For me, when I hit luteal through when my period starts has a high likelihood of spiral and depression and just sort of retreating. I also recently got diagnosed with ADHD (two double d conditions lmao) and I think it exacerbates THOSE symptoms which has been an interesting thing to figure out.
I track my cycle pretty closely and try to keep ahead on assignments when I know PMDD symptoms are going to begin.
I do my best not to break certain routines and habits when symptoms show up as they are very important to keeping my brain and help with ADHD symptoms. Like, if I make my bed I wonāt lie down in bed if I eat breakfast I wonāt be irritable and brain foggy-but if I do I just gotta move on and forgive myself anyways. I actually find myself saying āI forgive myselfā out loud A LOT. Cheesy, but it works for me!
I will say I am also on SSRIs for anxiety and I increase my dose from my luteal phase up until my period.
I was very lucky to find one that works for me on the first try, I know meds are supeeeer trial and error. My PMDD symptoms have been more transient since I started the dosage adjustments and I have a lot more good months than bad.
I also communicate to the people close to me when Iām facing the PMDDemon, sometimes they can offer support or just understanding which goes a long way. I try my best not to cancel social plans unless I am certain I donāt have it in me, because ultimately Iām gonna have a worse time alone than when Iām with other peopleābut thatās just because I know that about myself.
PMDD blows and its under researched and not taken seriously enough! Wishing you luck in figuring out what works for you!!!