Premenstrual syndrome affects many women and can involve a wide range of physical and emotional symptoms in the luteal phase, typically before the menstrual period starts. Common premenstrual symptoms include mood changes, food cravings, abdominal bloating, fluid retention, appetite changes, fatigue, and physical symptoms of PMS that disrupt daily activities. Emotional symptoms of PMS may include irritability, anxiety, low mood, or difficulty concentrating.
Some women experience a more severe form of PMS known as premenstrual dysphoric disorder, which may involve PMDD symptoms such as severe emotional changes, functional impairment, or worsening of mood disorders including bipolar disorder or postpartum depression. These premenstrual disorders can also overlap with conditions like irritable bowel syndrome, chronic fatigue syndrome, or other psychiatric disorder presentations.
PMS treatment options may include Selective serotonin reuptake inhibitors, oral contraceptives or hormonal birth control, and careful medication management when appropriate. Evidence-based approaches also consider lifestyle changes such as regular exercise, physical activity, enough sleep, and dietary changes that support hormonal balance. Some patients explore dietary supplements like vitamin B6, vitamin D, calcium carbonate, or herbal supplements such as chasteberry, agnus castus, Vitex agnus castus, or black cohosh under medical guidance.
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 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 involves a combination of physical and emotional symptoms that occur before the menstrual period, while premenstrual dysphoric disorder is a more severe form of PMS. PMDD symptoms may include intense emotional symptoms, severe mood changes, and functional impairment that significantly affect daily life. Diagnosis of PMS or PMDD depends on symptom severity, timing, and impact on quality of life.
Risk factors for PMS may include family history, hormonal changes, underlying mood disorders, stress, and lifestyle factors. Some women experience more severe symptoms due to sensitivity to hormonal fluctuations during the luteal phase. A detailed medical history helps identify contributors and guides appropriate treatment of PMS.
Treatment options for PMS may include Selective serotonin reuptake inhibitors, oral contraceptives, hormonal birth control, and targeted medication management. Non-medication approaches may involve lifestyle modifications, cognitive-behavioral therapy, dietary supplements, herbal remedies, and regular physical activity. Treatment is tailored to individual symptoms and needs.
Yes. Lifestyle changes such as regular exercise, enough sleep, stress reduction, and a balanced diet that includes whole grains and leafy greens can help reduce symptoms of premenstrual syndrome. Healthy lifestyle habits support hormonal balance, emotional stability, and overall well-being when used consistently.
Professional care may be helpful when PMS or PMDD symptoms interfere with daily life, work, or relationships, or when symptoms become severe. A healthcare provider can evaluate symptoms, rule out other Mental Disorders, and recommend effective treatment. Early intervention can prevent worsening symptoms and improve long-term quality of life.
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