It was gut-wrenching. I was standing in Target sobbing and calling around looking for someone to come to the house that night to help my dog transition in peace.

During that situation and other, equally stressful situations, I found myself face to face with the reality that I use food to comfort myself. I longed for sugar, cream, grains... Cookies, basically. I stared at the brightly colored bags of treats and imagined what it would be like to eat them. To feel their crunch and sweetness and melting chocolate. I felt alarms going off in my head like an addict fighting to stay clean amid temptation. I pushed my cart through the store with eyes red from crying and left with my commitment to a clean diet intact.

Once at home, I made myself a bowl of chia seed pudding with coconut milk and cream, bananas, blueberries, and love. It satisfied and comforted me. It nourished me instead of making me feel sick and sad.

It's okay and good and right to feel comforted by your food. Food is medicine. Food is one of the truest joys in life. Learning to see food for what it really is has been an intense and eye-opening experience.

If you're looking to learn more about all of this, please go find a copy of the book, It Starts with Food. Written by a certified sports nutritionist, it's an absolutely fascinating and inspiring read.

Liana adds:  So make today the day you declare your independence from PMDD.  In addition to whatever treatment plan you are following, take a good, hard look at your food habits.  What you eat, when you eat, where you eat, and why you eat.  Read up on food and nutrition and how it all works to support and sustain your brain and body.  Do what you can to eat clean(er)—and feel the difference for yourself.  Become more body aware as you start to feel healthier. 

Make changes in small increments if that's the only way you can stick to a plan.  Baby steps. 

That's the way I did it, and, like Julie, my symptoms have eased to barely worth mentioning in the year and a half  I have been eating cleaner.  So much so that I haven't needed to take anything for anger, irritability, depression, mood swings or anxiety other than an extra 100mg of progesterone as needed.  (I wear an estrogen patch (.75.mg) and take 100 mg progesterone capsule at bedtime daily.  I take an added dose of progesterone (either via a second 100 mg capsule or a dime-size dollop of progesterone cream) on days when I feel symptomatic.)

Nutrition matters.  And you deserve to be nourished, not pacified.  So give cleaning up your diet a sincere effort, like Julie and I have.  There's nobody out there who can or even will do it for you.  It has to come from you.

Then, once you, too, feel stronger and have more stamina and energy—mentally, emotionally, and physically—you may be able, with the supervision of your medical practitioner, to be weaned from any substances (or situations) you have determined are making you feel worse...instead of better. 

And wouldn't that be something to celebrate?

Readers can find Julie on Instagram @hideadollar and can reach Liana either through posting a comment here or by emailing her at info (at) livingwithpmdd (dot) com.

Living with PMDD: Why Every Woman Should Be Practicing Hormonal Self-Awareness

Recently I stumbled across this gem of an article in Elephant Journal on hormonal self-awareness, written by Vironika Tugaleva, life coach, inspirational speaker, and award winning author of The Love Mindset.
One line that caught my eye was:  What a hormone surge does is it gets rid of a woman's ability to numb herself to the quality of her environment. 
With their permission, I have reposted the beginning of the article.  If the opening intrigues you, please click on the link to finish reading the article. Well worth your time.

Why Every Woman Should Be Practicing Hormonal Self-Awareness

by Vironika Tugaleva

I had a client once whose boss insisted on using positive-only language in the workplace. So, when giving feedback about mistakes and areas for improvement, he’d say, “You have a great opportunity to practice your communication and organization skills here” instead of “You’re awkward and messy.”

I thought that was just brilliant.

So, for me, around the same time every month, the opportunity comes to do some very deep self-awareness work.

The more I’ve become aware of the effects of hormones on my mind and body, the more amazed I’ve been that there was a point when I was not at all aware of these effects. There was a time when I would spend a week alternating between bitchy and depressed, thinking that the reason was whatever my mind told me was the reason.

