A severe, sometimes disabling extension of premenstrual syndrome.
Premenstrual dysphoric disorder (PMDD) is a severe form of premenstrual syndrome that includes physical and behavioral symptoms that usually resolve with the onset of menstruation.
PMDD causes extreme mood shifts that can disrupt work and damage relationships. Symptoms include extreme sadness, hopelessness, irritability, or anger, plus common premenstrual syndrome symptoms such as breast tenderness and bloating.
Drugs and lifestyle changes may help.