Pushing Past PMDD

Pushing Past PMDD 🧑‍🔬🩵🫂 Evidence-based research, resources, and support for people living with Premenstrual Dysphoric Disorder (PMDD)/Premenstrual Exacerbation (PME).

How many times have you been told to “leave your problems at home” and “choose your attitude” at work? PMDD is an invisi...
07/07/2026

How many times have you been told to “leave your problems at home” and “choose your attitude” at work? PMDD is an invisible condition that impacts our jobs just as much as it impacts other aspects of our lives. Productivity quotas, deadlines, endless meetings, customer service, and ROI often demand more of us than we can give, especially during luteal phase. And tbh, masking is already hard enough as is, so it can feel incredibly exhausting to show up every day and hide what we’re going through for 8 (or more) hours a day.

If this resonates right now, it might be time to consider asking for work accommodations.

Here are just a few ideas for what you could request:

• Flexible start/end times or ability to work from home during luteal phase
• Modified break schedule like more frequent, shorter breaks
• Adjusted deadlines or workload redistribution during luteal phase
• Use of PTO/sick leave without needing a new doctor’s note each time
• Quiet or private space to decompress
• Permission to step away from meetings if needed
• Predictive scheduling that front-loads demanding tasks, meetings, or presentations into the follicular phase
• Noise-canceling headphones or lighting adjustments such as lamps or dimmable lights
• Temperature control access (thermoregulation issues are common with PMDD!)
• Modified performance review timing so evaluations/KPIs don’t land during luteal phase
• Asynchronous communication options or ability to hop onto calls with camera off
• Written instructions or follow-up rather than verbal communication

Which of these have you tried? What other accommodations have you asked for that were helpful?

Many people with PMDD are experiencing a crisis every month. Why?Because PMDD doesn’t always feel like something that wi...
06/24/2026

Many people with PMDD are experiencing a crisis every month. Why?

Because PMDD doesn’t always feel like something that will pass. It often feels like your reality. It feels sticky and permanent.

It’s easy to look at PMDD from the outside and think, “well can’t you just tell yourself it’s a hormonal thing that will go away in a week?” But it isn’t always that simple and it doesn’t always feel that way.

PMDD is an incredibly complex disorder that is experienced in many ways. If you are in a crisis or having luteal phases that feel overwhelming, there are resources that can help.

🩵 Visit iapmd.org & pushingpastpmdd.org for tools, resources, and directories to get the support you need.

Suicidal ideation can feel scary and isolating. It can feel like it’s you on one side, and the rest of the world on the ...
06/21/2026

Suicidal ideation can feel scary and isolating. It can feel like it’s you on one side, and the rest of the world on the other.

You are not alone. Having suicidal thoughts can be a normal response to intense feelings of distress, especially during your luteal phase. Having these thoughts doesn’t mean it’s the end for you. It means that it’s time to reach out and get extra support.

More distress means we need more buffers of support that give us extra padding against life stressors and mental health challenges.

❤️‍🩹 Mental health can’t wait. If you are having active suicidal thoughts or need urgent help, here are some options to help you get support:
• call or text someone you trust and let them know how you are feeling and what you are thinking
• contact your mental health professional or physician
• call your emergency line (like 911)
• dial or text 988 for crisis support in the US. they will connect you to a local crisis line that can either talk with you over the phone or send a mobile team to help you right where you are!
• go to pushingpastpmdd.org/resources to download and fill out a free safety plan
• go to pushingpastpmdd.org/find-a-therapist to find a therapist that knows about PMDD.
• go to iapmd.org for peer support groups or crisis interventions

🚨 New research is changing our understanding and treatment of suicidality in people with PMDD!❤️‍🩹 If you are having act...
06/19/2026

🚨 New research is changing our understanding and treatment of suicidality in people with PMDD!

❤️‍🩹 If you are having active suicidal thoughts or need urgent help, here are some options to help you get support:
• call or text someone you trust and let them know how you are feeling and what you are thinking
• contact your mental health professional or physician
• call your emergency line (like 911)
• dial or text 988 for crisis support in the US. they will connect you to a local crisis line that can either talk with you over the phone or send a mobile team to help you right where you are!
• go to pushingpastpmdd.org to download and fill out a free safety plan
• go to iapmd.org for peer support groups or crisis interventions

Did you know there are THREE FDA-approved SSRIs for PMDD and THREE ways to take them? 👀Most people don’t know you have o...
06/11/2026

Did you know there are THREE FDA-approved SSRIs for PMDD and THREE ways to take them? 👀

Most people don’t know you have options beyond “take this every day.” Sertraline, fluoxetine, and paroxetine are the only SSRIs with FDA approval specifically for PMDD, and all three can be dosed continuously, luteal phase only, or symptom-onset only.