Whether or not you’re a woman, stick out for this one, because if you are, then this is absolutely something you must know about yourself, and if you’re not, this will give you incredible insight into the behaviour of women in your life.  Read more here:

PMDD and Making Hard Choices, a Guest Post by Kit

In my Voices of PMDD series, we spent the summer of 2014 hearing from women with PMDD and their partners, through blogposts describing the struggles and challenges they face monthly.  Going into fall, I'd like to focus on some solutions various women with PMDD have found.  Since every woman's PMDD is different in the symptoms she feels and the severity of those symptoms, not every suggestion regarding relief will work, but I offer these posts in the hopes that something will strike a chord somewhere, and at least put you on the path to lessening your PMDD pain, be it physical, mental, emotional, or spiritual.

Today's guest post is written by Kit, and comes filled with great wisdom, and several positive choices for feeling better.  That said, here's Kit: 

Apart from feeling a little tense/dramatic during ovulation weekend and a little teary the day before my period began, this month has been so easy. My symptoms have been getting better over the last two years. When I look back to how badly PMDD used to affect me (3 out of 4 weeks), chronically suicidal most months, I just can't believe how it is now...

Here is how I choose to live now compared to before.

BEFORE

Chose boyfriends who didn't understand, sympathise, and had their own crazy issues going on — boyfriends I chose, so I'd feel less F'd up and—ironically—more equal.

Had friends that took from me and drained me because PMDD makes it hard to create continuity of self and therefore friendships can be tricky. So when they took, drained, and crossed boundaries ... I rolled with it—thinking I should be grateful for their friendship. 

Thought of myself as having this big secret from the world that I couldn't control and was ashamed of. I spent a fair amount of time thinking about what others would think, especially when I was ill.

Shut myself away for weeks on end to protect the life I had just spent weeks building again.

Tried hormonal medications, anti-depressants, and supplements, all of which gave me side effects and changed the flavour of the PMDD to the point of not being worth it.

Worked 9-5 in a high-powered job, with a boss with questionable ethics, which made me ill via the ethical distress and stress of my workload, while spending 4 weeks a month trying to be the same person every day.

Generally believed I couldn't make a change from any of these because it would be impossible. How could I maintain my relationships, jobs, family, etc. if I tried to change all the above?

NOW

I chose a partner with understanding, tolerance and, most importantly the willingness to co-manage my PMDD with me—what a difference that one makes!

I chose a partner who is as self-aware as I am when it comes to his own journey.

My attitude is : I am a good catch; if I get ill, I am ill, if my partner started to be unsupportive I would wait until I was in my good time, and then talk from a point of grounded logic, explaining that I need someone who can give me support and understanding and that's what I deserve and if that's not him, he can leave now. 

I now offer Zero Tolerance to anyone who's going to risk making me ill by their own silliness.

I now only have friends who respect my boundaries; I phased out those that didn't.  It wasn't easy but, wow, has it made a difference in my life and in my PMDD.

I no longer have a 'secret' but I don't choose to tell others unless we're close ... I tell them what PMDD is but don't go into details. I don't care what others think. I know what I have, I know it is real. I do not need to communicate it, or hear their acceptance to accept myself. I have worked hard on accepting myself as I am, PMDD and ADHD warts and all, using the Strong Notes app.

I am still careful about planning social occasions around my bad times. I don't feel badly about saying 'No' — it's what I have to do to be kind to myself. Unnecessary stress that you choose to opt out of, no matter what others may think, can reduce your PMDD symptoms.

I am on Methylphenidate for my ADHD, and so far taking a really low amount, but it works wonders with my ADHD and could be having an effect on my PMDD, too. I would love for others to try it and see how it quiets the inner thoughts and mind tumble dryers we all get stuck in during PMDD mode. 

Using an app called Strong Notes, I send myself accepting/loving messages from my 'well self' to read on my bad days, feeding my strength back to myself on days I can't access it from within.

