When I first found out I had PMDD early in 2016, I had no understanding of PMDD at all. I hadn’t heard of the term, nor of the DSM-5. Back in those days (only a decade ago), PMDD was barely mentioned. There was a group called the International Association of Premenstrual Disorders (iapmd.org), but I found little else on the Internet. So, I decided to ignore it. Until, in 2019, things got really bad for me. So bad, in fact, that a brutal luteal phase nearly took me. I’m very happy to say that I’m here today, thanks to finally taking this disorder seriously (and help from an extensive support system that included my doctor, husband, family and friends).
That’s why PMD Awareness Month (April) is SO IMPORTANT. Premenstrual Disorders (PMD) Awareness Month is a time dedicated to shedding light on a condition that remains widely misunderstood, underdiagnosed, and often minimized. The IAPMD illustrates that of the estimated 2.1 billion menstruators in the world, there are about 119 million who suffer from pre-menstrual disorders. That’s nearly three times the size of Canada’s population and more than a third of the US. That’s a heck of a whole lot of us.
PMDD, the most common PMD, is a hormone-based mood disorder tied to the menstrual cycle. Unlike PMS, which may cause mild discomfort or irritability, PMDD can have profound emotional and physical effects. Symptoms typically emerge in the luteal phase—the one to two weeks before menstruation—and can include intense depression, anxiety, mood swings, irritability, fatigue, and difficulty concentrating. For some, these symptoms are so severe that they interfere with work, relationships, and daily functioning. In extreme cases, individuals may experience suicidal thoughts, which underscores the seriousness of the disorder.
The IAPMD uses the term “Progress, not Perfection,” which I love. Living with PMDD often means navigating a complex relationship with our mind and body, sometimes what feels like a never-ending battle. Many of us describe feeling like a different person during symptomatic phases—someone more vulnerable, more reactive, and less able to cope. Relationships may also be affected, as loved ones may struggle to understand the sudden emotional shifts. Without awareness, PMDD can be mistaken for other mental health conditions, leading to misdiagnosis and ineffective treatment.
Despite this and again, the massive number of us that suffer, PMDD is still not widely discussed. This lack of visibility is tough, as validation is a huge part of PMDD management. PMD Awareness Month plays a crucial role in breaking this silence. It encourages open conversations, helps people recognize symptoms, and promotes access to appropriate care. Treatment options may include lifestyle changes, therapy, medication such as antidepressants, or hormonal interventions. What works can vary greatly from person to person, highlighting the need for individualized care.
Raising awareness also means advocating for systemic change. More research is needed to better understand PMDD and develop targeted treatments. Healthcare providers require improved training to recognize and diagnose the condition accurately. Workplaces and schools can benefit from greater understanding, creating environments that accommodate those managing chronic cyclical conditions.
Ultimately, PMD Awareness Month is about more than information—it’s about compassion. It’s about acknowledging the lived experiences of those with PMDD and ensuring they are seen, heard, and supported. By increasing awareness, we take an important step toward reducing stigma and building a world where those affected can access the care and understanding they deserve.
For our part at Impart Therapy, PMDD is a big focus. We run our PMDD Zoom support group monthly – all year long – offering a no-cost option for those that suffer. We are a proud part of the Canadian Premenstrual Disorders Association, a member of the IAPMD, and our therapists offer individual and couples counselling for those who suffer.
About Nadine Evans
Nadine Evans is a Registered Psychotherapist and Practice Owner of Impart Therapy, a virtual practice dedicated to providing accessible psychotherapy services, including support for PMDD, ADHD, anxiety, depression, grief, stress, and life transitions. Her book, Mastering the Monthly Madness, is a DBT guide to help those that suffer with PMDD.