Premenstrual Dysphoric Disorder (PMDD) is a mood disorder characterized by dysphoria, mood lability, irritability, and anxiety that occur repeatedly during the premenstrual phase of the cycle and resolve around the time of (or after) menses.
In the majority of menstrual cycles, at least 5
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.
At least 1
of the following symptoms must be present:
At least 1
of the following symptoms must additionally be present, to reach a total
of 5
symptoms when combined with symptoms from Criterion B above.
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).
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).
''Criterion A'' should be confirmed by prospective daily ratings during at least 2
symptomatic cycles. (Note: The diagnosis may be made provisionally prior to this confirmation.)
The symptoms are not attributable to the physiological effects of a substance (e.g. - a drug of abuse, a medication, other treatment) or another medical condition (e.g. - hyperthyroidism).
2
symptomatic menstrual cycles, “provisional” specifier should be added (i.e. - “premenstrual dysphoric disorder, provisional”).
2
months without any significant symptoms of a major depressive episode following the end of such an episode.2
months, no significant signs or symptoms of the disturbance were present.2
of the following symptoms during the majority of days of a major depressive episode or persistent depressive disorder (dysthymia):2
symptoms3
symptoms4
or 5
symptoms4
or 5
symptoms and with motor agitation3
of the following manic/hypomanic symptoms are present during the majority of days of a major depressive episode:1
of the following is present during the most severe period of the current episode:3
or more of the following:2
hours before usual awakening)This specifier can be applied when these features predominate during the majority of days of the current or most recent major depressive episode or persistent depressive disorder.
2
or more of the following:Delusions and/or hallucinations are present.
This specifier can apply to an episode of depression if catatonic features are present during most of the episode.
This specifier can be applied to the current or, if full criteria
are not currently met for a major depressive episode, most recent episode of major depression if onset of mood symptoms occurs during pregnancy or in the 4
weeks following delivery.
This specifier applies to recurrent major depressive disorder.
2
years, 2
major depressive episodes have occurred that demonstrate the temporal seasonal relationships defined above and no nonseasonal major depressive episodes have occurred during that same period.