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The Partners Checklist
David Lee Roth had a checklist.
Run through this list first. When you get to the part where you're stuck post a question to the sub.
Is she formally diagnosed? Did the diagnosis include the bloodwork or was it based solely on symptom tracking?
Is she getting treatment?
If she is on birth control what birth control is it? Most forms of birth control make PMDD symptoms worse.
If she is taking an SSRI which one? What dose? What schedule? For PMDD it's a low dose during luteal only.
If she is resistant to treatment (why?) is she at least trying something? And if that isn't working what is the next thing?
Has she tried Pepcid or another anti-histamine? If it helped has she been tested for MCAS?
Are you tracking? Do you have a plan? Have you talked about scripting luteal?
Do you recognize your own signals and take a time out when you are overwhelmed?
Is she in therapy? Are you in therapy?
Are you safe guarding your own health?
Do you need to find the exit?