Because PMDD isn’t a 365-day condition, your treatment doesn’t have to be either, which is really neat.

Swipe to see how each one works and what the research says about dosing, and keep an eye out for a future post on what research says about WHY we can SSRIs work immediately for PMDD 👉👁️👁️🧠🧐

This is educational information and not medical advice. Always work with your provider to find what’s right for you.

05/30/2026

How many times have you been told, “You have to finish what you start”?

While an important message to encourage discipline and follow-through, this idea absolutely paralyzed me and tanked my mental health as my executive functioning declined.

Because here’s the thing, the NUMBER ONE thing keeping most people stuck in executive dysfunction challenges is SHAME.

Shame told me that because I was having trouble showing up 100% all the time (impossible challenge?), I just needed to give up.

Cause listen, shame tells you that you may as well not even try.

It gets overwhelmed by the steps and all there is to do, and tells you that because you’re exhausted you may as well not even try. And then you feel even worse. And the cycle gets heavier and harder.

It says, “well if you’re not gonna do it right then you may as well not do it at all. if you’re not going to clean the whole room then you may as well not even touch that laundry. you’re so lazy.”

Notice who this voice of shame sounds like. How long has it been around? Who first taught you this message of perfection?

👉👉👉👉👉Give yourself permission to just “half-a**” stuff.

Notice when you start to tell yourself you are inadequate or that nothing you do is good enough or that you can’t do it at all.

And then start it and stop it. Do it in the messy room. Do it even when you haven’t done the 10 other things. Be average. Do it halfway. Finish it tomorrow. Just do a quarter of the routine.

Perfection & shame are the roommates from hell and it’s time to kick em out.

Your brain just really, really hates the way your hormones fluctuate 🧏‍♀️Researchers still don’t know exactly what cause...
05/27/2026

Your brain just really, really hates the way your hormones fluctuate 🧏‍♀️

Researchers still don’t know exactly what causes PMDD. But they have 9 solid theories.

(spoiler alert: it’s also probably not just one thing for you and your PMDD symptoms.)

PMDD is complicated because the human body is complex! Your brain, your stress system, your immune system, your genetics, and your endocrine system all play a role.

This is why the “just take magnesium” advice doesn’t work for everyone. This is why your treatment might look totally different from someone else’s. And this is why you’re not crazy for feeling like nothing has worked yet.

Save this for your next appointment. Send it to someone who needs to see it.

05/27/2026

PMDD: a poem 🌷

05/25/2026

and that’s on meticulously tracking my cycle for years to help navigate my PMDD symptoms but being neurodivergent & still in the daily practice of reconnecting to my body and feeling my emotions 🫪

is this a universal experience or just me? 🫈

cycle tracking is one of the best ways to begin tuning into your body!

here’s another practice you can try out once a day to reconnect with your body:

1. place your feet on the floor
2. notice how the floor feels (or how your shoes feel). is it cold? hard? soft? warm? dirty? sweaty?
3. wiggle around your toes. what sensations are there? do your feet cramp? is there a stretch? can you tense them and relax them? is it easy or hard to wiggle?
4. press your soles against the floor, flexing your ankles, then relax. add your breath and breathe in as your push, then breathe out as you relax.
5. practice building this awareness and matching a little movement to your breath.
6. see what other body parts you can bring this mindfulness and somatic awareness to!

❤️

I am so excited to announce that I have started my counseling internship in Arizona and can now accept (a limited number...
01/08/2026

I am so excited to announce that I have started my counseling internship in Arizona and can now accept (a limited number of) clients for supervised therapy!🪑❤️🪑

This is such an exciting and nerve wracking time, and I would be honored to spend it working with people who, like me, are learning to navigate life with a premenstrual disorder.

If you’d like to learn more about me or the many other incredible therapists listed in our PMDD Therapy Directory, go to the link in bio! ❤️

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