January can be a challenging month for us all, post the festivities and time off work. I just thought I would write a little update here.
This year, I am looking for a new role in Digital Communications for charities/ lifestyle brands, Journalism or Writing. I have also written the sequel to Arabella and the Worry Cloud– which is very exciting. I loved writing it and hope to work on it further this year :). The story came to me in Summer 2024 and I have been refining it. This month, my story (and my Dads) is also featured in ‘The Inherited Mind’, an amazing book by journalist James Longman about his search to understand whether mental illness is inherited – which is out now with Hyperion Books!
I had some time off over Christmas break and my husband Rob and I spent a wonderful holiday in Rome. It was really wonderful to explore the city (Robs first time there), eat lots of delicious food and just have time together! We tend to go away in the Winter due to Robs annual leave and have lots of lovely memories to sustain us through the new year (we went to the Colosseum and Roman Forum, Stadio Olimpico and Jewish Museum). We visited lots of restaurants and an amazing gelato shop (Marlene’s) and went shopping. We spent New Years Eve eating a yum dinner with wine and it was a very special week.
My health is a work in progress. I am working with the NHS Oviva programme to lose weight at the moment- which I hope will boost my fertility and general health- both mental and physical (and hopefully improve my PCOS). I will give more updates on that when I have experienced more of the programme- but I am working alongside a dietitian and medical professionals.
Mentally, it has not been an easy time and there has been a lot going on outside of all of this, but I am trying to take it day by day, hour by hour and create new opportunities for myself to thrive. There’s times where we all don’t feel good enough and have imposter syndrome. I do believe miracles happen when we choose joy and choose to co-create. The right opportunities will come- career wise, financially and health wise. I have been feeling more anxious at times but every day is different and I am trying to reset and look after myself, and those around me.
Here’s to a a happy and healthy 2025 with lots of amazing things manifesting!
In December 2004, I was 16 years old. That year had been very painful and difficult with my mental health but I had pushed myself and secured good grades in my GCSES. However, my inherited mental illness, bipolar 1 disorder, was not yet diagnosed. I had experienced depression and mania. Then In December 04, the depression turned into psychosis where I had delusions (false beliefs about the world), high anxiety and agitation.
That Christmas, the only place I wanted to be was in hospital. I didn’t feel safe at home and by miracle the NHS found me a voluntary admission to the Priory North London CAMHS unit. I was an inpatient for 4 months and was diagnosed with bipolar disorder. My dad was diagnosed a few years before.
Years ending in 4 have been a worry for me. 10 years after this- 2014, I had another significant even worse hospitalisation that traumatised me. But it led to me finding the right medicine for me that has kept me stable- no mania or psychosis.
Now in 2024, at Christmas I am celebrating 10 years of remission. And 20 since that 16 year old girl was diagnosed. I was so scared for my future. Yes bipolar has taken a lot from my life healthwise but it has also given me untold blessings too – teaching me life is short and to be determined and resilient when I can be.
Twenty years on I have mixed emotions. I wouldn’t want to wish being diagnosed with a life long severe mental illness as a teen on anyone. But somehow miraculously, despite the depression, despite past suicidal ideation, I am here. I have survived. I know younger Ellie would be proud of the things I have achieved.
May you all have a wonderful Christmas holiday and heres to 2025. Thank you to all of you my readers too,
Christmas can be a stressful time for many, but for those living with bipolar disorder, it is a time of year when symptoms may be exacerbated, and overspending can become an issue.
According to national charity, Bipolar UK, the increased pressure to attend social occasions alongside material pressures around Christmas/Chanukah can trigger manic or depressive episodes in some living with the condition, resulting in an increased risk of overspending.
Dr Thomas Richardson, clinical psychologist at Southampton University, who has lived experience of bipolar and has researched the topic of bipolar and overspending, “impulsive or compulsive spending means spending more money than you planned and regretting it.”
He added: “There’s definitely something about that sense of urgency that I must buy it right away – the feeling like you can’t stop yourself and it’s a little bit out of your own control.
“There is a lot of guilt and feelings of being a burden associated with bipolar, and we know that people living with the condition can sometimes feel that excessive generosity is a way to pay back loved ones for their support. Overspending can also feel like a comfort at the time.