I have separated my 'well self' from my 'ill self' in my mind so I don't brand the 'true well me' with an ill tarnish. It helps to be sympathetic to my 'ill self' when well, and remember my 'well self' when ill. 

This is so important : I now identify when ill that how I'm feeling is real and not just my imagination.

I quit my ego stroking 9-5, 4 weeks a month job to pursue another working model that allows me to be ill when ill and kick ass when well.

I sought help from a mental health charity that supports people trying to make life work for them while struggling with a mental health problem. Successfully got a government business loan to start a business. I was honest about the PMDD and it was never even brought up as an issue.

I now believe that I am worth drastically changing my life for. I don't put myself in situations where I am stressed, and in turn my PMDD is at rest rather than flared up. I still know it's there but it's controllable.

I've read and live by Eckhart Tolle's book The Power of Now.

I eat foods with high nutrients but also still eat crap (sugar, etc.) when I want to, and for me it makes no difference. Food diets aren't ever as impactful as emotional diets in my opinion.

Signed up for all business/mental health support organisations to have mentors to keep me on track and to keep reminding myself that I am worth the hassle.

This is all just one story but I thought I would share it with you in case any of you are feeling ready to go on an emotional diet, too, or should I call it a MIND DETOX. I stayed in bad situations, feeling like a victim, for too long. I missed out on my teens and twenties for sure, but I am no longer going to be a victim to society's views, or the acceptance of others. 

I have PMDD. It means I must live accordingly. I choose to make my life better by taking the actions needed to protect and progress myself.

Love to you all.  I know we know each other's darkness all too well. I hope some of this helps.

K xxx

The Four Seasons of PMDD

I know I mentioned this in my last post as a real treat to find, but I want to spend a little more time on WHY I think the 34-page free PDF called Let's go menstrual! by Miranda Gray is so amazing.  For one, it treats our menstrual cycles as something to be welcomed and honored and worked with, not cursed and concealed and ashamed of. Something that can be used as a positive force in our lives. 

We all know that with PMDD we feel differently on different days.  This booklet shows you in simple, easy to understand terms, how to make the most of your good days, and even how to make the most of your bad days. 

So I encourage you to use this booklet to raise your awareness of the different *seasons* of your monthly cycle, and to tailor your expectations to match what is naturally going on in your body during any one of these four seasons.  In the end you will learn how to better meet your own mental, physical, emotional, and spiritual needs, and doing this will help you to feel good about yourself.   In particular, the author says (and I heartily agree), you will feel more:

Comfortable with (and in) your own body

In control because you know WHY you are feeling the way you do

Confident in your abilities (as long as they are tailored to your moods or seasons)

Empowered to created positive feelings about yourself

Now what PMDD woman couldn't use a little more comfort, control, confidence, and empowerment?  Tell me what woman anywhere couldn't use a few more positive feelings about herself? 

PMDD women in particular need to read the section about the Autumn/Fall of our cycles, the problem-finding (and solving!) portion of our cycle, where the booklet tells us we can feel the need to "clear out our (mental, physical, emotional and spiritual) rubbish, to curl up alone, and to sleep more."

Ms. Gray then tells us the Winter Phase is a time when we tend to reflect on the year (or cycle) just over, daydream about the future, what we want to do in the year ahead, and commit to our new resolutions.  It's a time of rest, relaxation, and meditation, among other things.  I personally use it to curl up in my big cozy chair and catch up on my reading.  

Do not miss the list of suggestions for your Winter Phase, which coincides with the time of your bleeding.

Of course, the Spring and Summer Phases have equally invaluable lists of characteristics and suggestions for maximizing your well-being.  The suggestion I liked best for the Spring Phase, (when we are full of confidence and are our normal, non-PMDD selves) is to "Use your self-confidence to do something different from your usual routine."

