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PMDD Treatment in Pennsylvania

Sunstone Psychiatry for Women offers individualized PMDD treatment in Pennsylvania, combining psychiatric evaluation with personalized, evidence-based care.

If you experience significant mood swings, irritability, anxiety, or dread during the week or two before your period, it may be more than typical PMS. Sunstone Psychiatry provides personalized, evidence-based evaluation and treatment for premenstrual dysphoric disorder (PMDD).

We take the time to understand your full cycle — not just the days you’re symptomatic — to build a PMDD treatment plan that reflects your specific pattern of symptoms.

At Sunstone, we provide individualized psychiatric care for women in Pennsylvania. Our goal is to help you navigate life transitions, hormonal changes, and mental health concerns with clarity and support.

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What Is PMDD?

Premenstrual dysphoric disorder (PMDD) is a severe form of premenstrual syndrome that affects an estimated 3 to 8 percent of women of reproductive age. Unlike typical PMS, PMDD causes significant emotional and behavioral symptoms that interfere with work, relationships, parenting, or daily functioning. Symptoms typically emerge during the one to two weeks before menstruation and improve within several days after menstrual bleeding begins.

Because PMDD is closely tied to the menstrual cycle, it may be mistaken for “just PMS,” anxiety, depression, bipolar disorder, or relationship difficulties. This can delay an accurate diagnosis and appropriate treatment.. A psychiatric evaluation that looks at the timing and pattern of your symptoms — not just the symptoms themselves — is key to identifying PMDD correctly.

If these symptoms follow a predictable pattern tied to your cycle and are affecting your work, relationships, or daily life, a psychiatric evaluation can help confirm whether PMDD — rather than PMS, anxiety, or depression alone — is the most accurate explanation. At Sunstone, we offer individualized PMDD treatment that’s built around your specific symptom pattern.

PMDD Health by the Numbers

PMDD is a severe form of premenstrual syndrome that affects an estimated 3 to 8 percent of women of reproductive age.

Approximately 3 in 4 did not receive successful care In one study, approximately three-quarters of women with premenstrual disorders either did not seek care or sought care unsuccessfully during the previous five years.

Common Signs & Symptoms of PMDD

  • Mood swings, sudden sadness, or heightened sensitivity to rejection
  • Irritability, anger, or increased conflict with others
  • Feelings of hopelessness or self-critical thoughts
  • Anxiety, tension, or feeling "on edge"
  • Difficulty concentrating
  • Changes in appetite, food cravings, or binge eating
  • Sleep disturbances — sleeping too much or too little
  • Physical symptoms such as bloating, breast tenderness, or joint and muscle pain
  • A sense of feeling overwhelmed or out of control

A diagnosis of PMDD depends not only on which symptoms occur, but also on their severity, their effect on daily functioning, and their consistent relationship to the menstrual cycle.

PMDD-Related Concerns We Treat

Our team provides psychiatric evaluation and medication management for:

Premenstrual Dysphoric Disorder (PMDD) & Premenstrual Syndrome (PMS)

Premenstrual Exacerbation of Anxiety or Depression

Hormonal Mood Sensitivity Across the Menstrual Cycle

How Sunstone Can Help

Because PMDD symptoms are cyclical, understanding your pattern over time is central to an accurate diagnosis and effective treatment plan.

01

Psychiatric Evaluation

We review your symptom pattern, cycle history, and how symptoms are affecting your daily life. When appropriate, daily mood and menstrual-cycle tracking can help us understand whether your symptoms follow a consistent cycle-related pattern.

02

Treatment Planning

If clinically appropriate, we will discuss treatment options that may include selective serotonin reuptake inhibitors (SSRIs), other medication strategies, psychotherapy, and lifestyle interventions. We may also coordinate with your OB-GYN or another healthcare professional regarding hormonal treatment options.

03

Continued Care

We monitor your response from cycle to cycle and adjust your treatment plan as needed.

PMDD FAQS

PMDD involves more severe mood and behavioral symptoms than typical PMS. These symptoms are significant enough to interfere with work, relationships, parenting, or daily functioning. Symptoms of PMS may include bloating, breast tenderness, fatigue, irritability, mood changes, and food cravings. PMDD is characterized by more severe mood symptoms—such as marked irritability, depression, anxiety, mood swings, or feeling out of control—that can interfere with relationships, work, and other areas of functioning. Unlike PMS, PMDD is a formally recognized medical diagnosis with specific criteria: symptoms occur in most cycles, appear in the week or two before your period, and improve within a few days after your period begins.

Current research suggests that PMDD results from an increased sensitivity to normal hormonal fluctuations, rather than abnormal hormone levels themselves. This sensitivity can affect brain chemistry involved in mood regulation.

For some women, PMDD symptoms can change or become more difficult to manage during the years leading up to menopause. During perimenopause, hormone levels and menstrual cycles become less predictable, which can lead to changes in the timing and intensity of premenstrual symptoms. Perimenopause itself can also bring mood changes, sleep problems, anxiety, and other symptoms that may overlap with PMDD. The good news is that because PMDD is driven by the hormonal changes of the menstrual cycle, it typically resolves after menopause—though the transition years leading up to that point can sometimes be the most symptomatic.

