A woman may have PMDD if she has 5 or more of the following symptoms during the premenstrual week and for most cycles during the past year: Depression (feeling despair or hopelessness, not just sadness) Anxiety (keyed up, on edge) Severe mood swings (feeling suddenly sad or extremely sensitive to rejection) Anger or irritability Decreased interest in usual activities (work, school, friends, hobbies) Difficulty concentrating Decreased energy Appetite changes (overeating or cravings for certain foods) Sleep problems (can’t sleep or wake up early, or oversleeping) Feeling overwhelmed or out of control Physical symptoms, such as bloating, breast tenderness or headaches If these symptoms do not occur in sync with the menstrual cycle, the woman may have some other medical or mental health condition.
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