{"id":7970,"date":"2020-09-24T14:45:57","date_gmt":"2020-09-24T14:45:57","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/?p=7970"},"modified":"2026-01-07T20:09:11","modified_gmt":"2026-01-07T20:09:11","slug":"premenstrual-dysphoric-disorder","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/premenstrual-dysphoric-disorder\/","title":{"rendered":"Diagnostic Criteria for Premenstrual Dysphoric Disorder (PMDD)"},"content":{"rendered":"<div class=\"99c380e4b4a7b96c35d7ddf7dcb434e8\" data-index=\"1\" style=\"float: none; margin:0px 0 0px 0; text-align:center;\">\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script>\r\n<!-- MC 2019- Horizontal -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-0127150553352455\"\r\n     data-ad-slot=\"3806776041\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\n<\/div>\n<p>The American Psychiatric Association (APA) focuses predominantly on psychiatric symptoms in its diagnostic criteria for premenstrual dysphoric disorder (PMDD). Symptoms can occur anytime between menarche and menopause.<!--more--><\/p>\n<h4 class=\" table-title \">Diagnostic Criteria for Premenstrual Dysphoric Disorder<\/h4>\n<p>A. In the majority of menstrual cycles, at least five symptoms must be present in the final week before the onset of menses, start to improve within a few days after the onset of menses, and become minimal or absent in the week postmenses.<\/p>\n<p>B. One (or more) of the following symptoms must be present:<\/p>\n<ol>\n<li>Marked affective lability (e.g., mood swings; feeling suddenly sad or tearful, or increased sensitivity to rejection).<\/li>\n<li>Marked irritability or anger or increased interpersonal conflicts.<\/li>\n<li>Marked depressed mood, feelings of hopelessness, or self-deprecating thoughts.<\/li>\n<li>Marked anxiety, tension, and\/or feelings of being keyed up or on edge.<\/li>\n<\/ol>\n<p>C. One (or more) of the following symptoms must additionally be present, to reach a total of five symptoms when combined with symptoms from Criterion B above.<\/p>\n<ol>\n<li>Decreased interest in usual activities (e.g., work, school, friends, hobbies).<\/li>\n<li>Subjective difficulty in concentration.<\/li>\n<li>Lethargy, easy fatigability, or marked lack of energy.<\/li>\n<li>Marked change in appetite; overeating; or specific food cravings.<\/li>\n<li>Hypersomnia or insomnia.<\/li>\n<li>A sense of being overwhelmed or out of control.<\/li>\n<li>Physical symptoms such as breast tenderness or swelling, joint or muscle pain, a sensation of \u201cbloating,\u201d or weight gain.<\/li>\n<\/ol>\n<p>Note: The symptoms in Criteria A\u2013C must have been met for most menstrual cycles that occurred in the preceding year.<\/p>\n<p>D. The symptoms are associated with clinically significant distress or interference with work, school, usual social activities, or relationships with others (e.g., avoidance of social activities; decreased productivity and efficiency at work, school, or home).<\/p>\n<p>E. The disturbance is not merely an exacerbation of the symptoms of another disorder, such as major depressive disorder, panic disorder, persistent depressive disorder (dysthymia), or a personality disorder (although it may co-occur with any of these disorders).<\/p>\n<p>F. Criterion A should be confirmed by prospective daily ratings during at least two symptomatic cycles. (note: The diagnosis may be made provisionally before this confirmation.)<\/p>\n<p>G. The symptoms are not attributable to the physiologic effects of a substance (e.g., a drug of abuse, a medication, other treatment) or another medical condition (e.g., hyperthyroidism).<\/p>\n<p>&nbsp;<\/p>\n<p><strong>References:<\/strong><\/p>\n<ol>\n<li>Hofmeister S, Bodden S. Premenstrual Syndrome and Premenstrual Dysphoric Disorder.\u00a0Am Fam Physician. 2016;94(3):236-240. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/27479626\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Appleton SM. Premenstrual Syndrome: Evidence-based Evaluation and Treatment. Clin Obstet Gynecol. 2018;61(1):52-61. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/29298169\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Lambert E, Hunter M, Cocker H, Gurvich C, Chalder T. Emotion regulation in Premenstrual Dysphoric Disorder and Premenstrual Syndrome: a systematic review. BMC Psychol. 2025 Nov 24;13(1):1289. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/41287037\/\" target=\"_blank\" rel=\"noopener\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>Created Sep 22, 2020.<br \/>\nUp-date Jan 07, 2026.<\/p>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>Sorry, this entry is only available in Espa\u00f1ol.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"no","_lmt_disable":"no","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[76],"tags":[16,15,14,13,2249,85,2248,2247,83],"class_list":["post-7970","post","type-post","status-publish","format-standard","hentry","category-psychiatry","tag-criteria","tag-criterios","tag-diagnostic","tag-diagnostico","tag-disforico","tag-disorder","tag-dysphoric","tag-premenstrual","tag-trastorno"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/7970","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/comments?post=7970"}],"version-history":[{"count":8,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/7970\/revisions"}],"predecessor-version":[{"id":10573,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/7970\/revisions\/10573"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/media?parent=7970"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/categories?post=7970"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/tags?post=7970"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}