DSMIV Criteria for Premenstrual Dysphoric Disorder

• Five or more symptoms

• At least one of the following four symptoms:

Markedly depressed mood, feelings of hopelessness, or self-deprecating thoughts

Marked anxiety, tension, feeling of being "keyed up" or "on edge" Marked affective lability

Persistent and marked anger or irritability or increase in interpersonal conflicts

• Additional symptoms that may be used to fulfill the criteria:

Decreased interest in usual activities

Subjective sense of difficulty in concentrating

Lethargy, easy fatigability, or marked lack of energy

Marked change in appetite, overeating, or specific food cravings

Hypersomnia or insomnia

Subjective sense of being overwhelmed or out of control

• Other physical symptoms such as breast tenderness or swelling, headaches, joint or muscle pain, a sensation of bloating, or weight gain

• Symptoms occurring during last week of luteal phase

• Symptoms are absent postmenstrually

• Disturbances that interfere with work or school or with usual social activities and relationships

• Disturbances that are not an exacerbation of symptoms of another disorder

Breaking Bulimia

Breaking Bulimia

We have all been there: turning to the refrigerator if feeling lonely or bored or indulging in seconds or thirds if strained. But if you suffer from bulimia, the from time to time urge to overeat is more like an obsession.

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