That's right, the time to take on something new and unfamiliar is your Spring phase.  But the KEY to success is to only work on that project in your Spring Phase.  Set it aside when Fall and Winter come.  Do not let the innate negative energy and thoughts that those seasons bring to you undo all the positivity you have created in your Spring and Summer seasons.  Both Spring and Summer will come around again (that's the beauty of cycles), and there is no harm in working toward your strengths.

Use your Spring and Summer seasons to discover just what those strengths are.  The booklet even tells us what to watch out for in these highly positive and productive seasons, such as doing too many things at once, or doing too much for others, and ignoring our own needs.

Ms. Gray also tells us that Summer is the best time in our cycles to be sociable and work on relationships.  But also to be wary of wishing we could be this light and cheerful and confident forever.

Then, in the Fall and Winter seasons, we are to (among many other things) focus on NOT BELIEVING the negativity in our minds, and not to try to maintain a Spring or Summer schedule when our body is crying out for some rest and relaxation. 

We need this rest and relaxation to prepare us for the renewal that comes with Spring. 

So, to recap: 

Cycle Days 1-6 are your Winter Phase (rest, relaxation, take care of yourself)

Cycle Days 7-13 constitute Spring (a time of renewal, rebirth, and creative energy)

Cycle Days 14-20 should be your social and sharing Summer phase;  (but is often where the problems begin in PMDD women instead); and

Cycle Days 21-Day 1 (first day of bleeding) is your Autumn/Fall phase (when PMDD strikes the hardest)

For more information, please visit www.optimizedwoman.com.  There is a newsletter you can sign up for, and all sorts of good articles there, on how to increase your awareness of your body and its cycles. 

Preparing Ahead for Your PMDD

Hello and welcome...today we have a fantastic guest post by Renell that was originally posted on Facebook.  I've chosen to add my two cents worth in italics (Sorry! It's the writer/editor in me!) so if it reads like two people are talking here, that's why.  Please feel free to leave any positive suggestions YOU might have for coping with/managing your PMDD in the comments section.  I'm sure we could all use a bit of help in that area.  Thank you for stopping by, and may this help you in preparing for the next time your PMDD comes around...

I now turn the keyboard over to Renell...

Hi, everyone!  I'll get right down to business: In recognizing a common theme in the comments on the Facebook PMDD loops I belong to, I'd like to offer some tips for support I've found helpful in my own therapy. We all know that every single month like clockwork our hormones will wreak havoc and PMDD will rear its ugly head. If you're anything like me, you suffer through it and once the symptoms subside you're so glad to feel normal again that you forget you have PMDD at all.

Or at least we want to forget!  This is one of the places where denial comes in...when the episode is over and we want to just pretend it didn't happen, so we don't have to deal with all the problems we created during the episode.  Unfortunately...

PMDD will remind you it's here to stay once that dreaded ovulation day rolls around yet again. Embracing this disorder means we need to accept its existence in our lives and plan for it.

I like that...embracing this disorder.  Might as well, because it's not going to go away.

Let's try to be proactive rather than reactive to our PMDD. Here are some ways you can plan ahead. These tips are useful whether you choose natural therapy or medication to relieve your symptoms.

1. Mark off the dreaded luteal phase on your calendar for the upcoming month so you know when the PMDD symptoms will likely begin.

2. Plan your activities around these days according to how your mood is likely to accept them. Make sure your partner knows what's going on as well so that he/she can help you with extra support.

3. Do housecleaning or laundry ahead of time. I clean the entire house the week before my luteal phase so that when I am in the PMDD zone I don't have major cleaning to be bothered with. It also helps to relax in a nice clean house.   I love this idea, Renell!

4. If you only take meds during your luteal phase and they take a few days to kick in, consider taking them a few days early so they have already kicked in on the first day of ovulation (Warning: Discuss this with your Dr. if you're not sure that this is okay given the type of meds you are taking)
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5. If you are highly irritable during your PMDD episodes schedule time to be alone. Sometimes it's hard for us to be around anyone during this time. Don't feel bad for needing this and do whatever you can to carve out time for yourself.  (I added the bold).

