PMDD shaped my life for 17 years before I could name it. I spent those years searching for answers, questioning my sanity, and desperately seeking treatments that actually worked. My painful journey had an unexpected twist. Helping others heal from PMDD became my life's purpose. Hi, I'm Jess, a board-certified nutritional therapist, coach, the founder of Her Mood Mentor, and your host. This is PMDD Pep Talk, a weekly reminder that your suffering is real, your experience is valid, and your future is brighter than your symptoms suggest. Each week, we're going to explore the truths about PMDD that nobody talks about. The kind of truths that shift something deep inside you and make you think, maybe there's more possible than I imagined. Whether you're in the depths of luteal darkness or riding the clarity of your follicular phase, you're exactly where you need to be. Because here's what I know for sure. Healing PMDD isn't just about managing symptoms. It's about transforming your life. This challenge, as brutal as it can be, is an invitation to know yourself more deeply, and live a more joyful, purpose-filled life. PMDD might feel like your whole story, but it's just a chapter, and you get to write what comes next. Welcome to PMDD Pep Talk. Quick pep talk pause. Remember that everything we talk about here is meant to educate and inspire. Always team up with your healthcare provider for personal medical advice. All right, now let's get into it. Hello and welcome back to another episode of PMDD Pep Talk. Today we're going to be talking about why some women finally get PMDD relief. Another juicy episode that I'm really excited to bring to you. So if you've been struggling with PMDD or severe cyclical mood symptoms for a long time, you may have asked yourself, why have I tried so many things and I still feel stuck? And if that's where you are, I want to say clearly at the beginning, okay, bust some myths. You're not lazy, you're not failing, you're not broken, and you're definitely not the problem. All stories your brain is probably telling yourself if you're living with strong hormonal mood symptoms and PMDD. For many women, the real issue is not a lack of effort, it's that they've been given the wrong framework, incomplete care, or generic advice that never really gets to the root of what's actually happening. So in this episode, I want to talk you through the real reason our clients see meaningful PMDD progress and what makes our approach different, and why a more structured, personalized root cause process can create very different outcomes. One thing we know for sure from the research is that PMDD is not bad PMS, and we have a whole article on our website about this if you want to dive into why that is. But it is a serious cyclical reproductive mood disorder that can significantly impact your daily functioning, your relationships, your quality of life. We also know that it's often misunderstood and misdiagnosed. In fact, one qualitative investigation reported that women with PMDD take an average of 20 years to be accurately diagnosed and treated for PMDD, which helps explain why so many of us arrive exhausted, confused, and discouraged before they ever even get real support. We also know that PMDD is not about having wildly abnormal hormone levels. From the research, we see that it's more about an abnormal sensitivity to the normal hormone fluctuations. So if you've ever been told your labs look normal while you're clearly suffering, that disconnect is real. There's also a lot more to unpack between conventional and functional ranges, but we'll save that for another episode. And one of the reasons this work matters so much is that PMDD is not only disruptive— for some women, it becomes dangerous. Research again has shown strikingly high rates of suicidality among women with PMDD, including elevated rates of suicidal ideation, suicide plans, and suicide attempts. In a nationally representative sample, women with PMDD were significantly more likely to report suicidal ideation, plans, and attempts than women without PMDD. So we see this a lot in the research. Again, we see this a lot in our clinical practice. And if you've lived with cyclical hormonal mood symptoms, you don't need to see the research to feel the feelings of not wanting to be here anymore because you're a burden, because you can't do this, because you can't keep picking your life up and putting it down every 2 weeks. And the reality is, when women spend years being misunderstood, misdiagnosed, or dismissed, they start to lose steam, right? They're not just dealing with symptoms, they're often dealing with years of confusion, dismissal, late diagnosis, repeated failed attempts for treatment and declining hope. They start to lose trust in their body, in the medical system, and often in the idea that anything can really help. I have been there. I was there for 17 years. So by the time many clients come to us, they are not just looking for symptom relief, they're looking for a real way forward. And that's exactly why our clients get the results that they get, is because our program is not generic. It's personalized, it's data-informed, and it's very capacity aware. Because everyone is coming in to this program in a different state. So we build the program individually to meet each client where she is. At Her Mood Mentor, we do not take a one-size-fits-all approach, and we're not trying to force every woman into the same protocol, the same pace, or the same expectations. We work with a woman directly in front of us. That means we look at her symptoms, her health history, her physiology, her stress load, her nervous system capacity, her bandwidth, her specialized lab testing results, and what is actually realistic for her in this season of life. Because a protocol is only helpful if a client can actually implement it. And sustainable progress really happens when support is personalized, not just to the body, but to the person. So this is one of the primary reasons our clients actually get results in our program. You know, another reason is that this work is built on my lived