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(reply to Anonymous)

Hi Jessica, Thanks so much for sharing what you're going through and I'm sorry to hear that you're not feeling like yourself.

After doing some research, it appears that Citralopram may take one to four weeks to work. How long have you been taking it? For the three weeks since your diagnosis? You may find it helpful to read this article about the drug that says sometimes, its users feel suicidal. Have you discussed these feelings with your doctor? And according to PMDD.org, "before switching, it is important to be sure that the dose and the length of the treatment have been adequate. The good news is that quite a few medicines can benefit PMDD. You may need to be patient until the one that suits you best is found."

In addition to the medication, was wondering if your doctor recommended any lifestyle changes to help ease the symptoms of PMDD? Such as cutting out smoking or alcohol if you use them?

In addition to the medication, there are a number of other steps that you can take that are reportedly helpful including eating regular, frequent, small balanced meals rich in complex carbohydrates and low in salt, fat, and caffeine, regular exercise, stress reduction and management (ie -- a yoga class), regular sleep, and possibly a nutritional supplement plan that includes vitamins B, E, calcium carbonate, magnesium and tryptophan may help. You may also find support groups helpful as well. I found this article extremely informational. You may want to check it out.

To help those around you understand what you're experiencing, you may want to start a journal that will help clarify your thoughts (Most women experience a certain level of fogginess as their hormones fluctuate at different points in their lives) Once you're able to articulate what you're feeling on paper, it will make it easier to communicate those feelings to others. You may also want to ask others for help (subtly, if you choose) If you're feeling down, ask a friend, family member or your boyfriend to meet you out somewhere and engage in an activity you enjoy.

This will accomplish a few things for you ... You'll fight potential isolationism and activity will help ease your mood.

We'd love to hear more from you Jessica and hope that you'll share your successes with us as you fight PMDD.

September 29, 2008 - 11:36am

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