PMDD Medication Management in Oregon & Washington
Medically Reviewed By:
Medical Director:Dr. Samuel “Joe” Cross-Sarvis DNP, FNP-C, PMHNP-BCPsychiatric Mental Health Nurse Practitioner
What We Treat
It's Not "Just PMS," and You're Not Overreacting
For one to two weeks before your period, you feel like a different person: hopeless, furious, anxious, or completely overwhelmed. Then your period starts, and within a few days you feel like yourself again. If that cycle repeats month after month, you may be dealing with premenstrual dysphoric disorder (PMDD), a recognized mood disorder that is highly treatable.
PMDD symptoms typically appear in the luteal phase (after ovulation) and can include:
- Severe irritability, anger, or conflict with people you love
- Depressed mood, hopelessness, or crying spells
- Intense anxiety or feeling on edge
- Mood swings or sudden sensitivity to rejection
- Fatigue, trouble concentrating, and changes in sleep or appetite
- Physical symptoms like bloating, breast tenderness, or headaches
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What Is the Best Medication for PMDD?
The best PMDD medication depends on your symptom pattern, health history, and preferences. That’s why we start with a careful evaluation, often including a few cycles of symptom tracking, to confirm PMDD and distinguish it from depression or anxiety that simply gets worse before your period (called premenstrual exacerbation, which is treated differently).
SSRIs are the most established first-line treatment for PMDD and often work faster for PMDD than they do for depression. Some patients take them daily. Others take them only during the luteal phase of their cycle. Your provider will help you decide which approach fits your life, then track how you feel across cycles and adjust as needed.
If SSRIs aren’t the right fit, other options may be considered, and we’ll coordinate with your OB/GYN if hormonal treatment becomes part of your plan.
Approach + Philosophy
Why Choose Synchronous for PMDD Care
- Providers who take cycle-linked mood symptoms seriously
- A plan built around your cycle, not a generic prescription
- Ongoing monitoring across multiple cycles to fine-tune your treatment
- Convenient telehealth visits, including the weeks you least feel like leaving home
Get Help With Recovery Costs
Accepting Most Major Commercial Insurance Plans & are Available for New Patient Evaluations
Our Process
How To Get Started
1. Book Online
2. Complete Your Evaluation
3. Start Feeling Better
Testimonials
Stories of Growth, Strength and Discovery
Frequently Asked Questions
How is PMDD different from PMS?
Can I take medication only part of the month?
Get Your Whole Month Back
Schedule a telehealth evaluation to find out whether PMDD is behind your symptoms and what treatment could help.
Empowering your mental health
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Synchronous Mental Health has completely transformed how I care for myself. My therapist helped me reconnect with myself in ways I never expected.
Emily H