Blessings,
Showing posts with label sexual abuse. Show all posts
Showing posts with label sexual abuse. Show all posts
Wednesday, December 31, 2014
PMDD, A Conversation with Someone Who KNOWS
Trust
the process that got you here to get you through.
For
today's post, I have taken a rather lengthy reader comment from one of my previous
posts and re-formatted my reply to resemble a question and answer session, because,
as you will see, the original comment touched on several questions/ideas many of us have wondered
about over time.
By answering the reader here, I can reach more people. So here goes:
Hello,
Liana,
I
can't thank you enough for having the courage to put this blog out there and
then be honest and specific about your symptoms and coping mechanisms as it relates
to them. You wrote "No egg, no sadness. Woo hoo! Party time!" which
just explained to me why some months feel suicidal and some months LIFE IS
WONDERFUL!
Hard
not to think one is crazy when all of this bullshit is happening.
Hello, T! Welcome
to my blog, and thank you for taking the time to write, especially in
such detail. I appreciate your
affirmation and support. And yes, the "no
released egg, no symptoms" aspect of PMDD tends to throw just about
everybody off and make countless women doubt their sanity. Especially in our later years, as we begin to
release fewer and fewer eggs.
It
would almost make it bearable if there was a higher purpose to it, a reason why.
I've thought that same thing many times. One day I decided the higher purpose to my PMDD is to write about it. I spent many years thinking I was crazy, and
then, finally, it hit me that "Surely there must be others out there like
me, who think they are crazy. I need to
let them know (through writing about my PMDD experiences and research) that
they are not."
So my blog was born during a five month period when
my book editing business was slow. I had
three website pages completed before I realized the website was too static, and I
needed to do a blog. 20 blog posts later
my business picked up again and it's been a struggle to find time for my PMDD research
and writing ever since.
For a few years, I let my research slide. No time.
Then, when I was ready to start up again, I had to re-do all of my research,
in case new information had surfaced while I was busy doing other
things.
And it had. In
the past two years, the news about PMDD has increased exponentially. I get a Google alert every other day about
someone writing something about PMDD. So
I go there to check it out. Because, as
many of us have learned the hard way, you can't trust just anything you read on the
internet. There are a LOT of supposed health sites that have jumped on the
PMDD bandwagon, just to pull in readers.
Sites that I can now pick out when (because I've been researching PMDD for over a
decade) they don't understand the first thing about PMDD. Old information recycled as new, some
information slanted to achieve a certain goal or just plain false, but enough of the
article close enough to known facts to confuse someone new to the subject....
Anyway, I decided my mission/higher purpose would be
to sort out the fact from fiction, and publish my findings here and elsewhere.
I haven't gotten to the elsewhere part yet, due to
family and work obligations, and then, in 2013, there was my surprise brain surgery.
But back to your comments: I
don't see a lot of people mentioning ANXIETY! as a symptom but it sure is one
of mine, a surge of cortisol and other hormones so big it triggers obsessive
violent thoughts and then it all subsides once period time gets here.
Anxiety is a huge problem for a lot of people. I'm not sure if I'm one of them, mostly
because I manage my environment around my PMDD, so I don't put myself in
situations that feed my anxiety. But my
anxieties are different from those of others, because there are a LOT of things
I think nothing of, that terrify others.
And some things that terrify me, that don't bother others at all.
Educate
yourself, learn to love yourself in spite of all the shit your head comes up
with; there is some putting up with [this shit] that goes along with [PMDD].
I couldn't agree more, and that is what my blog is
about. I've sifted through probably 90%
of the current information on the internet and in books relevant to PMDD and
put the best of it on my blog. If not in
the posts, then on the sidebars, where there are links to all sorts of good
resources.
For
the men, if you love the woman, get educated about this as much as you can, I
strongly recommend reading "Female Brain Gone Insane" by Mia Lundin.
I agree completely, and have a link to that same book
in the sidebar of my blog. Another excellent read is The Female Brain, by Dr. Louann Brizendine.
