PMDD treatment in Bellevue, WAFeel like yourself every week of the month.

PMS involves mild to moderate physical and emotional symptoms before a period. PMDD is much more severe, with mood symptoms such as depression, anger or anxiety that significantly disrupt work, school or relationships.

Diagnosis is based on the pattern of your symptoms: they appear in the week before your period, improve within a few days after it starts, and are minimal the week after. Tracking symptoms daily for at least two cycles helps confirm it.

Certain antidepressants (SSRIs) are a first-line treatment and often work quickly for PMDD. Some people take them only in the second half of their cycle. Hormonal options and lifestyle changes can also help.

PMDD symptoms can change with life stages, such as after pregnancy or approaching perimenopause. Treatment can be adjusted as your needs change.

Yes. We offer secure telehealth visits anywhere in Washington State, as well as in-person appointments at our Bellevue office.

Yes. PMDD is classified as a depressive disorder in the DSM-5, the manual clinicians use to diagnose mental health conditions, even though its timing follows the menstrual cycle.

Either can help, and many people benefit from both. A mental health provider focuses on the mood symptoms; at our clinic, that includes medications such as SSRIs. A gynecologist or primary care provider can discuss hormonal options. With your permission, we coordinate with your other providers.

Yes. PMDD can begin any time after periods start, including the teen years. We provide psychiatric care for adolescents as well as adults, with parents or caregivers involved in the plan.

The first psychiatric evaluation takes about 60 minutes. Follow-up visits take about 30 minutes, in person in Bellevue or by telehealth.

Please bring a photo ID, your insurance card and a list of current medications. If you’ve tracked your symptoms, or had earlier evaluations or treatment for your mood, bring those notes or records too.

We’re in-network with most major insurance plans, including Medicare, and self-pay is available. Before your first visit, our team verifies your coverage.