Q Before my period I sometimes feel so awful that I have extreme thoughts. Is this also PMS?
A This may be a warning symptom of PMDD (premenstrual dysphoric disorder). If suicidal thoughts or serious difficulty regulating emotions are present, you must first consult with a psychiatrist.
Detailed Answer
If severe depression, hopelessness, or suicidal thoughts recur during the luteal phase, this is likely PMDD (premenstrual dysphoric disorder) rather than simple PMS. PMDD is a separate mental health disorder with DSM-5 diagnostic criteria, and SSRI treatment and evaluation by a psychiatrist are essential. Korean medicine treatment can be used as a supportive measure for PMDD, but if you have the symptoms above, psychiatric consultation comes first.
Korean Medicine Clinic Perspective
You should not try to bear these symptoms alone or wait for them to pass by enduring them. After receiving a psychiatric evaluation and once safety is confirmed, we can together establish a plan to use Korean medicine treatment as a supportive complement. If you are struggling right now, please call the mental health crisis counseling line (1577-0199).
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