PMDD Therapy and Severe PMS Counseling for Pre-Menstrual Disorders

PMDD therapy is designed for those who suffer from severe PMS.

Pre-Menstrual Disorders

PMDD , PME, and Severe PMS

PMDD therapy, along with treatment for Severe PMS and PME, provides support for individuals navigating pre-menstrual disorders. Our experienced therapists offer compassionate, DBT-based counseling to help manage symptoms and improve well-being. Pre-Menstrual Dysphoric Disorder (PMDD) is an endocrine disorder affecting about 8% of menstruating women. It presents as a severe form of PMS during the luteal phase of menstruation (the time between ovulation and menses), causing physical and mental pain, including acute and often debilitating mood swings, irritability, depression, anxiety, and, in severe cases, suicide. Your GP or OB/GYN typically diagnoses PMDD, and for more details of the diagnostic criteria for PMDD, please visit this site

PME is extremely common for those who have previously been diagnosed with mental ailments, such as bipolar disorder, anxiety, and/or depression. During one’s luteal phase (again – the timeframe between ovulation and period), symptoms get much worse. PME differs from PMDD in that during the follicular phase (the time between onset of period and ovulation), the initial symptoms do not disappear but may lessen. Similar to PMDD, PME can be treated with a holistic approach. In addition to individual therapy, we also offer PMDD Couples Counseling, providing support for couples navigating the unique challenges of PMDD together. Learn more about our PMDD Couples Counseling here.

Pre-Menstrual Exaberation (PME)

PME is extremely common for those that have previously been diagnosed with mental ailments, such as bipolar disorder, anxiety, and/or depression, and during one’s luteal phase (again – the timeframe between ovulation and period) symptoms get much worse. PME is different from PMDD in that during the follicular phase (the time between onset of period and ovulation) the initial symptoms do not disappear, but may lessen. Similar to PMDD, PME can be treated with a holistic approach. 

Severe PMS

Severe PMS is often a term used to describe those who face extreme mental, emotional, and physical hardships during the luteal phase without meeting the criteria for PMDD. Like PME, treatment for severe PMS is similar to PMDD.

Whether you suffer from PMDD, PME, or Severe PMS, our PMDD therapy approach and treatment are similar.

PMDD/PME Group Support

Each month, we run a free-of-charge, DBT-focused support group for PMDD/PME sufferers. These groups are aimed at peer support and education, providing the tools to help our clients. If you’re interested in learning more, click here to find out more about our PMDD Support Group.

Our Therapists

Our PMDD Therapists are all trained in PMDD Therapy (DBT, CBT), and are here to help you with both a holistic approach to therapy and a gentle, non-judgemental space.

Nadine Evans Psychotherapist

Nadine Evans, RP

Nadine offers PMDD Individual and Couples Counselling, and has immediate availabilities.
Miranda Tilley - Psychotherapist offering ADHD and PMDD counselling

Miranda Tilley, RP

Miranda provides PMDD Therapy (for individuals), particularly for those with ADHD as well.

Danielle Rabbat, RP (Qualifying)

Danielle offers PMDD Therapy for both individuals and couples.
Therapy with Shraddha Shukla - psychotherapist

Shraddha Shukla, RP (Qualifying)

Shraddha offers PMDD individual therapy with affordable care options.
Payton newby - PMDD therapist

Payton Newby, RP (Qualifying)

Payton offers PMDD individual therapy with affordable care options.

PMDD Explained

PMDD counselling and therapy Impart Therapy Nadine Evans

What causes PMDD?

Experts are uncertain what causes PMDD, but it is linked to the brain’s reaction to the fluctuating hormones during our cycle. PMDD is thought to be caused by an abnormal sensitivity to the normal cyclical changes in hormones that occur each month following ovulation (Eisenlohr-Moul, 2019).

PMDD Sufferers

PMDD sufferers do not have a hormonal imbalance but rather a sensitivity to hormonal fluctuations.  This sensitivity likely exists on a continuum or spectrum, with severity ranging from absent, mild, moderate, or severe. This can change month by month or even year by year. Perimenopause (the transition into menopause, which on average lasts about 4 years) is a reported particularly difficult time for PMDD sufferers.

If you think you may have PMDD, talk to your doctor.

You may be asked to track your symptoms for a period of three months before a diagnosis can be made, and you can download a tracker here.

Follicular vs. Luteal Phase

Follicular Phase

The follicular phase of your cycle is between menstruation and ovulation (typically 1 to 14 days, although this range is different for everyone). During this time, there are little to no symptoms reported, and some refer to this phase as our “magical time.” 

Luteal Phase

The luteal phase starts after ovulation and continues until the onset of bleeding. It is during this timeframe when sufferers notices symptoms. Some experience the majority of symptoms the week or so leading up to their period, but others notice immediately upon ovulation. During menstruation (either immediately or a few days after onset), PMDD sufferers report their symptoms abating. 

Therapy that works with you

Are you ready to get on the path to a healthier you? Get in touch today to get started!