“Christmas is a time where we’re surrounded by adverts encouraging us to buy things and there’s the additional pressure of feeling the need to socialise. All of this can potentially be very triggering for some people living with bipolar.”
April Kelley, an award-winning actress and producer living with bipolar, has a history of overspending. She said: “My biggest achilles heel is spending money on others, and I think that’s a combination of buying love and the rush that buying things for others gives me.
“Last Christmas I bought flights from my home in LA back to the UK at the last minute to surprise my parents, but I’ve also been known to buy an entire bar’s worth of Jager bombs for everyone.
“I now use digital banking as a way to help me budget by splitting money into pots and my parents are really supportive and help me to keep control of my finances.”
Dr Richardson says there are several ways you can protect yourself from overspending at Christmas and beyond. He says that digital banking is good to helo you budget, move money into different pots and set spending limits. He advises making a list of what you really need to buy, versus what you’d like to buy, unsubscribe from marketing emails if it helps you, be mindful of who you follow on social media, make gifts instead of buying and return unnecessary things you have bought.
(image: Bipolar UK)
Simon Kitchen, CEO of Bipolar UK, said: “Advance Choice Documents (also known as ACDs) are a great way to ensure your voice is heard during a period of relapse.
“The idea is to write an ACD with your loved one or doctor when you’re well to put into action if you recognise you’re experiencing the early signs of an episode. You can include a line to protect yourself from overspending – planning to have limited access to a credit card or only using a basic mobile phone without internet, for example.
“This is why it is so important to monitor your mood so you can be aware of the warning signs if you are heading towards a relapse when you might be more prone to overspending. Many people in our community say using our free Mood Tracker app is a simple way to notice early symptoms.
“Finally – please don’t feel that you’re alone. We provide 1-1 peer support, support groups, a 24/7 eCommunity that is open 24/7, 365 days a year, even on Christmas Day, and invaluable resources on managing common seasonal triggers of bipolar.”
With the nights drawing in, The Works have teamed up with the mental health charity, Mind, to raise awareness of the mental health benefits of crafting.
The winter can be especially difficult for many, with darker, colder days and prolonged periods of rain affecting energy, mood, anxiety and stress levels. Some people may experience Seasonal Affective Disorder, which is a type of depression experienced during different seasons or times of year.
Stephen Buckley, Head of Information at Mind said,
“We know that crafting can be a powerful way to support mental health and wellbeing. Creative activities like card-making or knitting require focus, which may help us disconnect from daily pressures and find a welcome distraction. Learning a new skill can also bring a sense of accomplishment, which can be especially rewarding as the nights draw in. The repetitive motions of these crafts can feel meditative and calming, making them a helpful tool for managing stress, depression, and anxiety. Different things will work for different people and the main thing is finding a craft you enjoy and which fits into your life.”
Mind and The Works have produced a blog post with some ideas for easing stress and anxiety, boosting concentration, focus and memory.
Lynne Tooms, Chief Commercial Officer at The Works said, “Channelling your emotions into creativity can have a huge impact on us as adults, with various craft types having a big impact on our mood and sense of achievement, as well as providing us with skills and hobbies that can turn into passions to enjoy all year round.”
Note: Arabella is written for 4-8 year olds. Every child is different and some children younger than 4 have enjoyed this book, but it is largely a Key Stage One book.
When I was a little girl, I had a lot of anxieties. As a self confessed empath and worrier, I could feel when something was wrong and sometimes this led to child anxiety. This included separation anxiety with symptoms such as nausea at school. Children who have anxiety need to feel safe, settled and above all, heard by parents/carers and the adults in their life at school.
I wrote Arabella and the Worry Cloud based on me as a young 7 year old girl who worried a lot. In the book, Arabella worries about her socks not fitting on her feet, losing her shoes in a muddy puddle, the rain soaking her and cold freezing her toes, the rainbow in the sky losing its colour, her cat Pickles getting lost and the plants in the garden dying, losing her homework, failing a test and being blown away by the wind. These worries are partly represented by a Worry Cloud who comes down to see her from the sky and threatens to rain on her with all her worries.
Eventually, Arabella realises that if she thinks jolly, happy, sunny thoughts in place of the worries, she can push the Worry Cloud away with the joyous light beams of positive thinking. Arabella unlocks happy memories with her family, visualising wonderful times with them and it gives her confidence to face the Worry Cloud head on, so he can go away and leave her in peace.
