Look across
the whole month.
We’ll discuss when symptoms begin, when they ease, and what happens between those windows. We also make room for how symptoms affect work, relationships, and your ability to care for yourself.
You deserve support.
Every week
of your cycle.
If the days before your period feel like a different emotional world, you deserve care that takes the pattern seriously.
Premenstrual dysphoric disorder care in Lubbock, Texas · Telehealth in Texas, New Mexico, Washington & Delaware
THE PATTERN MATTERS“I don’t feel
“I don’t feel
like myself.”
Then it lifts.
You might notice a familiar shift each month: conversations feel harder, your patience disappears, and ordinary responsibilities suddenly seem impossible. Then, when the intensity lifts, you’re left wondering why it felt so different.
Premenstrual dysphoric disorder, or PMDD, involves severe mood symptoms before a period that disrupt daily life. Symptoms typically improve within a few days after bleeding begins.
That pattern deserves attention. You don’t have to explain it perfectly or wait for another difficult month before asking for support.
When the emotional shift
takes over your life.
Mood and connection
- Intense irritability or anger
- Anxiety or feeling unusually tense
- Sudden sadness, tearfulness, or hopelessness
- Losing interest in activities or relationships
Focus, energy, and your body
- Difficulty concentrating
- Low energy or feeling overwhelmed
- Changes in sleep or appetite
- Bloating, breast tenderness, or headaches
Symptoms alone do not establish PMDD. Timing, severity, and how you feel throughout the rest of the month all help us understand the picture.
A THOUGHTFUL PMDD EVALUATIONYour calendar holds clues.
Your calendar holds clues.
Your experience gives them meaning.
Look across
A few minutes
each day.
Daily symptom ratings over at least two cycles help confirm PMDD. Tracking the whole month, including easier days, is more informative than relying on memory alone. We can discuss a tool such as the Daily Record of Severity of Problems (DRSP).
Leave room for
the full picture.
Symptoms of an existing condition can worsen before a period, a pattern called premenstrual exacerbation (PME). We consider that possibility alongside PMDD, your medical history, medications, and other mental health concerns.
HORMONE-INFORMED CAREYour symptoms
Your symptoms
deserve a
real conversation.
PMDD is associated with sensitivity to the normal hormonal changes of the menstrual cycle. A routine hormone blood test cannot confirm the diagnosis.
My approach makes room for both your cycle and the rest of your life. We can discuss previous treatment, birth control, changes in your cycle, sleep, and the concerns you want someone to hear.
You don’t need to complete two months of tracking before contacting the practice. We can talk about what you’re experiencing and how to begin an evaluation while you gather information.
COLLABORATIVE TREATMENTMore support.
More support.
Less monthly dread.
A PMDD treatment plan may include medication, psychological support, and strategies for navigating difficult days. Selective serotonin reuptake inhibitors (SSRIs) are one evidence-based medication option; cognitive behavioral therapy (CBT) can also help.
Hormonal treatment options may be discussed with your OB-GYN when appropriate. We’ll consider your health history, prior experiences, preferences, and goals rather than assuming one approach is right for everyone.
My role includes psychiatric evaluation and medication management, with therapy referrals and coordination when needed. Follow-up gives us time to discuss your response, side effects, and what still needs attention.
Read about navigating PMDD at work ↗MEET YOUR PRACTITIONERYou stay in
You stay in
the driver’s seat.
I’m Kaitlyn, MSN, APRN, PMHNP-BC, a board-certified Psychiatric Mental Health Nurse Practitioner. I provide thoughtful, hormone-informed psychiatric care for women, with space for questions and shared decisions.
Meet Kaitlyn ↗A starting point that feels doable.
A free 15-minute consultation is a chance to ask questions and discuss whether the practice is a fit. A psychiatric evaluation gives us more time to explore your symptoms and next steps.
In-person care is available in Lubbock. For telehealth appointments, you must be physically located in Texas, New Mexico, Washington, or Delaware.
View appointment options and fees ↗QUESTIONS ARE WELCOMELet’s make
Let’s make
the next step
a little clearer.
How is PMDD different from PMS?
PMDD involves severe mood symptoms and meaningful disruption to daily life. Evaluation considers the symptom pattern and impact, rather than assuming that any discomfort before a period is PMDD.
What if I feel anxious or depressed all month?
That matters. When ongoing symptoms worsen before a period, we consider premenstrual exacerbation as well as other explanations. The distinction helps guide care.
Do I need tracking records before reaching out?
No. Bring what you have. Daily tracking is important for confirming the pattern, and we can discuss how to start. You can ask for help before your tracking is complete.
Can a hormone test diagnose PMDD?
No single blood or hormone test confirms PMDD. Evaluation relies on your history and daily symptom pattern. Testing may be considered to investigate other possible contributors.
Can appointments be online?
Yes, when you are physically in Texas, New Mexico, Washington, or Delaware. In-person appointments are also available in Lubbock, Texas.
You don’t have to
keep guessing alone.
- Office on Women’s Health: Understanding PMDD
- IAPMD: Daily symptom tracking and the DRSP
- ACOG: PMDD and treatment options
If symptoms include thoughts of suicide or you feel unable to stay safe, seek immediate support. In the U.S., call or text 988. For immediate danger, call 911 or go to the nearest emergency department.