This is a phase of the menstrual cycle in which estrogen predominates. Often the days prior to the onset of menstruation, including the first day or two of the menstrual period may be more problematic. Mood symptoms during this time may include more severe irritability, sleeplessness, low mood, carbohydrate craving, and anxiety symptoms than those that occur at other times of the month. Top Treatment of Major Depressive Disorder and Menstruation Most depression can be significantly improved with appropriate treatments. Usually a combination of medication and psychotherapy is prescribed.
Numerous studies suggest the safety and efficacy of commonly used antidepressant agents.
You should ask your treatment provider about which of these medications may be appropriate for you. Herbal remedies have been evaluated for depression. Early studies in the United States are less conclusive however. Other agents such as SAMe and Omega 3 Fatty Acids are also under review. Currently these are used primarily in conjunction with standard treatments.