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	<title>Comments on: Expert Guidelines for the Treatment of PMDD</title>
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	<link>http://www.womensmentalhealth.org/posts/expert-guidelines-for-the-treatment-of-pmdd/</link>
	<description>MGH Center for Women's Mental Health</description>
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		<title>By: Vixen</title>
		<link>http://www.womensmentalhealth.org/posts/expert-guidelines-for-the-treatment-of-pmdd/comment-page-1/#comment-74491</link>
		<dc:creator>Vixen</dc:creator>
		<pubDate>Sat, 21 Jan 2012 01:24:11 +0000</pubDate>
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		<description>@Laura, I go through the same EXACT thing every month.. Anti-depressants don&#039;t help. Yoga can only do so much in the moment it is done. Journaling is not even close to a resolution. Aaah! I have found that Taurine has given me enough energy to get out of bed. Thanks for the tip on Black Cohosh...will try also.</description>
		<content:encoded><![CDATA[<p>@Laura, I go through the same EXACT thing every month.. Anti-depressants don&#8217;t help. Yoga can only do so much in the moment it is done. Journaling is not even close to a resolution. Aaah! I have found that Taurine has given me enough energy to get out of bed. Thanks for the tip on Black Cohosh&#8230;will try also.</p>
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		<title>By: Laura</title>
		<link>http://www.womensmentalhealth.org/posts/expert-guidelines-for-the-treatment-of-pmdd/comment-page-1/#comment-73885</link>
		<dc:creator>Laura</dc:creator>
		<pubDate>Sun, 15 Jan 2012 23:24:39 +0000</pubDate>
		<guid isPermaLink="false">http://womensmentalhealth.com/wordpress/?p=42#comment-73885</guid>
		<description>I have found that Black Cohash taken at ovulation until my period starts has completly taken care of the anxiety. It helps lessen the severe irritability as well. It does not help the negative thinking/depressive thoughts, argumentative thinking and social withdrawl. 
I work extremely hard at personal cognitive approaches, journaling, yoga, meditation and forcing myself to get out and continue with my regular routine. I also have to force myself to stay connected to close family members. These have not helped. Some months are better than others. 
Staying off sugar and &quot;white foods&quot; does help. I need to do this before ovulation. Once I start eating sugar during the second half of my cycle it is hard to stop.lol.
I am considering trying medication. After all this hard work to still feel like a different person 2 weeks out of every month is not quality of life.</description>
		<content:encoded><![CDATA[<p>I have found that Black Cohash taken at ovulation until my period starts has completly taken care of the anxiety. It helps lessen the severe irritability as well. It does not help the negative thinking/depressive thoughts, argumentative thinking and social withdrawl.<br />
I work extremely hard at personal cognitive approaches, journaling, yoga, meditation and forcing myself to get out and continue with my regular routine. I also have to force myself to stay connected to close family members. These have not helped. Some months are better than others.<br />
Staying off sugar and &#8220;white foods&#8221; does help. I need to do this before ovulation. Once I start eating sugar during the second half of my cycle it is hard to stop.lol.<br />
I am considering trying medication. After all this hard work to still feel like a different person 2 weeks out of every month is not quality of life.</p>
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		<title>By: MGH Center for Women's Mental Health</title>
		<link>http://www.womensmentalhealth.org/posts/expert-guidelines-for-the-treatment-of-pmdd/comment-page-1/#comment-70031</link>
		<dc:creator>MGH Center for Women's Mental Health</dc:creator>
		<pubDate>Tue, 20 Dec 2011 18:47:09 +0000</pubDate>
		<guid isPermaLink="false">http://womensmentalhealth.com/wordpress/?p=42#comment-70031</guid>
		<description>@Gina, 
We cannot really advise you on what medications to take. This is a discussion you should have with your own doctor who knows you best. 

That said, we know that SSRIs, such as Lexapro, are highly effective for the treatment of PMDD.</description>
		<content:encoded><![CDATA[<p>@Gina,<br />
We cannot really advise you on what medications to take. This is a discussion you should have with your own doctor who knows you best. </p>
<p>That said, we know that SSRIs, such as Lexapro, are highly effective for the treatment of PMDD.</p>
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		<title>By: MGH Center for Women's Mental Health</title>
		<link>http://www.womensmentalhealth.org/posts/expert-guidelines-for-the-treatment-of-pmdd/comment-page-1/#comment-69986</link>
		<dc:creator>MGH Center for Women's Mental Health</dc:creator>
		<pubDate>Tue, 20 Dec 2011 15:05:30 +0000</pubDate>
		<guid isPermaLink="false">http://womensmentalhealth.com/wordpress/?p=42#comment-69986</guid>
		<description>@Lily, I am sorry to hear that you have such a bad run with PMDD, but I think there are some very good options which you have not yet tried.

The data on the efficacy of using oral contraceptives for the treatment of PMDD are pretty mixed.  Many women with PMDD report that they are not helpful.

There is no data to support the use of bupropion (Wellbutrin) for the treatment of PMDD.  Yes, bupropion is an antidepressant; however, it is only the serotonergic antidepressants that are beneficial for the treatment of PMDD.  These include Prozac, Zoloft, Paxil, Celexa, Lexapro, Effexor and Cymbalta.  It might be helpful for you to take a look at this page, which reviews the treatment of PMDD.</description>
		<content:encoded><![CDATA[<p>@Lily, I am sorry to hear that you have such a bad run with PMDD, but I think there are some very good options which you have not yet tried.</p>
<p>The data on the efficacy of using oral contraceptives for the treatment of PMDD are pretty mixed.  Many women with PMDD report that they are not helpful.</p>
<p>There is no data to support the use of bupropion (Wellbutrin) for the treatment of PMDD.  Yes, bupropion is an antidepressant; however, it is only the serotonergic antidepressants that are beneficial for the treatment of PMDD.  These include Prozac, Zoloft, Paxil, Celexa, Lexapro, Effexor and Cymbalta.  It might be helpful for you to take a look at this page, which reviews the treatment of PMDD.</p>
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		<title>By: Gina</title>
		<link>http://www.womensmentalhealth.org/posts/expert-guidelines-for-the-treatment-of-pmdd/comment-page-1/#comment-65177</link>
		<dc:creator>Gina</dc:creator>
		<pubDate>Thu, 27 Oct 2011 15:02:51 +0000</pubDate>
		<guid isPermaLink="false">http://womensmentalhealth.com/wordpress/?p=42#comment-65177</guid>
		<description>@Steven McNutt PharmD, 

I am 49 and have had horrible anxiety, depression, anger, tears and physical symptoms about two weeks befroe my period. This started when i was 42 and has gotten worse every year. I no longer work and have tired natural ways to overcome this problem. I am at the end of my rope. Should I try Lexapro? What is a good starting point dose?</description>
		<content:encoded><![CDATA[<p>@Steven McNutt PharmD, </p>
<p>I am 49 and have had horrible anxiety, depression, anger, tears and physical symptoms about two weeks befroe my period. This started when i was 42 and has gotten worse every year. I no longer work and have tired natural ways to overcome this problem. I am at the end of my rope. Should I try Lexapro? What is a good starting point dose?</p>
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