So many children will have their own version of the Worry Cloud. Here’s 5 reasons why you should read Arabella and the Worry Cloud with them:
It is a hopeful story– Arabella never loses sight of hope even when the Cloud tells her life is scary, saying ‘If I can see the sun and smell the passing rain, everything will be alright. The storm will not last forever’. This is the key message of our story- all thoughts will pass, you are safe and fear will not stay forever. This is particularly helpful for children who feel stuck with anxiety.
2. It can help children to process their emotions about worries safely, with help of parent or carer- The Worry Cloud represents Arabella’s thoughts and the book shows how Arabella sends him away with help of positive thinking and visualising happy memories. Some children may need further intervention from a team of professionals, but the book introduces worry/anxiety in such a way that it can be read to assist children when they worry (and distract them from negative thought patterns).
3. It is a positive, age appropriate book about child anxiety and worries with an uplifting message, filled with rhyming prose and beautiful, vibrant illustrations by renowned artist Shelley The Artist. Shelley combines old fashioned art with work on her ipad and the result is a beautiful array of illustrations your child will love.
4. It is a book about mental health in a child appropriate metaphor – As an author with a background in mental health writing and lived experience, I understand the needs of having books which discuss mental health issues in a safe and supportive way. As this book is aimed at 4-8 year olds, it slowly introduces worries some children may face at this age.
5. It has had some lovely reviews from children, parents and readers:
“I really enjoyed the book and really liked Arabella and I found the cat funny. I learnt to not worry about things and that we should only think happy things.” Matilda, aged 8
“A stunningly beautiful book with such important mental health and wellbeing messages. Suitable for primary school age children: I recommend adults read it too as it’s incredibly special and meaningful! Thank you for writing this and inspiring us all.” Mrs Davies, parent
“Arabella and the Worry Cloud conveys a wonderful message, is written with lovely imagery and is beautifully illustrated. The cloud is a really good way to portray anxiety – children will be able to relate to this and feel encouraged to overcome their worries with positive thinking like Arabella does.” Dr DF
“This book is perfect if you have a young child who is a bit anxious or worries easily as it’s relatable and puts anxiety in simple terms that a young child can easily understand.” Diary of Lydia
“Beautifully written and illustrated, this book will appeal to children and parents/guardians alike. More importantly, it’s going to help kids overcome their anxiety from an early age and understand that they are not alone. Highly recommended.” Britt Pfluger
“This is my favourite book ever ever ever. The words of my 4-year-old son who is a bit of a worrier himself! He had lots of questions and was very engaged throughout. Have already read it three times with him. Well done on a lovely debut kids’ book!” Joanna Gutkin, parent
To get your copy of Arabella and the Worry Cloud, go to Amazon here. I can’t wait for you to read it with your child/niece/nephew/grandchild and to share it with them and their friends too!
Seasonal Affective Disorder (SAD) is a type of depression during particular seasons of the year (most commonly winter and summer). For me personally, I know the cold, dark early nights do not help as I will just want to hibernate! I find that during winter I am much more prone to depression/anxiety and I know others are too.
Mind says that, ‘ if your feelings are interfering with your everyday life, it could be a sign that you have depression. And if they keep coming back at the same time of year, doctors might call this seasonal affective disorder (SAD) or ‘seasonal depression’.
SAD symptoms can include lack of energy, feeling sad and tearful, withdrawing from friends and family, feeling anxious or agitated, sleeping too much or too little and suicidal thoughts.
Luckily there are ways to improve your mental health with SAD:
Talk to someone or a helpline about how you are feeling
These helplines can listen to you and provide a kind, one to one, listening ear if you are stuggling with depression, low self esteem, feelings of unworthiness or suicidal ideation.
2. Track your symptoms
It might be good to see what times of the month you are feeling worse too and how the weather is. A daily diary can be really helpful to show to your Dr or therapist.
3. Manage Stress
Speak to your therapist or find some mental health support locally if you can. Speak to a trusted loved one and make sure you don’t become too stressed or overwhelmed.
Look at mental health relaxation techniques such as mindfulness and make sure you are not over working and taking time to rest.