In
it [Ms. Lundin] sheds tremendous light on this subject and offers great natural
suggestions for relief, but the only way
out [of PMDD] is [to go] through it. [That] doesn't mean you guys take any
abuse, but for the love of everything that is holy do not get confrontational—rather
go for a walk or something.
Again, I agree 100% and have written three blog posts specifically for the partners of women with PMDD.
For
the ladies thinking hysterectomy as an end to this, PLEASE DON'T DO IT. It is the easy way out and when the
storm-tsunami-holocaust of this mess passes you will need those eggs! Hysterectomy is the first thing OBGYN offers
because it is a money maker.
I agree in that I believe most hysterectomies to lessen the horror of PMDD are
unnecessary, and find it very saddening that there are so many women willing to
die early (because hysterectomies do shorten your life span), risk their lives
with major surgery, and take the very real chance that the operation won't help
your PMDD symptoms at all if they don't take out your ovaries as well. Also, when you get a hysterectomy, you go on
hormone replacement therapy afterward, which just messes with your hormones all
over again. I would LOVE to hear from
women who have had a hysterectomy for
PMDD (not any other reason) and found it to be worth the risk, cost, lost
time, health complications, and shortened life span in the end.
I know your PMDD symptoms make you feel desperate,
but I do not believe a hysterectomy is the answer. Neither does Winnifed B. Cutler, PhD, and her
reasons why are outlined in her book, Hormones and Your Health, also pictured in
the sidebar of this blog.
Please, please, ladies, do your research before you make this life altering decision. Don't
let emotion guide you, but rather the facts.
Of
course all I have said is from personal experience and is easier said than done.
So please, please, please, take what you
like and leave the rest.
To that I add, if you have already had a
hysterectomy for your PMDD, just start where you are with improving your health
and living the best and fullest life you can for the rest of your days. Good nutrition, rest, exercise, and lowering
stress are a recipe for better health for everyone, not just those of us with
PMDD or hormonal mood disorders.
Pray
a lot! Talk it out, DO NOT ISOLATE. This monster wants you in a corner and it
wants you dead or to make you hurt someone else and usually that someone else
is a loved one, although strangers can get a backlash too.
She nails it, don't you think? PMDD is a monster determined to bend you to
its will, and do as much damage as it can to your world along the way.
I
take megadoses of vitamin C, to bowel tolerance and after a few months, something
inside is building back up, [and my] energy is slowly starting to come back,
[but] JUST FOR TODAY.
One day at a time.
It's all any of us can do. But vitamin C is a great place to start.
I
am 48 now. Something new is I get my period twice a month for the last two
months and I feel my ovaries churning when an egg is released. I also feel hard
in the lower belly before [my] period starts (something new).
I, too, get my period more often now. Every three weeks instead of four. And I can
feel when I ovulate as well.
In
addition I want to shed some light from another blog I read, women who go
through this, usually have had some early trauma in their lives (even or especially
if they don't consciously remember) and then, spiritually speaking, the pain
(stuck energy) is trying to work itself out of your body through the horrors of
PMDD (just something to think about).
Don't sell yourself short, T. I believe this can be the case as well. And there have been scientific studies that
prove a correlation between a traumatic childhood, childhood trauma in general,
and sexual abuse and PMDD. I plan to
write more about it one day. But for now
I will say that for me personally, my PMDD and then period at the end of the
cycle is like a huge purging of all that has distressed me in life and not yet
been dealt with. I used to let it take
control. No more. Now I basically make note of what comes up
during that time and deal with it when I'm feeling strong enough to handle it
like a responsible adult.
As
for you Liana, you are the first person [to] have actually made feel and believe
to the core of my being that this is not forever, that in fact "this too
shall pass" and that I am not bad or crazy or being punished by the gods
for all of my sins of being an imperfect human.
You are correct.
PMDD does not last forever. It ends
with menopause. (It does, however, get
worse during perimenopause if left untreated.)
You are not bad.
You are not crazy.
And you are not being punished for any sins.
I
can't thank you enough and these posts in and of themselves are very cathartic.
