From debilitating cramps to depressive episodes, intense mood swings and bloating, dealing with PMDD isn't easy. There's no quick fix for the condition, which affects around 5 - 10% of us, but if you know someone who has PMDD, there are some things that you can do to help. 

We've put together some of our top tips for supporting someone who has premenstrual dysphoric disorder, so you can help them navigate their hormones each month.

1. Take it seriously. 

Some people with PMDD find it hard to explain what they're going through, and it's particularly difficult when others dismiss their experiences as "just that time of the month".

It is important to understand that PMDD can have a large effect on someone's life. The symptoms are very real, and can be very difficult to cope with – the best thing you can do to support someone with PMDD is to reassure them you take their condition seriously, and let them know you're there to help. 

2. Try to understand

Find out as much as you can about PMDD. This will help you understand what they are going through. 

Ask them about their personal experience of living with PMDD - ask them how PMDD affects their life and what things can make it better or worse.

3. Support them as they seek help.

Supporting your friend or loved one as they seek help can be really important. It can help to remind them that PMDD is a recognised condition like many others, and that they deserve treatment and support.

Not all healthcare professionals are aware of PMDD or fully understand it, so people can sometimes face barriers to getting the treatment they need.You could even consider becoming their health advocate.

4. Plan around their cycle

PMDD symptoms happen at specific times in the menstrual cycle. If you can predict when the symptoms are likely to start, you may want to plan things in advance that might help. 

For example, you could plan activities that may help them to relax or just make sure that people will be around to offer their support.

5. Reassure them

When they experience symptoms, you can try to reassure them that the symptoms will soon pass, that you are there to support them and that they are not on their own. 
Some people with PMDD experience suicidal feelings. This can be difficult to cope with, for both of you. Often just knowing that there is someone around who understands helps a lot.

6. Be patient

Even with support, someone with PMDD may be irritable at times and act differently than they normally do. It can be hard to support someone if they do not appear to appreciate the help you are trying to offer. 

Remember that this won't last forever and their symptoms should get better within a few days.