As this is upsetting your life, it is possible it could be
PMDD (Premenstrual Dysphoric Disorder)
Premenstrual dysphoric disorder or PMDD is a condition associated with severe emotional and physical problems that are linked closely to the menstrual cycle. Symptoms occur regularly in the second half of the cycle and end when menstruation begins or shortly thereafter. PMDD is not just a new name for premenstrual syndrome (PMS), a condition that affects as many as 75% of menstruating women. It is, however, considered to be a very severe form of PMS that affects about 5% of menstruating women. Both PMDD and PMS share symptoms in common that include depression, anxiety, tension, irritability and moodiness. What sets PMDD apart is its severity. Women with PMDD find that it has a very disruptive effect on their lives
Over the years, many treatments have been used for premenstrual symptoms, for premenstrual syndrome (PMS), and most recently for premenstrual dysphoric disorder (PMDD). Until recently, few of these treatments were evaluated in carefully designed research studies and even fewer were shown to be effective. There are now four prescription drugs that have been approved by the U.S. Food and Drug Administration (FDA) for treating the condition. These FDA-approved medications are fluoxetine (Sarafem), paroxetine controlled-release (Paxil CR), and sertraline (Zoloft), together with drospirenone/ethinyl estradiol oral contraceptive (YAZ). Nonetheless, many treatments of less well established value remain in widespread use and some women find them to be quite satisfactory. When we discuss treatments for PMDD here, we'll base our comments on the best available research data, the opinions of experienced clinicians, and a generous sprinkling of common sense.
There are 3 broad approaches to treating PMDD. While most experts recommend a combination of all 3, there have been no scientific studies to determine if combination treatment is really the best approach. It is likely that the best approach or combination of approaches will vary from woman to woman based on things like symptom severity and which symptoms are most troublesome.
Here are the 3 approaches with some examples of each:
1. Medications - including antidepressants, antianxiety drugs, analgesics, hormones and diuretics.
2. Psychobehavioral - including exercise and psychotherapies (cognitive-behavioral, coping skills training, relaxation).
3. Nutritional - including diet modification, vitamins, minerals and herbal preparations.