This is such an amazing twisted, enlightening, terrifying process, that I even
wrote poetry a few years back and I never wrote a poem in my life...it is as if
the garbage [we] accumulate over a lifetime is trying to get out of you and
your true beautiful Self is trying to shine through.
Every woman's experience is different, but yes,
writing or journaling about your PMDD can be extremely cathartic, and like I
said above, I have long felt that my PMDD brings to the surface many things I
tend overlook/avoid/suppress during my "good" times... either out of
fear, denial, or the desire to avoid a confrontation. I have read so many Facebook posts where
women describe having a meltdown and then take the blame for the entire
incident and don't even realize or acknowledge that the other person was yes,
indeed, being a jerk. (And that anyone in
that same situation would have a right to be upset.) It's always the PMDD that takes 100% of the
blame, and not the 50% actions of the other party.
Ladies, it takes two to make a relationship and it
takes two to break one. It's that
simple.
So stop blaming your PMDD for every confrontation/mishap
that happens in your life. Other people
do mean and stupid things too...what is their
explanation?
Because
PMDD is an explanation, not an
excuse. If you take
nothing more away from this blog post than that, you will be doing something
positive for yourself in 2015.
And now, a fitting farewell from our special guest
interviewer, which I think sums up what many of us are feeling and experiencing.
Because
[of] ALL OF YOU, I feel less alone, less insane and more hopeful. Something
that comes HARD to me, but that I am working on is: SURRENDER, ACCEPTANCE AND
TRUST.
As are we all; me, as well. At the moment, I am working on exactly those
three things. Starting January 1, I've
taken a 6-month hiatus from my income-generating work to focus on my PMDD blog
and books, and it's going to take a lot of surrender, acceptance, and trust to see
this whole thing through.
But letters like T's have convinced me it's the
right thing to do.
That said, I join T. in wishing you all love and light and tons of resilience,
faith, and strength in the coming year.
Happy 2015, ladies, and may it be the year YOUR beautiful Self shines through!
Blessings,
Blessings,
Liana
Sunday, March 9, 2014
Scientific Awareness of PMDD is not the Problem
Almost daily I hear someone mention how we need to raise
awareness of PMDD, so that more studies of this debilitating disorder will be
done, and someone can finally unlock the secret of what causes PMDD and how to successfully
treat it.
So one day last August, a week before my most recent brain surgery, I was apparently looking for some challenging reading material when I
got out of the hospital, (thinking positive, I imagine) so I spent an hour and
a half clicking on links and printing out various scientific abstracts and studies
I could find on PMDD.
In just that small segment of time, I found nearly 50 studies
on PMDD, which broke down as follows:
2013 - 19
2009-2012 - 18
2006 - 2008 - I
already have most of these in my files, so did not print them out again
2001-2005 - 10
I am sure there have been countless more studies done in the
past 14 years, but this was a random sampling of those I might not already have
read, and I also chose not to print out many that were over 7 years old, as so
much information about PMDD has changed since 2007.
Of the 2001-2005 studies, I printed only those that might be
of use in my research. A list of titles
appears below. And yes, I do intend to
read each study listed, and share with you in plain language anything that
seems relevant. But first I want to point
out that in the scientific community, the problem is not awareness. Scientists are well aware of PMDD and for
what looks like mixed reasons. An analysis of what those reasons might be will
be the subject of a future post.
For now I just want to repeat that awareness on a scientific level is not the problem. Awareness in the medical community—short of misleading
advertisements by drug companies—and awareness in our friends and families is. Hopefully blogs like mine will help to
rectify that situation for you and your loved ones.
In the meantime, here is a list of the studies on PMDD I
uncovered in less than two hours of searching.
If you think the list is dry reading, imagine reading the studies
themselves :). But like I said, it keeps
my brain sharp. Not to mention I'm a total research geek and love it.
If you wish to read any of these studies yourself, you can
Google the name provided. I typed the
titles exactly. Just retype it yourself, or cut and paste the
title into your browser. These can all
be found on the PubMed.gov site, which is part of the U.S. National Library of Medicine, and the
National Institutes of Health. Many of
them are abstracts, but you *can* find the full studies if you look hard
enough. Update: the first comment below tells you exactly how you can get copies of the full studies.
