Women's Behavioral Health
Changes in life can be difficult. At eunoia, we deliver specialized care for issues specifically related to some of the changes that affect the mental well-being of women (female assignment at birth):
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Premenstrual Dysphoric Disorder
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Perinatal Psychiatry & Family Planning
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Post-partum Depression
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Psychiatric Symptoms related to Menopause
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Feel like yourself again - Every month!
What is Premenstrual Dysphoric Disorder?
Premenstrual Dysphoric Disorder (PMDD) is more than “PMS.” It is a biological sensitivity to normal hormonal fluctuations that can trigger severe mood, energy, sleep, and physical symptoms in the luteal phase (the 1–2 weeks before your period), then lift shortly after menstruation begins. PMDD isn’t caused by having “too little” hormones—it’s a heightened brain and nervous‑system response to changes in estrogen and progesterone, not a simple deficiency.
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How common is PMDD?
Research suggests ~3–8% of menstruating Even if it was 1%, PMDD is real, under‑recognized, and life‑impacting.
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Is PMDD a psychiatric diagnosis?
Yes, PMDD is explicitly identified as a psychiatric disorder. The diagnosis hinges on affective (mood) symptoms, timing relative to the menstrual cycle, and significant impairment in life activities.It appears in diagnostic manuals and coding systems used in psychiatry and is also recognized across mental health, primary care, and gynecology.
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Why Many “Standard” Treatments Fall Short
SSRIs (antidepressants)
Selective serotonin reuptake inhibitors are first‑line in conventional guidelines and can reduce irritability, mood lability, and overall symptom burden. However, many patients experience unpleasant side effects (nausea, fatigue, sexual dysfunction) and discontinuation are common, and not everyone responds.
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Oral Contraceptives​
Also known as birth control—especially drospirenone/ethinyl‑estradiol 24/4—can help some patients by blunting ovulation‑linked hormone swings, but effects are small–moderate, trial withdrawals due to side effects are higher than placebo, and long‑term comparative data are limited. In other words, helpful for a subset, not a cure‑all.
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Bottom line: PMDD is more than just “low hormones” or"PMS on steroids" It is a neuroendocrine sensitivity to fluctuations that leads to lots of frustration, conflicts (interpersonal and relationship), and often a crappy quality of life. So, a tailored program that strategizes, stabilizes and optimizes your hormones—plus support brain and metabolic resilience—will lead to the best and long-term results.
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eunoia PMDD & Hormone Optimization Program
We combine integrative psychiatry with precision functional testing to address root cause. Because you deserve relief, our approach is full of education, patience, empathy, knowledge and experience, provides and individualized and tailored approach, this is not covered by insurance.
What we provide:
Advanced Lab Testing
We start with a comprehensive evaluation and targeted testing called our Premenstrual Deep Dive in order to understand your hormonal rhythm and stress biology. Depending on history, your testing may include cycle‑timed sex hormone panels (estradiol, progesterone) and cortisol rhythm analysis, advanced functional tests when clinically indicated, thyroid and more!
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Diet & Nutrition Counseling
We design a plan to stabilize blood sugar, lower inflammation, and support neurotransmitter synthesis
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Accountability & Support
Because your PMDD affects work, relationships, and self‑confidence. We will provide:
​Telehealth check‑ins, messaging access, and reminders to ensure consistent progress—because timely support dramatically improves outcomes.
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Prescription Therapy (Personalized)
When appropriate, we use hormone optimization to dampen luteal volatility and reduce sensitivity, alongside psychiatric support:
Oral contraceptives, alternative stabilization strategies, based on your individualized from your lab results. This is coordinated based on your symptoms along with your psychiatric care plan, per leading guidance from seasoned and well-respected OB/GYN providers.
Did You Know...
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​ PMDD
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That 10% of women suffer from Premenstrual Dysphoric Disorder?
Premenstrual dysphoric disorder (PMDD) is a much more severe form of premenstrual syndrome (PMS). It can affect women of childbearing age and can be severe and debilitating? It is caused by the shift in hormones during the luteal phase of the menstrual cycle (days 15-28). Symptoms during this phase may include, but are not limited to: feeling overwhelmed, aggression, anger, irritability, moodiness, significant change in energy.
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​ Postpartum Depression
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That having depression during pregnancy raises risks for babies? Risks such as premature birth, lower birth weight, less growth in womb, other problems after birth.
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Untreated depression during pregnancy increases the risk of postpartum depression and can potentially lead to trouble bonding with your baby.
​ Menopause​
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There are over 40 symptoms of menopause? Also, more than half of them include psychiatric symptoms like anxiety, depression, poor concentration brain fog, insomnia, mood swings, personality changes, forgetfulness, and more!
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Contact us today, if you are concerned about any of these issues.