Premenstrual Dysphoric Disorder (PMDD) is a severe hormone-sensitive condition characterised by cyclical emotional, psychological, cognitive and physical symptoms.Symptoms typically occur during the luteal phase of the menstrual cycle, following ovulation, and improve shortly after menstruation begins.PMDD can significantly affect relationships, work, wellbeing and everyday functioning.

Is PMDD just severe PMS?

No. Although PMDD and premenstrual syndrome (PMS) share some symptoms, PMDD is distinguished by its severity, characteristic mood symptoms and significant impact on daily functioning.PMDD can cause severe irritability, anxiety, depressed mood, emotional sensitivity and difficulty coping.It is a recognised clinical condition, not simply a normal part of menstruation.

PMDD is thought to involve an increased sensitivity to normal fluctuations in reproductive hormones, particularly changes involving oestrogen and progesterone and their downstream effects on the brain.People with PMDD do not necessarily have abnormal hormone levels.PMDD is not caused by weakness, poor resilience or an inability to manage stress.

How is PMDD diagnosed?

Diagnosis is based on the timing, severity and impact of symptoms.Prospective daily symptom tracking over at least two menstrual cycles is recommended to confirm the cyclical pattern.A commonly used tool is the Daily Record of Severity of Problems (DRSP).There is no single blood test that diagnoses PMDD.

Can PMDD affect my work performance?

Yes. PMDD may affect concentration, decision-making, confidence, communication, emotional regulation, energy and attendance.Symptoms may vary considerably across the menstrual cycle, meaning someone can function well at certain times and experience significant difficulties at others.Appropriate treatment and workplace support can help reduce the impact.

Can lifestyle changes help PMDD?

Lifestyle measures such as regular exercise, adequate sleep, balanced nutrition and stress management may support overall wellbeing.However, PMDD is a recognised medical condition, and lifestyle changes alone may not adequately treat severe symptoms.They should not be presented as a replacement for appropriate medical care.

Do I have to disclose PMDD to my employer?

No. Disclosure is a personal decision.However, if symptoms affect your ability to work, discussing your needs with a manager, HR or occupational health may help you access appropriate support.You can request a confidential conversation and do not have to share every detail of your medical history.

Can PMDD symptoms change over time?

Yes. Symptom severity and individual experiences can change over time.Stress, sleep disruption, life circumstances and reproductive hormonal changes may influence how symptoms are experienced.Regular medical review and appropriate workplace support can help when needs change.

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Premenstrual Dysphoric Disorder

WORKPLACE CHAMPION CERTIFICATION

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Helping Employers to Navigate PMDD

Hormones 101

UNDERSTANDING PMDD IN THE WORKPLACE

Premenstrual Dysphoric Disorder (PMDD) is a severe, hormone-sensitive condition that can have a significant impact on emotional wellbeing, physical health, relationships and working life. Despite its impact, PMDD remains widely misunderstood, and people experiencing symptoms can face stigma, delayed diagnosis and difficulties accessing appropriate support.

PMDD is more than ordinary premenstrual symptoms. It can involve significant changes in mood, anxiety, irritability, concentration and energy during particular phases of the menstrual cycle, affecting how someone feels and functions in everyday life.

The HELP PMDD Workplace Champion course provides evidence-based education and practical guidance to help individuals understand PMDD, recognise its potential impact at work and create a more informed, compassionate and supportive workplace.

Whether you are a manager, HR professional or employee passionate about improving workplace wellbeing, this course will equip you with the knowledge and confidence to make a difference.

Become a

Hormone-informed Organisation

Join me for a six week course

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Understanding
PMDD

Explore what PMDD is, how it differs from PMS and how hormone sensitivity can influence mood, cognition and physical symptoms. Understand the menstrual cycle, the timing of symptoms and the potential impact on everyday life and work.

Classification and Criteria

Learn about symptom tracking, the diagnostic process and the importance of professional support. Explore available treatment approaches and practical strategies for managing symptoms, while recognising that every person's experience and needs are different.

Symptom
Management

Develop the confidence to approach sensitive conversations, understand how cyclical symptoms may affect working life and identify practical support options. Learn how workplace champions can challenge stigma, protect dignity and contribute to a culture of understanding and inclusion.

Member Feedback

Testimonials

"I just wanted to say how fantastic it was and thank you for letting me be part of it. The women in the room were really inspiring (one of the best Q&A's I've ever experienced) and Dr Milli is just brilliant and I haven't been able to stop thinking about her talk! So much food for thought..."

Become a Workplace Champion

This is for you if...

1.

You want to understand PMDD, the science behind the condition and how its symptoms can affect emotional wellbeing, concentration, relationships and performance at work, so you can provide informed, compassionate support.

2.

You want the knowledge and confidence to recognise challenges that colleagues may face, including barriers to diagnosis, stigma, and the impact of symptoms in the workplace.

3

You want to become a trusted workplace champion by learning practical strategies, reasonable adjustments, and ways to foster a more inclusive, supportive culture.