No, though the cyclical mood shifts can sometimes be mistaken for one another. A careful evaluation of symptom timing in relation to your menstrual cycle helps distinguish PMDD from bipolar disorder and other mood conditions.

Treatment options may include selective serotonin reuptake inhibitors (SSRIs), other medication strategies, psychotherapy, and lifestyle interventions. We may also coordinate with your OB-GYN or another healthcare professional regarding hormonal treatment options.

Yes. Antidepressants can be an effective treatment for PMDD even when you do not have depression. In particular, selective serotonin reuptake inhibitors (SSRIs) are one of the best-studied medication treatments for PMDD and can improve symptoms such as irritability, anxiety, depressed mood, and emotional reactivity. One helpful difference from how these medications work for depression: in PMDD, SSRIs often begin to relieve symptoms within a few days, rather than taking several weeks to work.

Not necessarily. Some medications used to treat PMDD can be taken continuously throughout the menstrual cycle, while others may be taken only during the luteal phase—the approximately two weeks before menstruation. Both approaches can be effective, and the right choice depends on your individual symptoms, how you tolerate the medication, and your personal preferences. Your care team can help you decide which approach fits you best.

It can help, but it isn’t required to get started. We may ask you to track symptoms for one or two cycles as part of confirming a PMDD diagnosis.

Yes. Psychotherapy can help patients develop strategies for managing distress, improving communication, addressing relationship strain, and coping with recurring symptoms. Depending on your needs, psychotherapy may be used alone or in combination with medication.

Sunstone is a self-pay, out-of-network practice. A superbill is available upon request for potential out-of-network reimbursement.

PMDD can resemble depression, anxiety, bipolar disorder, or other mental health conditions. It can also occur alongside an existing psychiatric condition that becomes worse before menstruation, known as premenstrual exacerbation. A psychiatrist with experience in reproductive mental health can evaluate both the timing of your symptoms and your overall psychiatric history. This helps clarify the diagnosis, identify co-occurring conditions, and determine which treatment options may be appropriate.

At Sunstone Psychiatry, our physicians specialize in women’s mental health and understand the relationship between reproductive transitions, menstrual-cycle changes, and emotional well-being.

Yes, we are currently welcoming new patients. You can get started by completing our online inquiry form below.

Start Feeling More Like Yourself Again

PMDD can make it feel like you lose a week or two of yourself every cycle. With an accurate diagnosis and an individualized treatment plan, that doesn’t have to be the case.

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Let’s get you started. We’re here to help.

Whether you’re navigating anxiety, hormonal shifts, or the challenges of the peripartum and perimenopausal years — or simply feeling overwhelmed — Sunstone Psychiatry for Women is here for you.

Now open and welcoming new patients!

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If you’re unsure whether our practice may be a good fit, we’re happy to answer questions before you complete an inquiry form.

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Sources

Naheed B, et al. “Gonadotropin-Releasing Hormone (GnRH) Analogues for Premenstrual Syndrome (PMS).” Cochrane Database of Systematic Reviews, 2025.
https://www.acog.org/womens-health/faqs/premenstrual-syndrome

 

American College of Obstetricians and Gynecologists. Management of premenstrual disorders: ACOG Clinical Practice Guideline No. 7. Obstetrics & Gynecology. 2023;142(6):1516–1533. doi:10.1097/AOG.0000000000005408. 

Important information before submitting an inquiry

Please read the following carefully before completing this form.

This is not a crisis resource. Sunstone Psychiatry for Women is an outpatient tele-psychiatry practice and does not provide emergency or crisis services. If you are experiencing a psychiatric emergency, having thoughts of harming yourself or others, or require immediate assistance, please call 911, contact the 988 Suicide and Crisis Lifeline, or go to your nearest emergency department.

No physician-patient relationship is established upon form completion. Completing or submitting this inquiry form does not establish a physician-patient relationship with Sunstone Psychiatry for Women or its psychiatrists. Submission of this form does not guarantee acceptance into the practice, scheduling of an appointment, or receipt of psychiatric services. All inquiries are reviewed individually to determine whether the practice may be an appropriate fit. A physician-patient relationship is established only after completion of an initial evaluation and mutual agreement between the patient and psychiatrist to proceed with care.

This form is not intended for clinical communication. Please do not use this form to communicate urgent medical concerns, psychiatric emergencies, medication requests, clinical questions, or any time-sensitive information. Messages submitted through this form may not be reviewed promptly.

Geographic requirement. To receive services through our practice, you must be physically located within Pennsylvania at the time of each appointment. If you are not currently located in Pennsylvania, we are unfortunately unable to provide care at this time.

Response time. We review inquiries during regular business hours and aim to respond within two business days. Submission of this form does not guarantee a response if our practice is not accepting new patients or does not appear to be an appropriate fit at this time.

Financial responsibility. Sunstone Psychiatry for Women is a self-pay, out-of-network practice. Payment is due at the time of service. By submitting this form, you acknowledge that you have read and understand our self-pay model.

Regarding intake inquiry:If, after reviewing your inquiry, we feel a brief introductory call would be helpful to determine fit, we may contact you to schedule one. The introductory call is intended solely to determine whether the practice may be a good fit. It is not a clinical evaluation, and no diagnosis, treatment recommendations, or prescriptions will be provided.