Premenstrual dysphoric disorder is a severe form of premenstrual syndrome that causes significant emotional and physical symptoms during the luteal phase of the menstrual cycle. PMDD symptoms may include extreme mood shifts, severe anxiety, depressed mood, irritability, appetite changes, food cravings, breast tenderness, muscle pain, physical discomfort, and functional impairment that interferes with usual activities and personal relationships. Symptoms often improve after the menstrual period begins.
PMDD is classified among Mental Disorders in the Statistical Manual of Mental Disorders and is associated with mood disorders, anxiety disorders, bipolar disorder, personality disorders, postpartum depression, and other mental health disorders. Risk factors may include family history, hormonal changes, Cigarette smoking, and sensitivity to fluctuating hormone levels rather than a single exact cause.
PMDD treatment options depend on symptom severity and individual needs. Treatment of Premenstrual Dysphoric Disorder may include selective serotonin reuptake inhibitors as a first-line treatment, hormonal therapies, or coordinated medication management. Care often involves collaboration with OB-GYN specialists in Obstetrics and Gynecology, primary care provider teams, or Family Medicine providers to support women’s health and reproductive health.
Michael Feldman, PA-C, brings extensive experience to Psychiatric Mental Health treatment through a rare combination of scientific research and clinical practice. With an academic foundation in molecular and cellular biology, he understands how biological processes influence mental health conditions and psychiatric responses.
After earning his M.Sc. from The Hebrew University of Jerusalem, PA Feldman participated in advanced research at institutions including the Weizmann Institute of Science and Mount Sinai Hospital in New York. He later completed the Physician Assistant program at PACE University – Lenox Hill Hospital in 2017.
Since then, he has worked in both inpatient and outpatient psychiatric practice settings, treating complex psychiatric conditions such as anxiety disorders, psychotic disorders, postpartum depression, autism spectrum disorder, ADHD, and resistant depression. His clinical experience allows him to stay informed about advancements in psychiatric medications, Transcranial Magnetic Stimulation, nasal spray treatments, and psychiatric medication management, ensuring patients receive evidence-based treatment options.
Fluent in English, Russian, and Hebrew, PA Feldman provides compassionate care grounded in cultural sensitivity and personalized mental healthcare.
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A Psychiatrist NJ evaluates and treats a wide range of mental health conditions using medical, diagnostic, and evidence-based approaches. This can include psychiatric evaluations, psychiatric medication management, and ongoing monitoring for conditions such as mood disorders, anxiety disorders, panic disorder, obsessive-compulsive disorder, personality disorders, eating disorders, psychotic disorders, Attention Deficit Hyperactivity Disorder, treatment-resistant depression, postpartum depression, and substance abuse. The goal is improved stability, functioning, and overall quality of life.
PMS symptoms are typically milder, while PMDD is a severe form of premenstrual syndrome that causes significant emotional symptoms, physical symptoms, and functional impairment. PMDD can disrupt daily activities, relationships, and mental health. Diagnosis depends on symptom severity, timing, and impact across multiple menstrual cycles.
Diagnosis of PMDD involves reviewing medical history, tracking symptoms across the menstrual cycle, and evaluating emotional and physical symptoms during the luteal phase. A healthcare provider may perform a physical examination and coordinate care with OB-GYN or primary care providers to rule out other medical conditions.
Treatment of PMDD may include selective serotonin reuptake inhibitors, hormonal therapies, and coordinated medication management. Cognitive Behavioral Therapy, Dialectical Behavior Therapy, and lifestyle changes may also help reduce severe symptoms. Treatment plans are individualized based on symptom severity and overall health.
Yes. Untreated PMDD can contribute to severe anxiety, depressive symptoms, suicidal thoughts, relationship issues, and interpersonal conflicts. Early treatment can improve emotional regulation, coping strategies, and overall quality of life for patients and their loved one.
Searching for PMDD treatment near me often involves location, ZIP code, insurance plans, and provider availability. Mental health professionals, Nurse Practitioner teams, and Family Medicine providers may coordinate care. Verifying health insurance and healthcare access helps ensure continuity of care.
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