6. If you are prone to getting depressed during this time, schedule time to be around supportive friends who can help. No sense in going through this alone. Calling a friend or family member over to simply talk in your sweats or pj's helps quite a bit.

7. Shop ahead. Stock the fridge with healthy foods like leafy greens, fruits and healthy carbs to boost your energy during this phase. You'll crave junk food and if you already have healthy food on hand you'll be less likely to drive through a fast food joint for a greasy salt, sugar, and fat-laden meal that will only make you feel worse.

8. This one is important: Lower your alcohol intake. Again if you're anything like me you'll start guzzling the wine in hopes that it will relieve your anxiety. I don't usually get drunk, just a glass or two at a time. But doing this every night for weeks is not a good thing and the alcohol can actually make our anxiety and depression worse. It can lead to alcohol dependency among other serious health problems. It also is dangerous to mix with many medications that a lot of us are on. I personally recommend that you stay away from alcohol altogether during your luteal phase. It's just not worth it and its effects are deceiving.

She's right, ladies.  Alcohol is a depressant, and when you're already depressed....sure, it makes you feel good and alive and dare I say "normal" for a couple of hours—maybe—but after that, our bodies pay in ways we can't even imagine.  Renell has addressed the obvious, the possibility of alcohol dependency and the danger of mixing your meds with alcohol.  But alcohol can also mess up your blood glucose situation and don't forget....when we're having a PMDD episode every negative thought is magnified many times over, plus...our brain isn't processing information correctly to start with. 
 
So why add alcohol into that mix?

Just think about it the next time you reach for that attempt at self-medication.  Try doing something good for your body instead.  Something you've prepared for ahead of time.

Okay, now it's your turn. What are some DO AHEAD ideas that have helped you plan for your PMDD?

PMDD and Learning to "Just say No"

Okay, I promised ways to de-stress your life in this post, which is exactly what took me this long to write it.  I looked through my files for what would be good advice, and found all the stuff we already know:   avoid alcohol and smoking and sugar and caffeine, drink lots of water, exercise, eat more vegetables and get lots of rest. 

Boring.  Nobody wants to do that.  Or to be told to do that --- yet again. 

Nope, we'd rather look for that magic formula, that silver bullet, that holy grail of a cure for our PMDD. 

And while we're looking, we don't want to have to give up our crutches. 

We also don't want to have to make any changes in our lives.  Change is hard.  It's messy.  It's unsettling.  It makes us feel all confused and chaotic inside, and we already feel confused and chaotic enough, thank you.

But change is the only thing that's going to work for you, ladies, because what you're doing now obviously isn't working, or you wouldn't be here.

I don't say that to insult you.  I say that to give you a starting point.  The first step to change is to admit that something isn't working. 

So, what in your life isn't working? 

Take some time to think about it, and yes, the answer "Nothing in my life is working" is an acceptable answer.  It happens to more of us than you'd think.  Everybody's just so busy running around pretending that their life is working because it looks like everyone else's life (everyone who matters to us, that is) is "working" but ours, and God forbid we should be perceived as imperfect or somehow less-than. 

Well guess what?  Nobody out here has all the answers.  Including me.  Especially me. 

But...if I had to limit myself to one pearl of wisdom regarding de-stressing your life, it would be this: 

Stop looking for the answer outside yourself. 

You're not going to find it in a pill, a supplement, or cream.  The best you're going to be able to do with those is manage your condition - maybe.  True healing comes from within.  You know what you have to do, and you know that only you can do it --  be it something you know you need to give up to feel better, or something you know you need to add to your life to do the same. 

Here are some ways to start, off the top of my head:

Don't do anything you don't want to do.  Period. (If you have children under the age of 18, you need to see to their needs -- that's needs, not wants -- such as food, shelter, clothing, love, and safety.  But beyond that, you don't owe anybody anything.)

