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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 13 of 13. This is the beginning of the thread.
Posted by sgirl on October 24, 2003, at 21:29:40
Hello-Does anyone have any familiarity with the disorder PMDD-premenstrual disorder? If so do you have it concurrently with depression? How do you know the difference between the two? WHat are some of the symptoms? Thank you-sgirl
Posted by Ron Jones on October 24, 2003, at 21:46:16
In reply to depression/anxiety/PMDD, posted by sgirl on October 24, 2003, at 21:29:40
PMS effects hormones and hormones effect brain chemicals.It would just make the depression worse.
Posted by Mariposa on October 24, 2003, at 22:44:23
In reply to depression/anxiety/PMDD, posted by sgirl on October 24, 2003, at 21:29:40
> Hello-Does anyone have any familiarity with the disorder PMDD-premenstrual disorder? If so do you have it concurrently with depression? How do you know the difference between the two? WHat are some of the symptoms? Thank you-sgirl
I have been dx'd PMDD and depressed. Not sure if I can tell you the difference, I haven't really thought about it, yet.
Symptoms I have had include:
heart palpitations, anxiety, lethargy, anti-social behavior, extreme uncontrollable rages, road rage, ranting exitedly about things that make me angry, irregular periods (I take Yasmin for BC), irritable, over-sensitive, insomnia, night sweats, and I'm sure there are some others if I think about it some more.~~~8|8
Posted by Ron Jones on October 24, 2003, at 22:52:02
In reply to Re: depression/anxiety/PMDD » sgirl, posted by Mariposa on October 24, 2003, at 22:44:23
It sounds like you may have manic depression.Are you like this all the time?
Posted by jaynee on October 25, 2003, at 0:10:16
In reply to depression/anxiety/PMDD, posted by sgirl on October 24, 2003, at 21:29:40
When I am suffering from a bout of clinical depression, it is harder to differ between the two. Mostly because the clinical depression is all consuming. But you will notice that things do get a little worse before your period, and things get a little better after your period. When I talk about clincal depression, I am talking about not eating, not sleeping, I mean no sleep, steady state of panic, basically, so the mental symptoms of PMS are not very noticable, but I will still notice the physical part, eg., swollen & tender breasts, water retention.
When I am not in a state of clinical depression, the PMS is very noticable. Actually for me it is debilitating. Mostly the fatigue and physical symptoms, which of course makes a person alot more miserable, anxious, moody, depressed,etc. Although lately, the depression before my period is getting alot worse. I noticed that when I took Celexa, I didn't get PMS, or very little symptoms. It really helped the physical symptoms, which I thought was really weird. I am now taking Manerix, and it is great for energy, but not for PMS, and doesn't help with my down moods. For this reason I am thinking about stopping the Manerix and maybe taking Celexa just 2 weeks before my period and then taking nothing for the 2 weeks after my period.
I just hate to give up the energy from Manerix, but the PMS is just really getting to me again. I have decided, if I get really tired again, I can just go back on Manerix.
Posted by galkeepinon on October 25, 2003, at 0:42:59
In reply to depression/anxiety/PMDD, posted by sgirl on October 24, 2003, at 21:29:40
Hi, the primary symptoms that distinguish PMDD from other mood disorders like depression is the onset and duration of PMDD symptoms~with symptoms appearing during the week or so before, and disappearing within a few days after the onset of menses, AND the level by which these symptoms disrupt daily living tasks.
Also~the symptoms of PMDD may resemble other conditions or medical problems, such as a thyroid condition. Have you had your thyroid checked?
"Jan" started a great, long thread here back in March 1999:http://www.dr-bob.org/babble/19990301/msgs/3315.html
I suffer from it and yes, I have it concurrently with depression.
This site I found really helpful:
http://www.apa.org/monitor/oct02/pmdd.htmlI would consult a physician for diagnosis:-)
Good luck, hope this helped:-)
> Hello-Does anyone have any familiarity with the disorder PMDD-premenstrual disorder? If so do you have it concurrently with depression? How do you know the difference between the two? WHat are some of the symptoms? Thank you-sgirl
Posted by sgirl on October 25, 2003, at 9:26:22
In reply to Re: depression/anxiety/PMDD » sgirl, posted by galkeepinon on October 25, 2003, at 0:42:59
Hi thanks everyone for your help. I have always had physical symptoms of PMS-bloating, back and headache, and some emotional symptoms. I currently am on Celexa due to a episode with major depression 2 years ago, and some lingering low level depressions. I just noticed this week though that PMS seemed to be a lot worse-major anxiety in the mornings, sleep problems, etc. I have a doctor's appointment coming up soon. I did recently change my birth control pill too so I will check into that.
sgirl
Posted by Mariposa on October 25, 2003, at 10:05:29
In reply to Re: depression/anxiety/PMDD, posted by Ron Jones on October 24, 2003, at 22:52:02
> It sounds like you may have manic depression.Are you like this all the time?
