Clinicians consider mood symptoms, physical symptoms and impact on the patient's life in making the diagnosis of<unk> . Mood symptoms include emotional lability (rapidly changing emotions, sensitivity to rejection, etc.), irritability and anger that may lead to conflict, anxiety, feeling on edge, hopelessness, difficulty concentrating, appetite changes, sleeping more or less than usual, or feeling out of control. The physical symptoms are similar to the symptoms of PMS. These include breast tenderness or swelling, joint pain, muscle pain, gaining weight, or feeling bloated. Because of the broad variety in clinical presentation, the onset of symptoms only during or around the luteal phase is key for diagnosing someone with<unk>  rather than any other mood disorders.<unk>  follows a predictable, cyclic pattern. Symptoms begin in the late luteal phase of the menstrual cycle (after ovulation) and end or are markedly reduced shortly after menstruation begins. On average, the symptoms last six days but can start up to two weeks before menses, meaning symptoms can be felt for up to three weeks out of a cycle. Severe symptoms can begin and worsen until the onset of menstruation, with many not feeling relief until a few days after menstruation ends. The most intense symptoms occurring in the week and days leading up to the first day of menstrual blood flow. The symptoms usually cease shortly after the start of the menstrual period or a few days after it ends. Various symptom and severity tracking questionnaires exist to document presence and severity of symptoms throughout consecutive menstrual cycles. The International Society for the Study of<unk>  Disorders (ISPMD) defines two categories of<unk>  disorders: core PMD and variant PMD. Core PMD has six characteristics, all mainly focusing on the cyclical nature of<unk>  and its typical onset pre-menses tracked over the course of more than two menstrual cycles. The four classified Variant PMDs involve more unexpected variables that cause the onset of<unk>  distress; such as, PMD with absent menstruation or<unk>  exacerbation, wherein the symptoms of another preexisting psychological disorder may be heightened as a result of<unk>  onset.
Premenstrual dysphoric disorder
Major depressive disorder
Premenstrual syndrome
Anxiety disorder
Menstrual disorder
Postpartum depression
Postpartum psychosis
Minor depressive disorder