Premenstrual Dysphoric Disorder

Question 1

Criterion B

Answer 1

One (or more) of the following symptoms must be present:
1. Marked affective lability (e.g., mood swings; feeling suddenly sad or tearful, or increased sensitivity to rejection).
2. Marked irritability or anger or increased interpersonal conflicts.
3. Marked depressed mood, feelings of hopelessness, or self-deprecating thoughts.
4. Marked anxiety, tension, and/or feelings of being keyed up or on edge.

Question 2

Criterion A

Answer 2

In the majority of menstrual cycles, at least five symptoms must be present in the final week before the onset of menses, start to improve within a few days after the onset of menses, and become minimal or absent in the week postmenses.

Question 3

Criterion C

Answer 3

One (or more) of the following symptoms must additionally be present, to reach a
total of five symptoms when combined with symptoms from Criterion B above.
1. Decreased interest in usual activities (e.g., work, school, friends, hobbies).
2. Subjective difficulty in concentration.
3. Lethargy, easy fatigability, or marked lack of energy.
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,” or weight gain.

Question 4

Criterion D

Answer 4

clinically significant distress/impairment

Question 5

Criterion E

Answer 5

Not exacerbated by another disorder

Question 6

Criterion F

Answer 6

Criterion A should be confirmed by prospective daily ratings during at least 2 symptomatic cycles

Question 7

Criterion G

Answer 7

The symptoms are not attributable to the physiological effects of a substance