Premenstrual Death Disorder
It almost feels wrong to make a joke out of the title because PMDD is seriously no joke. I think (well I can only imagine) that the worst part about this disorder is the lack of appreciation it gets - if someone is diagnosed bipolar or they have depression there is an element of empathy that is given but when someone explains that PMDD is like a really intense version of premenstrual syndrome, unless you have experienced it or someone close to you has, it is often overlooked - and that stems from the complete disregard of period related symptoms that women are just suffering through because they are women.
Contrary to what I’ve just said though PMDD is scientifically not just a ‘bad’ PMS - It’s a severe, hormone-sensitivity condition where the brain reacts intensely to normal monthly shifts in progesterone and oestrogen. The result? Debilitating mood changes, anxiety, rage, depression, fatigue, bloating, and a feeling of being unlike yourself for 1–2 weeks every cycle.
PMDD isn’t a personality flaw — it’s a neuroendocrine disorder. And you deserve support, not minimising.
How PMDD Can Be Supported
While there’s no single cure, a multi-layered approach can bring huge relief:
1. Stabilising blood sugar
Spikes and crashes worsen mood swings. Regular meals with protein + fibre + healthy fats can soften the emotional intensity.
2. Reducing inflammation
Omega-3s, colourful plant foods, and reducing ultra-processed foods help lower neuroinflammation, which is strongly linked to PMDD symptoms.
3. Supporting the gut–brain axis
Your gut influences serotonin production and emotional regulation. Focus on fibre, probiotics, prebiotics, and reducing alcohol.
4. Tracking your cycle
Understanding your symptom patterns helps you plan for support before symptoms spike.
5. Stress + nervous system regulation
Breathwork, walking, sunlight, boundaries, and proper sleep reduce overall load on your hormonal system.
6. Professional support
Supplements, certain antidepressants, CBT, and sometimes hormonal therapies can be life-changing
PMDD is real, it’s intense and it’s okay to ask for health. To be diagnosed and sent on your way is just plain rude and people need to know that there are options to help you survive.