What you'll be learning:

The Course

ADDITIONAL RESOURCES:

• Access to The 5 A's Conversation Framework

• Downloadable Hormonal Health Workplace Action Plan

• PMDD Resource Kit

Frequently Asked Questions

Yes. PMDD can cause severe mood changes, anxiety, irritability, depression, emotional overwhelm and, in some individuals, suicidal thoughts.Symptoms can significantly affect relationships, confidence, concentration and quality of life.Severe symptoms should always be taken seriously.If you are experiencing suicidal thoughts or feel unable to keep yourself safe, seek urgent professional support through NHS 111, a local crisis service or emergency services.

Treatment depends on individual symptoms, preferences and medical history.Options may include:Selective serotonin reuptake inhibitors (SSRIs)Certain hormonal treatmentsCognitive behavioural therapy (CBT)Psychological supportLifestyle strategies to support wellbeingSpecialist treatment for severe or treatment-resistant PMDDTreatment should be discussed with a qualified healthcare professional familiar with PMDD.

Depending on the individual and their role, examples include:Flexible working arrangementsTemporary adjustments to workload or deadlinesHome working where appropriateAccess to quiet working spacesFlexibility around healthcare appointmentsAdditional breaks during symptom flaresAdjustments to meeting schedules where feasibleRegular, supportive check-insAdjustments should be based on individual needs rather than assumptions about menstrual cycles.

Respond calmly and compassionately.Ask what immediate support they need and follow appropriate workplace procedures.Where there are concerns about immediate safety, including suicidal thoughts or risk of harm, follow safeguarding and emergency procedures and help the employee access urgent professional support.A PMDD Champion should never be expected to manage a mental health crisis independently.

A PMDD Champion is a trained workplace advocate who helps improve understanding and support for employees affected by PMDD.Their role includes:Raising awareness of PMDDChallenging myths and stigmaEncouraging supportive conversationsSignposting appropriate resourcesPromoting inclusive workplace practicesSupporting awareness of workplace policies and adjustmentsEncouraging appropriate professional supportPMDD Champions do not diagnose, prescribe medication or provide clinical treatment.

Course Investment:

£300

Designed for employees and managers, facilitating easier workplace conversations through evidence-based education on hormonal health, this fee reflects the expert led, comprehensive, and practical nature of the course - giving you the knowledge and tools for long-term relief and empowerment.

Hosted by Dr Milli Raizada MBCHB (Hons), DGM, PG Cert Med Ed, FBSLM, SFHEA, MRCGP 2016, Associate Professor, the six week course will guide you through hormone sensitivity disorders, helping you to understand the terms and definitions and enabling you to review the way you manage your symptoms.

*Disclaimer - This session is for educational purposes only. It does not constitute medical advice. If you have concerns about your health, please see a qualified health care professional.*

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Dr Milli Raizada

I'm Dr Milli

I am an NHS GP and the Founder and CEO of Dr Milli Health, where I also share my insights as a best-selling author of "Happy Hormones, Happy You." With a passion for empowering women, I serve as a charity ambassador and trustee for the PMDD Project, while also holding the position of Senior Clinical Lecturer (Associate Professor) with a PhD in hormonal health. My focus is on corporate education and health and wellbeing consultancy. I recently founded The Longevity Club in Lancashire - a premium space dedicated to advanced longevity tools combined with aesthetics. I am committed to help empower and educate women to use natural lifestyle medicine principles to help heal their hormones, improve health and happiness in the premenstrual, perimenopausal and menopausal phases.

Dr Milli Health

Premenstrual Dysphoric Disorder

Helping Employers to Navigate PMDD

Hormones 101

Become a

Hormone-informed Organisation

Understanding PMDD

Classification and Criteria

Symptom Management

Member Feedback

Testimonials

Become a Workplace Champion

This is for you if...

1.

2.

3

What you'll be learning:

The Course

Frequently Asked Questions

What is PMDD?

Is PMDD just severe PMS?

What causes PMDD?

How is PMDD diagnosed?

Can PMDD affect my mental health?

Can PMDD affect my work performance?

What treatments are available for PMDD?

Can lifestyle changes help PMDD?

Do I have to disclose PMDD to my employer?

Can PMDD symptoms change over time?

How do I know if it's perimenopause?

Can I still have hormone symptoms if my blood tests are normal?

Will HRT work straight away?

Is brain fog a real symptom?

What lifestyle changes can help?

What is PMDD?

Can hormone conditions affect work performance?

How do I know if it's perimenopause?

Can I still have hormone symptoms if my blood tests are normal?

Will HRT work straight away?

Is brain fog a real symptom?

What lifestyle changes can help?

What is PMDD?

Can hormone conditions affect work performance?

How should I respond if an employee tells me they have PMDD?

What workplace adjustments might support someone with PMDD?

Should managers ask employees to track or share their menstrual cycles?

Is PMDD a mental health condition or a hormonal condition?

Can PMDD be considered a disability under the Equality Act 2010?

What should I do if an employee experiences severe emotional distress?

Should I tell HR about an employee's PMDD diagnosis?

Can PMDD affect attendance and workplace relationships?

What is the role of a PMDD Champion?

What is the most important thing I can do as a PMDD Champion?

HELP Menopause & PMDD Workplace Champion

HELP Menopause Workplace Champion

Course Investment:

£300

Dr Milli Raizada

I'm Dr Milli

Understanding
PMDD

Symptom
Management