Say goodbye to guilt.  Refuse to let yourself be ruled by it.  If someone is manipulating you through guilt, put an end to it once and for all.  You don't deserve to live your life that way.

If you don't want to go to that family/church/community/social function that stresses you out so much, don't go.  You are a grownup and are allowed to make your own choices.  You don't have to apologize or explain yourself, either.

If you don't like the way someone is treating you, either stand up for yourself or leave.  Nobody is going to rescue you.  People will only treat you as badly as you let them treat you.

If you're in an abusive situation, get help.  Staying is not healthy for you, or your kids.  If your friends and family won't listen, there are strangers who will.  It's not like it used to be.  There are resources all around to help you.  I'm not saying it's easy...it will never be easy...but there are a lot more people willing to help than you think.  But no one will help you if you don't take any steps to help yourself.

If you need counseling and think you can't afford it, look harder.  There are those who offer programs and services on a sliding scale.

These statements may seem harsh, but are all true.  Most of our stress comes from letting other people manipulate us via guilt and shame. So find a way to deal with that and "just say no" to those who try -- and that includes yourself.

"Well if I don't (insert something to go to or do here) I'll look bad (to the committee, my family, the teachers, the other parents, my friends, the neighbors, my co-workers.)"

If you find yourself saying that...Don't Go. 

If you find yourself saying, "If I don't (do this), I'll let (someone I love) down," then give it some thought.  If it's someone whose opinion you truly care about, then give it some thought.

Looking out for yourself and getting rid of guilt will not turn you into a person without morals.  You will still know wrong from right.  And when the time comes to make decisions about how to spend your precious time -- how to spend the moments of your life -- you will be guided by your heart, not your guilt.  Once you start living from the heart, you will automatically start taking care of yourself, because you will love yourself.  You can't love anybody else until you love yourself.  Oh, you can take care of them and do for them and cater to them, but you can't truly LOVE them until you love yourself -- and you can't love yourself if you're beating yourself up, or letting others beat you up, mentally, physically, or emotionally.

We PMDD women know about beating ourselves up.  We're pros at it.

It's time that stopped.  I don't care what you've done, or what you think you have done.  If God can forgive you, you don't need to worry about anyone else.  Doing so places them above God.  This includes you.  If you can't forgive yourself for something, you're making yourself bigger than God.  Think about it. 

Now, once you've gotten rid of the junk in your life, be it spiritual, mental, emotional, or physical, you have some breathing room to concentrate on the positive.

See if you can get through a day, just one, without complaining.  Okay, try five minutes :).  What you focus on is what you get.   If you focus on the negative in your life, you'll only get more of it.  Try it.  Start paying attention.  Negative events spiral.  The good news is so do positive ones. 

But they spiral upward.

So try being positive for a change.  Re-frame your so-called failures into successes.  I made it until noon without bursting into tears.  That's a positive.  I didn't scream at anyone for two hours today.  That's a positive.  I took a nap and was good to myself.  That's a positive.  I walked for half an hour.  That's a positive.  I got (some job) done.  That's a positive.  I didn't eat any sugar today.  That's a positive. 

If the opposite happens, that's okay.  But find something positive to hang onto as you crawl your way out of that pit.

Focus on what's good in your life, not what's bad.  What's bad is on its way out the door anyway.  You're making room for good and positive people and things to come in and replace them.  It's the best way to de-stress your life.  Fill it with people and activities that nourish you instead of deplete you.  Things that uplift you instead of drag you down.  Things that bring you life instead of drain you of it.

Go ahead, make a list.  Make a list about what you like about your life and what you don't.  Find something small you can do to get rid of a negative.  Just doing this alone makes your life a little more positive.  Double the benefit by adding something small to your day that's positive.

Do this one day at a time, one moment at a time. 

It's all any of us has. 

And remember, even if you're taking baby steps -- you're moving in the right direction.