4.Walk and exercise
Exercise can help to boost your mood when you have SAD. Maybe a brisk walk or even some dancing around your room to a youtube video, any exercise can boost those endorphins and set you up for a good day.
5. Self Care
Watching a good TV show, having a bubble bath and planning other relaxing activities can really help. Especially on dark, cold and miserable nights. Look after yourself.
6. Speak to your GP
If your depression is worsening and you need medical help, please reach out to your GP or psychiatrist as they may be able to help with further treatment eg anti depressant medication if suitable.
SAD can be really challenging but making sure to take time for yourself, practise self care, talk about it and reach for help can go a big way in easing the depression’s effects this winter.
A few years ago, I was delighted to discover this incredible charity- Christmas for CAMHS through a post by its founder Ro Bevan. This charity means a lot to me because 20 years ago this festive season, I was a very unwell 16 year old on a NHS child and adolescent (CAMHS) in patient psychiatric ward in the Priory North London, struggling with a bipolar mixed episode. I had psychosis and hadn’t yet been diagnosed with bipolar. Although I am Jewish and don’t celebrate Christmas, I remember that the ward gave us small presents and that other children/adolescents wrote me lovely messages of kindness and hope wrapped up in seasons greetings. Being away from home and especially during the festive season is filled with loneliness and sadness, especially if you are in hospital. In 2004, Christmas for CAMHS did not exist but their work now is vital.
So who are this amazing charity?
Christmas for CAMHS is a small charity who gives gifts and goodies to children and young people in hospital for their mental health over the festive season. This is our 9th year of giving gifts to young people in CAMHS (children and adolescent mental health services) inpatient units across the UK and this year we’re giving over 1300 gifts!
Christmas For CAMHS was originally set up because Dr Ro Bevan saw a huge disparity in the way CAMHS units were treated over the festive period compared to other NHS services for children and young people.
In 2015 Ro was working in a children’s hospital for those with a physical illness. That Christmas the children’s hospital had tons of presents donated, mostly from corporate donors – so many presents that there was enough leftover for patients’ birthdays until June of the following year! A year later, she was working in child and adolescent mental health and, in stark contrast, they had no presents donated at all. The patients had one present each, chosen by the therapy team and paid for by the ward – scrimped and saved from the NHS budget that is meant to cover therapeutic activities and other expenses.
Ro posted about the inequality on Facebook and before she knew it, her post had gone viral with 1,032 shares and so many supportive comments. It inspired her to start Christmas For CAMHS the following year to support these children and young people who would otherwise be forgotten by the generous public.
When the charity first began in 2016, they set up a simple fundraiser online which raised £1000 and managed to send around 300 gifts to young people in units that year. Since then, they have grown to be able to reach every CAMHS unit in the UK, but still work in a pretty similar way! There is the online fundraising page running each year where people donate either as individuals or on behalf of fundraisers they have run in their local community or with work colleagues. Additionally, there are corporate donations and people setting up their own fundraising pages to do amazing challenges to raise money (a couple of years ago one fundraiser ran a marathon around a Christmas tree!).
There is also a wish list where people can donate specific chosen gifts for children who may be feeling very alone.
(image: Christmas For CAMHS)
The charity reaches out to every CAMHS unit in the UK to ask the staff that work there how many young people they might have over Christmas. They also ask them what they think their young people might like, picking from a list of tried and tested categories, and the age range of their young people. The elves then work night and day to ensure that gifts are bought that align with what each CAMHS unit has requested and that are safe for young people in hospital for their mental health to be given.
Once the gifts have arrived there is a major ‘packing weekend, in Bath. During this, volunteers come and help pack up massive boxes with all the assigned gifts, some Christmas decorations, some activities (such as colour in paper chains or blank cards), a Wellbeing Advent Calendar, some fidget toys and an extra ‘ward gift’ for each ward to enjoy together. We don’t wrap the gifts, so the wards can check them, but we do provide wrapping paper and sticky gift tags. We also provide a bigger gift, when requested, for young people on the wards who may not receive a gift from anyone else this Christmas, such as young people who have no family support. The gifts then get delivered to each CAMHS ward ahead of Christmas day.
This year, the charity is also sending wards some paper chain ‘strips’ with cheesy cracker jokes written on them, made by members of the public and assembled by young people on the wards, providing a tangible reminder that we are all still connected despite what the young people are going through. Young people loved these last year.
