Premenstrual Dysphoric Disorder | Symptoms


How do I know if I have PMDD?

The symptoms of PMDD are:

  • Sadness and crying
  • Feeling nervous or anxious
  • Anger or irritability
  • Strong cravings for certain foods
  • Problems paying attention and concentrating
  • Fatigue
  • Physical problems such as breast tenderness, headaches, joint or muscle pain and swelling or bloating
  • Trouble sleeping

These symptoms can affect your relationships and work ability. If you have some of these symptoms 10 to 14 days before your period and they improve when your period starts, you might have PMDD.

To help diagnose PMDD, your family doctor may ask you to chart your symptoms (see sample chart below).

Track your PMDD symptoms using this symptom chart.

Daily Symptom Report

Severity scoring for each symptom:

0 = No symptom

1= Minimal or slightly apparent to you

2 = Moderate, awareness of symptom but does not affect your daily routine

3 = A lot, continuously bothered by the symptom and/or symptoms interferes with your daily routine

4 = Severe, symptom is overwhelming and/or unable to carry out your daily routine

Day 1 is first day of menses

Adapted with permission from Freeman EW, DeRubeis RJ, Rickels K. Reliability and validity of a daily diary for premenstrual syndrome. Psychiatry Res 1996;65:97-106.


Diagnosis and Treatment of Premenstrual Dysphoric Disorder by Subhash C. Bhatia, M.D., and Shashi K. Bhatia, M.D. (American Family Physician October 01, 2002,

Written by editorial staff

Reviewed/Updated: 04/14
Created: 04/03