Enjoy!
2013
Comorbid bipolar disorder and PMDD: real patients,
unanswered questions
Elevated gray matter volume of the emotional cerebellum in
women with PMDD
Allopregnanolone serum concentrations and diurnal cortisol
secretion in women with PMDD
Examination of premenstrual symptoms as a risk factor for
depression in postpartum women
Luteal serum BDNF and HSP70 levels in women with PMDD
PMS and PMDD among Jordanian women
Circulating insulin and leptin in women with and without
PMDD in the menstrual cycle
Abnormalities of dorsolateral prefrontal function in women
with PMDD; a multimodal neuroimaging study
Lamotrigine augmentation in PMDD : a case report
Depressive mood and frontal alpha asymmetry during the
luteal phase in PMDD
PMDD and severe premenstrual syndrome in adolescents
Selective serotonin reuptake inhibitors for PMS
Premenstrual disorders and rumination
Anger in women with PMDD: Its relations with PMDD and
sociodemographic and clinical variables
Non contraceptive benefits of oral hormonal contraceptives
Premenstrual symptoms and posttraumatic stress disorder in
Japanese high school students 9 months
after the great East-Japan earthquake
Personal history of major depression may put women at risk
for premenstrual dysphoric symptomatology
A review of treatment and management modalities for PMDD
Biopsychosocial aspects of premenstrual syndrome and
premenstrual dysphoric disorder
2012
Pilot investigation of the circadian plasma melatonin rhythm
across the menstrual cycle in a small group of women with PMDD
Bipolar disorder and PMS or PMDD comorbidity: a systemic
review
Survey of premenstrual symptom severity and impairment in
Korean adolescents; PMDD subthreshold PMDD and PMS
Intercountry assessment of the impact of severe PMDD on work
and daily activities
2011
Work stress, PMS and PMDD are there any associations?
Lifetime discrimination associated with greater likelihood
of PMDD
Posttraumatic stress disorder and trauma characteristics of
PMDD
Reduced Phase-Advance of Plasma Melatonin after bright
morning lithe in the luteal, but not follicular menstrual cycle phase in PMDD:
An extended study
Exposure to American culture is associated with PMDD among
ethnic minority women
Health advantage for black women: patterns in PMDD
2010
Histories of major depression and PMDD: evidence for
phenotypic differences
Neuroticism related personality traits are related to
symptom severity in patients with PMDD and to the serotonin transporter
gene-linked polymorphism 5HTTPLPR
Predicting response to leuprolide of women with PMDD by
daily mood rating dynamics
Estrogen receptor alpha (ESR-1) association with
psychological traits in women with PMDD and controls
Increased sensitivity to light-induced melatonin suppression
in PMDD
Prefrontal brain asymmetry and PMDD symptomatology
Explorative evaluation of the impact of severe PMDD on work absenteeism
and productivity
2009
Safety, efficacy, actions and patient acceptability of (Yaz)
contraceptive pills in the treatment of PMDD
2005
Lack of beneficial effects of clonidine in the treatment of
PMDD: results of a double blind, randomized study
Histories of sexual abuse are associated with differential effects of clonidine on autonomic function in women wit PMDD
Histories of sexual abuse are associated with differential effects of clonidine on autonomic function in women wit PMDD
2004
Historic sexual abuse and current thyroid axis profiles in
women with PMDD
2003
The prevalence, impairment, impact and burden of PMDD
Biological correlates of abuse in women with PMDD and
healthy controls
2002
Prevalence, incidence and stability of PMDD in the community
Prevalence and predictors of PMDD in older premenopausal
women. The Harvard Study of Moods and Cycles
2001
Characteristics of women with PMDD who did or did not report
a history of depression: a preliminary report from the Harvard Study of Moods
and Cycles
Allopregnanolone levels and reactivity to mental stress in
PMDD
Thursday, September 20, 2012
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.
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