Nancy Sisti, LMFT - Psychotherapist - Licensed Marriage and Family Therapist
Do you have PDD – Premenstrual Dysphoric Disorder?

“What’s happening?? I just woke up feeling completely different than I did yesterday!?”

Having “PDD” – Premenstrual Dysphoric Disorder - can feel like one moment enjoying a good movie, and then suddenly seeing the film just break up and melt right off the screen, leaving you feeling anxious, sick and alone in a dark theatre.

PDD can be confused with other depressive or bi-polar disorders,
and therefore not accurately identified or treated.

Symptoms of PDD are distinctly associated with your menstrual cycle and occur more often than not with each cycle. Do you experience the following - ?

Symptoms that start to occur within a week to 2 weeks before the start of menstruation, (which can also be seen as during or following your ovulation prior to the start of menses), and then improve or completely disappear within a few days after your period starts:

  • Mood swings, suddenly sad or tearful, increased sensitivity to rejection
  • Increased interpersonal conflicts and/or increased anger and irritability
  • Self depreciation, depressed mood, hopeless feelings
  • Feeling overwhelmed or out of control
  • Physical symptoms of bloating, joint or muscle pain
  • Lethargy, insomnia, or sleeping too much
  • Difficulty concentrating

Treatment of PDD is most effective in coordination with your gynecologist. I will coordinate with your Doctor and help you take better care of yourself to manage and minimize your most distressing PDD symptoms.


I am aBlue Cross provider and accept most PPO and POS insurances. I also accept Mastercard and Visa.
OFFICE: 530 Wilshire Blvd., Santa Monica, CA 90401 • (310) 392-7554 • ndsreflect@aol.com

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