Yes I had thought It might be manic dep. but I don't get the *high* part, only anger, rage, not a roller coaster ride, more like speed all the time. I do get worse befor period, and calm down some after flow starts. This past year befor I started Lex was pure hell...got into a lot of trouble at work (customer complaints, write-ups, general BAD attitude about work), and at home (constantly fighting w/hubby about STUPID things, wanting to *kill* him because he was asleep and breathing and I was not, etc.).
Since I started the Lex all of this has gone away and I fell like my old self again (meaning like when I was in college and not having all these problems).
Posted by ramsea on October 26, 2003, at 6:09:33
In reply to Re: depression/anxiety/PMDD » Ron Jones, posted by Mariposa on October 25, 2003, at 10:05:29
iT'S a common myth that what used to be called manic depression meant getting really happy high and then crashing really low, back and forth, often regularly. Much more is understood after a decade of neuro-breakthroughs. There's more of a bipolar spectrum understanding and many people with bipolar have manic episodes which are comprised overexcited, energized negativity--largely anxiety, irritability and rage matched with despair, suicidal ideas and distressed, depressed type thoughts--a mixed picture, sometimes rapid cycling or rapid/rapid cycling (ultradian\\\).
It really is worth a look if you are suffering a lot. It helped me to discover just how perfectly I actually do fit the bipolar model. I have a severe case. Good luck.
Posted by Mariposa on October 26, 2003, at 11:24:53
In reply to Re: depression/anxiety/PMDD, posted by ramsea on October 26, 2003, at 6:09:33
> iT'S a common myth that what used to be called manic depression meant getting really happy high and then crashing really low, back and forth, often regularly. Much more is understood after a decade of neuro-breakthroughs. There's more of a bipolar spectrum understanding and many people with bipolar have manic episodes which are comprised overexcited, energized negativity--largely anxiety, irritability and rage matched with despair, suicidal ideas and distressed, depressed type thoughts--a mixed picture, sometimes rapid cycling or rapid/rapid cycling (ultradian\\\).
>
> It really is worth a look if you are suffering a lot. It helped me to discover just how perfectly I actually do fit the bipolar model. I have a severe case. Good luck.I took several on-line *tests* that were recommended here to see if I matched BP, and in all cases the answer was no. I don't really fit the profile other than having extreme rages and uncontrolable fits of screaming, the lows never involve thoughts of suicide, more like thinking of my own natural eventual death and what it might be like - never consider hurrying it up any. Also over-preoccupation with money which is stupid because I have a good paying job and do not have a lot of debt. Thank you for the suggestions, others have pointed this out to me as well, so there might well be something in me that fits the model.
Good luck to us all!~~~8|8
Posted by ramsea on October 27, 2003, at 4:20:03
In reply to Re: depression/anxiety/PMDD » ramsea, posted by Mariposa on October 26, 2003, at 11:24:53
If the shoe doesn't fit---it doesn't fit! Sounds like you have investigated. I guess you've taken that fill in the blank story test, on Dr. Phelps bipolarworld/psych education site? It's pretty good. I took it for fun and had to laugh when I got almost all the points of "it's highly likely that you are bipolar." But I scored really high on an Asperger's test on-line, and my health team is extremely adamant that I am not in Asperger's Syndrome, even with a family genetic link. The main thing is--what to do about those disturbing symptoms.
Posted by sadmom on October 29, 2003, at 8:38:46
In reply to Re: depression/anxiety/PMDD, posted by ramsea on October 26, 2003, at 6:09:33
Do you have a website that I could refer to about possibly having the mixed BP symptoms you describe? I keep wondering if I have BP2 since I found out about dysphoric hypomania and since none of the anti-depressants I've tried seem to work or make me worse.
Posted by ramsea on November 2, 2003, at 9:36:02
In reply to Re: depression/anxiety/PMDD, posted by sadmom on October 29, 2003, at 8:38:46
It's worth going to www.bipolarworld and following their links to Dr Phelps, who runs a site for consumers and professionals called www.psycheducation, also on the bipolatworld site there is a lot of info on bipolar symptoms. another great info site as www.fyryniyce, the woman who put that together is a real dynamo and has all the diagnostic criteria for the Americans anyway. (other countries are usually very similar). but dr phelps' site has some good simple stuff on milder (so-called) forms of bipolar and Mixed (which is always a severe thing). try 'em both and get back if that's not enough, i do have more sites on this
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