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Criteria for Premenstrual Dysphoric Disorder (PMDD) - Psychological Problems before Girls Period

Abstract: What are the DSM-IV criteria for PMDD? What are the symptoms of PMDD?

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Criteria for Premenstrual Dysphoric Disorder (PMDD) - Psychological Problems before Girls Period

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Written by: , lecturer of Psychiatry in the University of Ioannina Medical School, Greece. Eva Gerasi, postgraduate student in the Department of Psychiatry, University Hospital of Ioannina, Greece.
First version: 22 Jul 2008.
Latest revision: 29 Jul 2008.

What are the DSM-IV criteria for PMDD? What are the symptoms of of psychological problems before girls period?


According to DSM-IV:


Five of the following symptoms must be present and at least one of them must be 1, 2, 3 or 4:

  1. Depressed mood or dysphoria (a feeling of low mood, irritability,anxiety and/or despair)
  2. Anxiety or tension
  3. Affective lability
  4. Irritability
  5. Decreased interest in usual activities
  6. Concentration difficulties
  7. Marked lack of energy
  8. Marked change in appetite, overeating or food cravings
  9. Hyperinsomnia or insomnia
  10. Feeling overwhelmed
  11. Other physical symptoms, i.e. breast tenderness, bloating
To be considered as PMDD, symptoms must occur during the week before menstruation and remit a few days after onset of menses.


Symptoms must interfere with work, school, usual activities or relationships.


Symptoms must not merely be an exacerbation of another disorder.


Criteria A, B and C must be confirmed by prospective daily ratings for at least two menstrual cycles.

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