It is always so nice to receive messages from young people about the gifts that they’ve given. A young person recently told the charity:
“The gift made me smile so much. I’d had such a bad day and it was an utterly terrifying time in my life – I was about to turn 18 and had never felt more alone. It was so weird but lovely to think that people who didn’t know me cared enough to make me and my friends feel special and connected. You really do such an amazing job. You’re so kind, thank you.”
The whole team and all donors are thinking of every child and young person who will be spending the Christmas period in hospital due to their mental health, which is exactly why Christmas at CAMHS does what it does – we want them to know that we’re thinking of them and that lots and lots of people are holding them in their hearts.
A couple of years ago, an intriguing email landed in my inbox. It was from the award- winning journalist James Longman (of ABC News). He told me he was writing a book investigating his own father’s illness and how much of mental illness is inherited. His father died by suicide when he was just a child and had a diagnosis of schizophrenia and depression, but James did not know a huge amount about this mental health history at the time.
James wanted to delve deeper into the family and genetic side of mental illness. As he got older, James’s own bouts of depression spurred him to examine how his father’s mental health might have affected his own. He engaged with experts to uncover the science behind what is inherited, how much environmental factors can impact genetic traits, and how one can overcome a familial history of mental illness and trauma.
James had seen my own story of family illness with bipolar disorder, as my Dad and other relatives also have the same condition and so he reached out to interview me. With permission from my Dad, I had a wonderful chat over Zoom with James, talking about the links with certain types of mental illness in families and how these types of illness can cause suicidal thoughts and sadly in James’s fathers case, suicide. We also discussed the hopeful journey that can occur if you have access to the right support networks, medications and therapy. Medication in particular has helped to keep us well over the years as bipolar has a definite biological link too.
In The Inherited Mind, James invites readers to reflect on their own stories as he shares his quest to better understand himself and his family. Through speaking to mental health experts, to those who have had similar familial experiences, and about his own life stories, James shows us, with heart and humour, how much our bodies can empower and inform us about our own personal mental health histories.
We are honoured to have our story featured in James’s informative and essential book. Thanks again to him for featuring us as a case study. It will be out in January and you can pre order your copy here
Social media plays a highly indispensable part in our daily lives. It helps to shape the manner in which we connect, communicate, and interact with the world. Although there are innumerable benefits that social media has to offer, it has a lot of impact on mental health. Individuals often wonder about the long-term psychological effects of spending hours scrolling through every feed, posting updates, or engaging in online discussions. These are the rising concerns that prove essential for addressing mental health issues that are digitally on the uprise.
The Role of Social Media in Shaping Our Emotions
Although social media verticals offer the ability to connect to individuals globally, they impact emotions in different ways. The pressure imposed to present the polished, ideal life online eventually leads to greater anxiety, stress, and depression.
Comparison Of Culture And Self-Esteem
One of the highly notable ways in which social media influences mental health is a comparative culture. The users often scroll through the feed that they note as the highlights of the reels to the other’s lives, leading to unhealthier comparisons. The constant exposure gets filtered and curated through content, leading to feelings of low self-worth or inadequacies. Individuals get pressurised, matching their achievements, physical aesthetics, or lifestyles, raising anxiety and self-doubt.
This issue is particularly concerning for younger adults and teenagers. Adolescence is the ideal moment focused on self-discovery and the formation of identity, adding to the social media layer and intensifying such hurdles.
Cyberbullying And Online Harassment
The social networking sites that are accessed through the internet should be accessed healthily since they reveal the worst in people, and their ill behaviours affect people’s mental health. It has gotten to the level of people using computers to insult other people, to threaten or follow them maliciously. Cyberbullying makes individuals develop anxiety, depression, and even withdrawal from social relations. What online abusers forget is that the emotional side of any individual remains tender, and the words engraved on the social site will fester long after the bad comments are made.
Furthermore, one may also refrain from expressing one’s opinion on social media because of being criticised by other users. It makes people feel silenced from being able even to express themselves, and that on its own exacerbates their mental health issues.
Social Media Addiction
Aside from emotions, social media addiction is another factor to waste mental health. For many people, they are constantly using it to browse or mindlessly open to see notifications, or even feel the need to see what is going on online. This type of usage might result in anxiety and stress because a person becoming addicted to the application constantly worries that they may be logged out.
