Criteria for Premenstrual Dysphoric Disorder (PMDD, modified from the Diagnostic and Statistical Manual of Mental Disorders 4th edition) |
---|
A. Symptoms must occur during the week before menses and remit a few days after onset of menses. Five of the following symptoms must be present and at least one must be (1), (2), (3), or (4) |
1. Depressed mood or dysphoria |
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. Hypersomnia or insomnia |
10. Feeling overwhelmed |
11. Other physical symptoms, e.g., breast tenderness, bloating |
B. Symptoms must interfere with work, school, usual activities or relationships |
C. Symptoms must not merely be an exacerbation of another disorder |
D. Criteria A, B, and C must be confirmed by prospective daily ratings for at least 2 consecutive symptomatic menstrual cycles |