Lived experience with PMDD, mental health and autism ADHD as published on Much Much Spectrum:
Premenstrual dysphoric disorder (PMDD) is a severe form of PMS, affecting a considerable number of menstruators with Autism, ADHD, depression, and anxiety. PMDD affects up to 10% of women or people assigned female at birth (AFAB) of reproductive age. A 2021 study of 209 women with ADHD found that 45%+ reported symptoms indicative of PMDD.⠀
The Onset & Symptoms: As my period nears, my mood/behavioral/physical symptoms escalate, only to ebb away once the period ends. It's like a rollercoaster, peaking before the start, then dipping down after.
Emotional Turmoil: The lead-up to my period feels like an emotional whirlpool. Intense mood swings, feelings of being overwhelmed and out of control, heightened sensitivity to rejection - they all come crashing down on me. It feels as if I'm riding a relentless emotional tide. ⠀
Cognitive Struggles: In the week leading up to my period, focusing becomes a Herculean task. What I once loved doing – work, hobbies, spending time with friends – seems like a chore. It's as if a fog descends on my mind, making everything blurry.⠀
Physical Symptoms: Physically, it feels like I'm being pushed to my limits. Breast tenderness/swelling, joint/muscle pain, bloating - they add to the turmoil. Not to mention the increased appetite and food cravings, making me consume more than usual.
Emotional Roller Coaster: Suddenly, the world turns monochrome. Everything feels heavy, sadness and tearfulness wash over me like a flood. Irritability becomes my default state, making me quick to anger, making the world seem a much harsher place.
The Dark Days: The darkest days are the ones when I have thoughts of self-harm or suicide. I'm exhausted, fatigue easily, and my energy levels plummet. Depression and hopelessness take over, casting long shadows over everything.
The Impact: The symptoms greatly interfere with all facets of my life - work, school, relationships, social activities. It's like being trapped in a relentless cycle, making life seem like an uphill battle.
Anxiety & Sleep Issues: Anxiety, tension, and restlessness take control as my period nears. I become edgy, keyed up. And then come sleep issues – either I'm sleeping too much (hypersomnia) or struggling to sleep (insomnia), adding to the overall unrest.