The Atma Approach

PMS & PMDD

A mood problem that happens to have a calendar?

Why blunting serotonin for ten days doesn't stabilize the luteal chemistry behind the crash.

By Dr. Neela Sandal

The short answer: When PMDD care stops at an SSRI, it can miss root causes such as a brain extra sensitive to the progesterone drop, plus blood sugar, thyroid, and inflammation. The Atma Approach is to find and treat those causes.

How Does Mainstream Medicine Treat PMS and PMDD?

Mainstream medicine's approach to PMDD is an SSRI on day fourteen, or a pill that stops the cycle.

Rage, tears, insomnia, breasts that hurt to walk. "That's hormones." If it wrecks relationships, they add a psychiatric label. The luteal-phase crash is treated as a mood problem that happens to have a calendar.

Sound like your last doctor's appointment?

What Does Mainstream Medicine Miss About PMS and PMDD?

Commonly missed root causes of PMDD include a brain extra sensitive to the progesterone drop, plus blood sugar, thyroid, and inflammation.

PMDD is a brain that is extra sensitive to a normal-looking progesterone drop — plus blood sugar, thyroid, and inflammation that make that drop feel like a cliff. Blunting serotonin for ten days can take the edge off. It does not stabilize the luteal chemistry or the sleep and glucose swings that turn a mood shift into a crisis.

The Atma Approach looks at you as a unique person. Why does your luteal phase flip this hard?

Has your doctor ever talked to you about these commonly missed root causes?

Commonly Missed Root Causes

•A steep progesterone fall in a nervous system that reads that fall as threat
•Blood-sugar crashes in the second half of the cycle that look like rage and despair
•Thyroid slowness that only shows up the week before the bleed
•Histamine and estrogen stacking — the swollen, wired, sleepless version
•Low magnesium, B6, and allopregnanolone support for GABA, so sleep and calm both drop out
•Gut and microbiome shifts across the month that change how estrogen is recycled
•Trauma and sleep debt that make an ordinary luteal dip feel unmanageable

How Can Atma Clinic Help With PMS and PMDD?

Atma's doctors and nurse practitioners, certified in Advanced Functional and Integrative Medicine, work to find and treat the root cause of your PMDD rather than only managing symptoms.

We've helped hundreds of patients minimize — or entirely eliminate — their two-weeks-on-an-SSRI calendar, and solve the underlying root problem.

At Atma, our Medical Doctors (MDs) and Nurse Practitioners (NPs) go through intensive training to become certified in Advanced Functional and Integrative Medicine. They're certified and ready to get to the root of your issue.

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