Season 1 Episode 9

Understanding PMDD: A Functional Medicine Approach to Premenstrual Dysphoric Disorder

WITH YOUR HOSTS: Monica Grohne & Norah Candito, RD

In this illuminating episode of The Flow State podcast, hosts Monica Grohne and Norah Candito welcome Mandy Rother, known as "The PMDD Dietitian," to discuss a comprehensive approach to managing Premenstrual Dysphoric Disorder (PMDD).

What is PMDD?

PMDD is more than just severe PMS - it's a hormone-based cellular disorder affecting the brain. While often described as "PMS on steroids," PMDD has distinct physiological causes and can occur even when hormones are technically "balanced." Key characteristics include:

Severe mood changes
Intense anxiety or depression
Self-doubt and criticism
Physical symptoms
Significant impact on daily life

Beyond Traditional Treatments

While conventional medicine typically offers birth control or SSRIs as primary treatments, the episode explores broader approaches:

Nutritional support and supplementation
Lifestyle modifications
Stress management
Functional medicine testing
Individualized treatment plans

The Importance of Tracking

A crucial step in managing PMDD is comprehensive cycle tracking that includes:

Both physical and emotional symptoms
Symptom severity ratings
Positive cycle experiences
Energy levels and mood patterns
Treatment response

Understanding PMDD's Complexity

The episode highlights several important aspects of PMDD:

Can co-exist with other conditions
May emerge at different life stages
Can vary seasonally
Symptoms may change over time
Not just about hormone imbalance

Functional Medicine Approach

Key elements of a functional approach include:

Addressing nutrient deficiencies
Optimizing digestive health
Supporting liver function
Managing histamine responses
Implementing foundational nutrition

Beyond Quick Fixes

The discussion emphasizes that healing requires:

A multi-faceted approach
Patience and consistency
Individual customization
Professional support when needed
Foundational health practices

Key Takeaways

The episode stresses that while PMDD is challenging, there are multiple paths to management:

Traditional treatments may have their place
Foundational nutrition is crucial
Tracking provides valuable insights
Individual approaches work best
Support and community matter

Remember: PMDD doesn't have to define you. With the right support and approach, symptoms can become manageable, allowing you to maintain quality of life throughout your cycle.