Help GPs understand in greater detail what premenstrual dysphoric disorder is, how to diagnose, and how to treat it. I've included the script for the presentation below. I'd like up to 20 slides to match the material, ideally with diagrams e.g. of the hormones inolved in the menstrual cycle PMDD IN PRIMARY CARE: WHAT IT IS, WHO HAS IT, AND WHAT YOU CAN DO MONDAY MORNING ### *An exemplar 40-minute GP education session* --- > **[PRESENTER NOTE — Before you begin]** > *Open with one sentence that establishes you are not here to lecture, you are here to solve a problem they already have. No title slide. No disclosure of your CV. Credibility is established by the quality of what follows, not announced.* --- ## OPENING — 3 minutes *"I want to start with a question. Think of a female patient you've seen in the last month — she came in distressed, perhaps in tears or angry, perhaps with relationship problems, maybe with suicidal thoughts — and by the time you'd finished the consultation, something felt off about the presentation. It didn't sit cleanly in your depression or anxiety box. Maybe you wondered about BPD or bipolar. Maybe you diagnosed anxiety and started an SSRI and she came back three weeks later saying it wasn't working.* *If a patient like that came to mind, there is a reasonable chance she has PMDD.* *Today I want to give you a framework that will make that patient make sense — and I want to do it in a way that is actually usable in a 15-minute appointment in a busy general practice in Queensland."* > **[PRESENTER NOTE]** > *This opening does three things simultaneously: it establishes that this talk is about their patients (not abstract science), it plants the "aha" moment before you've defined anything, and it signals that you understand the GP context. The mention of 15-minute appointments is deliberate — it says "I know your world."* --- ## SECTION 1 — DEFINING THE PROBLEM: 5 minutes *"Let me be precise about what PMDD is — because most of what circulates in clinical culture about this condition is imprecise.* *PMDD is not bad PMS. It is not hormonal moodiness. It is not a woman being 'sensitive.'* *PMDD is a full DSM-5 depressive disorder — sitting in the same diagnostic chapter as major depression and persistent depressive disorder — with specific, required criteria, a distinct neurobiological mechanism, and highly effective treatment."* *"The criteria, in plain language, are these:* *Five or more symptoms in the week before menstruation — at least one of which must be a core mood symptom: marked emotional lability, intense irritability or anger, depressed mood, or marked anxiety or feeling on edge. The other symptoms include difficulty concentrating, decreased interest, fatigue, food cravings, sleep changes, feeling overwhelmed, and physical symptoms like breast tenderness or bloating.* *But the number of symptoms is almost secondary to the functional criterion: the symptoms must cause significant disrupt
Help GPs understand in greater detail what premenstrual dysphoric disorder is, how to diagnose, and how to treat it. I've included the script for the presentation below. I'd like up to 20 slides to match the material, ideally with diagrams e.g. of the hormones inolved in the menstrual cycle
PMDD IN PRIMARY CARE:
WHAT IT IS, WHO HAS IT, AND WHAT YOU CAN DO MONDAY MORNING ### *An exemplar 40-minute GP education session* --- > **[PRESENTER NOTE — Before you begin]** > *Open with one sentence that establishes you are not here to lecture, you are here to solve a problem they already have. No title slide. No disclosure of your CV. Credibility is established by the quality of what follows, not announced.* --- ## OPENING — 3 minutes *"I want to start with a question. Think of a female patient you've seen in the last month — she came in distressed, perhaps in tears or angry, perhaps with relationship problems, maybe with suicidal thoughts — and by the time you'd finished the consultation, something felt off about the presentation. It didn't sit cleanly in your depression or anxiety box. Maybe you wondered about BPD or bipolar. Maybe you diagnosed anxiety and started an SSRI and she came back three weeks later saying it wasn't working.* *If a patient like that came to mind, there is a reasonable chance she has PMDD.* *Today I want to give you a framework that will make that patient make sense — and I want to do it in a way that is actually usable in a 15-minute appointment in a busy general practice in Queensland."* > **[PRESENTER NOTE]** > *This opening does three things simultaneously: it establishes that this talk is about their patients (not abstract science), it plants the "aha" moment before you've defined anything, and it signals that you understand the GP context. The mention of 15-minute appointments is deliberate — it says "I know your world."* --- ## SECTION 1 — DEFINING THE PROBLEM: 5 minutes *"Let me be precise about what PMDD is — because most of what circulates in clinical culture about this condition is imprecise.* *PMDD is not bad PMS. It is not hormonal moodiness. It is not a woman being 'sensitive.'* *PMDD is a full DSM-5 depressive disorder — sitting in the same diagnostic chapter as major depression and persistent depressive disorder — with specific, required criteria, a distinct neurobiological mechanism, and highly effective treatment."* *"The criteria, in plain language, are these:* *Five or more symptoms in the week before menstruation — at least one of which must be a core mood symptom: marked emotional lability, intense irritability or anger, depressed mood, or marked anxiety or feeling on edge. The other symptoms include difficulty concentrating, decreased interest, fatigue, food cravings, sleep changes, feeling overwhelmed, and physical symptoms like breast tenderness or bloating.* *But the number of symptoms is almost secondary to the functional criterion: the symptoms must cause significant disrupt
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This guide focuses on recognising, diagnosing, and treating Premenstrual Dysphoric Disorder (PMDD) in primary care. It emphasises the importance of understanding PMDD as a distinct DSM-5 depressive disorder, rather than merely severe PMS. Key diagnostic criteria include identifying cyclical symptoms and distinguishing PMDD from similar conditions. Clinicians are encouraged to ask targeted questions to assess symptom patterns and manage comorbidities effectively. By setting clear clinical...