It also impacts sleep because users spend hours at night browsing through their phones, or maybe they forget the time. Lack of sufficient sleep, in turn, is a cause of poor mental health and worsening disorders such as depression and anxiety.
(image: Chris Yang: Unsplash)
The Positive Side Of Social Media For Mental Health
In like manner, there are positive aspects that can be socially beneficial when properly used social media networks to promote the health of a person’s mind. It offers an opportunity to tell a story, voice concerns, or find others among like minded people.
Support Communities And Mental Health Awareness
Mental health awareness has been taken to new heights by the use of social media. Most of the contestants narrate their ordeals, which helps eliminate the perception of socially embarrassing states such as mental illnesses. Examples include Twitter, Instagram, and Facebook, and such account types have turned into help groups, support, and recommendations to search for professional aid types.
Such support communities are most helpful for those who lack social contacts in their real life. For those struggling with disorders such as anxiety or depression or post traumatic stress disorder (PTSD), social media can give people information on how to manage their disorders, where to find a supportive audience, or where to get professional medical advice.
Virtual Therapy And Mental Health Apps
A new wave of social media mental health is using social media for providing online therapy and mental health apps. But with the advancement in technology, specifically through teletherapy, it is now possible to see a therapist online. There are quite a few applications and websites providing services, from anxiety-provoking exercises to cognitive-behavioural therapy, allowing people to improve their psychological state without visiting a professional therapist in the comfort of their homes using electronics.
This virtual accessibility makes it easier for people who may not otherwise come for help due to social stigma, geographical distance, or a number of menial charges. Moreover, other social media influencers and health professionals post significant guidance and strategies for staying mentally well, as well as exercises and positive affirmations.
Striking A Healthy Balance
Although social networks are beneficial and damaging for the human psyche in one way or another, the fundamental task is to achieve the proper distribution of time in using them. The overall increased use of social media can lead to mental health problems, addiction, and the deterioration of interpersonal relationships. Still, by following certain guidelines, using social media sensibly without losing one’s self-control, eliminating negative content, and taking necessary precautions, all the harmful factors mentioned above can be minimized.
Despite social media’s many positive aspects, there are ways to reduce its harm: taking many breaks, taking care of oneself, and being aware of what one is consuming online. Practical measures such as reduced screen time and spending time with friends, family, or other loved ones can also greatly reduce anxiety and enhance mental health.
Conclusion
Undoubtedly, social media has a huge impact on mental health that reshapes the manner in which we perceive ourselves while interacting with others. Although there are different scopes to support, raise awareness, and connect while bringing different challenges like cyberbullying, addiction, and comparison cultures, a better balance remains important to maintaining mental health.
Do you have a diagnosis of PMDD (Premenstrual Dysphoric Disorder) or worry that your PMS symptoms before your period might indicate this? This article talks about how to be effectively diagnosed and looks at misinterpreted symptoms. I have been watching this series of Married At First Sight UK with great interest- its an experimental dating show where they get married without ever speaking or seeing each other and follows how their relationships either blossom or fail. One such couple is Kieran and Kristina, who are completely adorable. Kristina has been very open about her own mental health condition, PMDD and how it has impacted past relationships for her.
After Married at First Sight UK star Kristina Goodsell shared her diagnosis of PMDD (Premenstrual Dysphoric Disorder) with her partner Kieran, searches for ‘What is PMDD UK’ spiked +250% in the past week, and searches for ‘PMDD remedies’ are up +2,431% in the past year, showing that people want to learn more about this specific women’s health condition.
In a further episode, Kieran explained he doesn’t know if he can sustain a relationship due to Kristina’s PMDD. This TikTok video clip of the episode, which has gained 245.6k likes, has led to more people discussing their own PMDD journeys, with one user commenting ‘I have PMDD and it is so hard to live with’ and others asking ‘What is PMDD?’.
Dr Pallavi Bradshaw, Deputy Chief Medical Officer at AXA Health has shared information about PMDD including the misinterpreted symptoms, tips for getting the correct diagnosis and the different treatments.
What is PMDD?
AXA Health explains that premenstrual dysphoric disorder (PMDD) is a hormone-related disorder that affects not only your body but also how you feel.
