UNIVERSITY OF SOUTHERN MINDANAO

Kabacan, Cotabato
Philippines

COLLEGE OF HEALTH SCIENCES

Need to Know Activity

Disorder: Premenstrual Dysphoric Disorder

Definition:

Premenstrual dysphoric disorder (PMDD) is a serious form of premenstrual syndrome identified as recurrent, moderate psychological
and physical symptoms that occur in the week leading up to menstruation and disappear with menstruation. Affective and/or somatic
symptoms that can cause severe social or occupational dysfunction, such as labile mood, irritability, increased interpersonal conflict, difficulty
concentrating, feeling overwhelmed or unable to cope, and feelings of anxiety, tension, or hopelessness, affect approximately 20% to 30% of
premenopausal women (Appleton, 2018).

Premenstrual Dysphoric Disorder (PMDD) is a kind of premenstrual dysphori Premenstrual dysphoric disorder (PMDD) is characterized
by a markedly depressed mood, excessive anxiety, mood swings, and decreased interest in activities during the week preceding menstruation,
which improves shortly after menstruation begins and becomes minimal or absent in the week following menstruation (APA, 2013).

Name: KERVY S. JUNTILLA

Student Nurse

Need to Know Activity
Diagnostic test:
1. Psychological Evaluation
 Prospective surveys are the most
accurate approach to identify
premenstrual syndrome and
premenstrual dysphoric disorder
because patients tend to
exaggerate the cyclical pattern
of symptoms when, in reality,
they are erratic or merely
worsened during the luteal
cycle.
Procedures and Nursing Implication
o Learning about the condition
Name: KERVY S. JUNTILLA
Student Nurse
UNIVERSITY OF SOUTHERN MINDANAO
Kabacan, Cotabato
Philippines
COLLEGE OF HEALTH SCIENCES
Nursing Interventions:
Signs and Symptoms (Include teaching)
A. One (or more) of the following
1. Provide for the safety of the client and others.
symptoms must be present: 
2. Institute suicide precautions if indicated. 
1. Marked affective lability (e.g., mood
3. Begin a therapeutic relationship by spending
swings; feeling suddenly sad or tearful
nondemanding time with the client. 
or increased sensitivity to rejection) 
4. Promote completion of activities of daily living by
2. Marked irritability or anger or
assisting the client only as necessary. 
increased interpersonal conflicts 
5. Establish adequate nutrition and hydration. 
3. Marked depressed mood, feelings of
6. Promote sleep and rest. 
hopelessness, or self-deprecating
7. Engage the client in activities. 
thoughts 
8. Encourage the client to verbalize and describe
4. Marked anxiety, tension, feelings of
emotions. 
being keyed up or on edge
9. Work with the client to manage medications and
side effects.
B. One (or more) of the following
symptoms must additionally be present,
to reach a total of five symptoms when

Need to Know Activity
o Managing treatment for PMDD.
Name: KERVY S. JUNTILLA
Student Nurse
UNIVERSITY OF SOUTHERN MINDANAO
Kabacan, Cotabato
Philippines
COLLEGE OF HEALTH SCIENCES
combined with symptoms from CLIENT AND FAMILY EDUCATION 
Criterion B above.   Teach about the illness of depression. 
1. Decreased interest in usual activities  Identify early signs of relapse. 
(e.g., work, school, friends, hobbies)   Discuss the importance of support groups and
2. Subjective difficulty in concentration  assist in locating resources.
3. Lethargy, easy fatigability, or marked  Teach the client and family about the benefits of
lack of energy  therapy and follow-up appointments.
4. Marked change in appetite;
overeating; or specific food cravings 
5. Hypersomnia or insomnia
6. A sense of being overwhelmed or out
of control 
7. Physical symptoms, such as breast
tenderness or swelling, joint or muscle
pain, a sensation of “bloating,” weight
gain.
Medical Management
 UNIVERSITY OF SOUTHERN MINDANAO
Kabacan, Cotabato
Philippines

COLLEGE OF HEALTH SCIENCES

Need to Know Activity

 Pharmacological management.
1. Antidepressants. Selective
serotonin reuptake inhibitors
(SSRIs), such as fluoxetine (Prozac,
Sarafem, others) and sertraline
(Zoloft), may reduce emotional
symptoms, fatigue, food cravings
and sleep problems.
2. Birth control pills. 
3. Nutritional supplements.
4. Diet and lifestyle changes.

Name: KERVY S. JUNTILLA

Student Nurse