/ PMDD
Coral Gables · Telehealth across Florida
Your cycle should not control your life.
There is a path toward balance.
PMDD can cause intense emotional and physical symptoms that appear before your menstrual cycle and significantly affect your mood, relationships, work, and daily life. A comprehensive evaluation can help identify patterns and explore personalized treatment options.
Private evaluation • Personalized care • Evidence-based treatment
A clearer understanding
It is more than “normal PMS.”
PMDD involves severe mood and physical symptoms that can feel overwhelming and disruptive.
Track patterns connected to your cycle
Understand emotional and physical symptoms
Review your history and experiences
Recognition
Does this sound like you?
Certain times of the month feel noticeably harder.
You may experience intense mood changes, irritability, sadness, anxiety, emotional sensitivity, or physical discomfort that improves after your period begins.
These recurring patterns can affect your confidence, relationships, and ability to function.
Many people spend years wondering why their emotions, energy, and well-being change so dramatically each month.
Recognizing the connection between symptoms and your menstrual cycle can provide important answers and guide the right support.
Review
What you tried and how long you tried it.
Measure
What changed in mood, sleep, focus, and function.
Plan
What deserves a different approach now.
Private self-check
Have you noticed these?
This is not a diagnosis. It is a simple way to recognize when a professional PMDD evaluation may be helpful.
A personalized approach
What PMDD care looks like here.
Understanding PMDD starts with recognizing your unique symptom patterns. We focus on your cycle history, emotional experiences, and personal goals to create a treatment approach that fits your needs.
1
Evaluate
Review symptoms, menstrual patterns, mood changes, physical symptoms, and personal history.
2
Measure
Identify patterns by understanding how symptoms relate to your menstrual cycle.
3
Treat
Explore personalized options including lifestyle strategies, therapy approaches, medication options, and other treatments when appropriate.
4
Adjust
Monitor your progress and refine your plan based on your response and changing needs.
Coverage before surprises
PMDD care insurance verification available.
Many patients use commercial insurance for mental health services. Our team verifies benefits before your appointment so you have a clearer understanding of coverage and costs.
We check first.
Insurance coverage varies by plan and service. Verification helps provide clarity before beginning treatment.
Free coverage check
See if you’re covered.
Share your basic contact and insurance information. Do not include medical details. Our team will verify your benefits and guide you through the next steps.
Understanding mood instability
Your symptoms are real.
PMDD is a condition where emotional and physical symptoms related to the menstrual cycle become severe enough to interfere with daily functioning. A comprehensive evaluation helps distinguish PMDD from other mood conditions and creates a clearer understanding of your experience.
Common questions
Clear answers before you begin.
An evaluation should reduce uncertainty, not add to it. These answers explain the starting process.
JB
Medically reviewed by Dr. Jay Borrego, DNP, PMHNP-BC, CRNA
Updated July 26, 2026 · Florida psychiatric practice information