As a more severe form of PMS (premenstrual syndrome), PMDD can particularly impact day-to-day life. Symptoms can also get worse during the luteal phase of a woman’s menstrual cycle, which can last around two weeks between ovulation and the start of a period.
PMDD was listed in the ICD-11 in 2019, validating the medical diagnosis of this serious women’s health condition, yet as symptoms are similar to other health issues, this means that PMDD is still underdiagnosed.
Five Misinterpreted Symptoms of PMDD
Around 1.6% of women and girls experience symptoms of PMDD worldwide, and Dr Bradshaw highlights that “There are a range of typical emotional and physical symptoms to look out for such as anxiety, headaches, breast tenderness/swelling and appetite changes. However, there are also five symptoms of PMDD to look out for that can help with distinguishing the condition from other health problems and getting a more accurate diagnosis”.
Feeling overwhelmed
Whilst it’s normal to feel overwhelmed occasionally as a result of life stressors, it can negatively impact your health and is a sign of PMDD that shouldn’t be ignored.
This may include having irrational thoughts about a situation, experiencing a freeze response where you avoid or postpone tasks, withdrawing from a situation and friends/family, or overreacting to situations that wouldn’t usually affect you.
Increased irritability
Being irritable around your time of the month is due to fluctuations in serotonin levels and can be a symptom of PMS. However, irritability on a more severe scale can be a sign of PMDD.
Increased irritability may cause conflict in relationships and negatively impact everyday life, so it’s important to recognise this symptom, especially as this may be more noticeable around your period.
Muscle aches
This is a harder symptom to recognise if you regularly exercise and experience achy muscles from workouts. However, pay close attention to when the muscle aches happen, as if it aligns with your luteal phase and affects areas of the body you haven’t worked out as much, this could be a sign of PMDD that would instead go under the radar.
Bloating
A symptom many females will experience around their period is bloating, due to hormonal changes and water and salt retention. Yet, this is also a key sign of PMDD, especially if the bloating is severe, so it’s important to pay attention to this symptom.
Changes in sleep patterns
Struggling to sleep, sleeping more than usual or insomnia are also signs of PMDD which may go under the radar, as if you’re stressed and busy, you may put it down to these factors instead.
This symptom can be a result of other PMDD symptoms impacting your quality of sleep, such as anxiety. Hormonal shifts can also impact sleep patterns, which could be due to PMDD.
HOW TO BE EFFECTIVELY DIAGNOSED
MAFS star Kristina experienced a misdiagnosis of PMDD and was prescribed medication for depression. It wasn’t until after the initial treatment didn’t work, researching her symptoms in more depth and visiting a gynaecologist, that she received an official diagnosis.
With limited research on PMDD, the average time it takes to get a diagnosis in the UK is around 12 years, especially as it may take a long time to realise your symptoms follow patterns in line with your menstrual cycle.
As Dr Bradshaw explains, “Many symptoms of PMDD overlap with health issues including depression, anxiety and thyroid conditions. It’s vital to ensure you can provide as much detail as possible about your symptoms when visiting a medical professional, so the diagnosis can be as accurate as possible. Noting down any correlations to your period will also help to distinguish if it is PMDD too. A symptom diary can be invaluable”
Here are Dr Bradshaw’s top tips for supporting your PMDD diagnosis:
Ask questions – Prepare for your appointment by writing down any questions you have or anything you’re unsure about so you don’t leave the appointment with unanswered queries
Speak up – If you think you meet the criteria for most of the PMDD symptoms, voice this in your appointment by saying ‘I think I have PMDD’ during the conversation
Monitor symptoms– Keep a diary of your symptoms to find if they worsen during your luteal phase, which will help a doctor understand if it is linked to PMDD or not
Be open and honest – Being honest with your doctor and yourself about your lifestyle is important, as small changes could impact your symptoms as a treatment
Provide feedback – If a specific treatment is recommended that you’re hesitant about or have already tried, make sure to let the medical professional know
Seekfurther support – Asking to speak to a GP with a special interest in women’s health or for a referral to a gynaecologist if you aren’t responding to initial treatment and you feel you need more support or in-depth advice
This article was written by AXA Health featuring Dr Pallavi Bradshaw.
beurownlight.com 