PMDD case study
Premenstrual Dysphoric Disorder, Psychology Case Studies Nov 17, 2023


Meet Emily and Mia, two devoted sisters bound by an unbreakable bond of love and support. Their lives took an unexpected turn when their mother, Mrs. Thompson, began grappling with Premenstrual Dysphoric Disorder (PMDD). This case study unfolds through the lens of a second-person narrative, illustrating the journey of Emily and Mia as they stood by their mother during her PMDD struggles.

The Setting:

You and your sister, Emily, are young professionals juggling careers and personal lives. You found yourself facing a new challenge when your mother’s once-stable emotional landscape became turbulent due to PMDD. The cyclic nature of her symptoms created an emotional storm that threatened to overshadow the warmth that once filled your family home.

Recognition of Symptoms:

As the emotional turbulence intensified during the luteal phase of your mother’s menstrual cycle, you and Emily noticed the toll it was taking on her. Mood swings, fatigue, and disrupted sleep patterns began to permeate the household. Concerned, you both decided to delve deeper into understanding the intricacies of PMDD.

Proactive Documentation:

You and Emily took charge, encouraging your mother to document her symptoms. Armed with charts and notes, you navigated through the emotional highs and lows, discerning a pattern aligned with the luteal phase. The realization struck: PMDD was at the heart of this storm.

United Front for Diagnosis:

With a shared commitment to supporting your mother, you and Emily accompanied her to medical appointments. Together, you ensured that the healthcare professionals comprehensively understood her symptoms’ cyclical nature and severity, guiding the diagnostic process with empathy and precision.

Tailored Treatment Approach:

As the diagnosis of PMDD was confirmed, you and Emily participated in designing a multifaceted treatment plan. Drawing from your collective strengths, you supported your mother through the initiation of pharmacotherapy during the luteal phase, providing a stabilizing foundation for her emotional well-being.

Synergy in Psychotherapy:

Recognizing the value of emotional support, you and Emily encouraged your mother to engage in psychotherapeutic interventions. As a united front, you attended therapy sessions together, fostering an environment of openness and understanding. The tailored cognitive-behavioral therapy (CBT) benefited your mother and strengthened familial bonds.

Lifestyle Modifications:

Understanding the impact of lifestyle on PMDD symptoms, you and Emily spearheaded changes in your household. From incorporating mood-boosting foods to introducing stress-relief techniques, you created an environment that complemented the pharmacological and psychotherapeutic aspects of the treatment plan.

The Journey Forward:

You have transformed your mother’s life with time, dedication, and solidarity. The storm began to subside, replaced by moments of calm and joy. Follow-up appointments became a testament to the effectiveness of the collaborative approach—sisters working hand-in-hand to guide their mothers back to emotional equilibrium.


This narrative highlights the profound impact of support in navigating the complexities of PMDD. Emily and Mia’s commitment to understanding, acknowledging, and participating in their mother’s journey is a testament to the strength that familial bonds can bring to the forefront during challenging times. The story celebrates resilience, empathy, and the transformative power of united efforts facing PMDD.

"In the storm of PMDD, remember, you're not alone. Together, we navigate the challenges, finding strength in solidarity."
About author

Karuna Kaul is psycho socio clinical psychologist, who works with all age group people. Her profession motivates her to serve people who are facing behavioral issues. She has over 8 years of experience and has successfully established credibility in the areas of counselling and wellness. Assessment and behavioral analysis and training and coaching. She has been an active advocate of mental health awareness. And all her endeavors in the field are primarily focused on educating more and more people about Mental Health concerns and promoting Holistic Wellbeing. She has done master in clinical psychology PG Diploma in counselling and guidance and certified in drug addiction counselling Also she has done neuro medicine psychology from London University, Kent College of United Kingdom. With an experience of six years, she had worked with various organization which provides mental health services.