experience of 17 years of undiagnosed and misdiagnosed PMDD Every tool, every system, every resource inside of our program was created by me. So not a practitioner first, but a woman first and a practitioner second. So I lived with this for 17 years, like I said, undiagnosed, misdiagnosed, dismissed, and still trying to function. Then I became a practitioner much later after I learned— started learning how to reduce and manage my symptoms on my own. Now this changes everything because our clients don't have to come here and prove how bad it is for them. They don't have to overexplain. They don't have to justify why they're exhausted, and they don't have to fight to be heard. They are seen immediately in our intro session with our onboarding team. They are seen through our content and the interactions that they have with us, uh, through email, through all of our social channels. And again, I think that it's so powerful because it's built by someone who lived with this. I lived with the overwhelm. I lived with the ADHD overlap. I'm living with the perimenopausal transition. I am living with the executive dysfunction and the mental load of trying to heal while holding a life together. And that lived experience is now paired with, oh, extensive ongoing continual, uh, practitioner development. And so the support becomes very different within our ecosystem here. It becomes more practical, more compassionate, more nuanced, and more effective. We also get results because our program is structured around root cause care, not just short-term symptom control. And that includes nutritional therapy, coaching, nervous system support, and specialized lab testing for each and every client. And these clients have never been offered these types of lab tests because many, most all conventional practitioners do not use the specialized lab tests that we use. They also do not interpret some of the, for example, blood lab testing results in the same way. They're going to interpret them via conventional ranges where we're interpreting them through optimal health ranges. So depending on the client, we use different specialized lab testing. Hair mineral testing is one of my top favorites. I also really advocate for kind of comprehensive blood testing. We facilitate that— those two first and foremost. And then we bring in more specialized lab testing depending on what the symptom assessment comes back with, what the client's goals are, what their specific situation is. Oftentimes we're going to use a comprehensive stool analysis if they have a lot of gut stuff going on or skin stuff going on. And then we also do sex and stress hormone metabolite testing as well. So I'll do a separate episode specifically on testing because it really deserves its own conversation, but I do want to mention it here because it is a huge part of why the work that we're doing is different. We're not just guessing, we are gathering better information so we can build more personalized protocols, and those protocols are tailored specifically to the client's body and her capacity. So not what looks good on paper, not what someone says on the internet that everyone should do, but what actually fits her individual body and what she needs in the moment. Another major piece of why clients improve is the coaching and the supportive structure. Inside our program, we offer weekly community group coaching calls. That means women are not left alone to try to decode their symptoms or troubleshoot setbacks or carry the emotional weight of these symptoms themselves. They get regular support, they get guidance, they get accountability, they get community. And they get a space where they're not the only one having this experience, which is so extremely powerful. Really matters more than most people realize. Coaching, it's kind of like, hmm, yeah, that's a word, we have ideas about it, but if you haven't been in a coaching relationship, you might not really know what that means. And really knowing what to do is not the same as being able to do it consistently in real life, and that's where coaching comes in. And it's especially true when someone has spent years feeling dysregulated and ashamed or dismissed or afraid of their own body and their own cycle. So it brings me to another core reason why our clients get results, which is the nervous system work that we do throughout the program. This is not just about food and supplements or lab data. If someone is living in a near constant stress response, which you are if you're living with cyclical hormonal mood symptoms or a cyclical hormonal mood disorder or perimenopause or postpartum, you are bracing for the next symptom wave. Planning what might go wrong and expecting a collapse every cycle. And, you know, then healing has to really start to include more than physical support alone, and most women are not getting that. And that's why at Her Mood Mentor, in our clinical practice, we include nervous system regulation, negative, uh, the negativity bias retraining. So there's plenty of research on the negativity bias and PMDD. We'll do a separate episode on that, but we help you retrain that in a variety of ways through the system that we guide you through. Also, we do a lot of work with mindset, perception, and metacognition. So that comes in, in coaching, but it also comes in through the nervous system work that we're doing. And many women with PMDD have spent years in a pattern of hypervigilance towards their own bodies, right? You know this, you feel this inside. You're anticipating the crash, you're watching for the signals, you're interpreting every shift through fear and hopelessness and self-blame. I know because I lived it for 17 years, remember? And to be clear, that response makes sense. It is an understandable adaptation to repeat suffering. But if no one helps you interrupt that pattern, it can keep reinforcing the same cycle of fear and reaction and helplessness and hopelessness. So many women have been taught to think of their symptoms as the problem or even think of themselves as the problem. And when that happens, you often are just gonna be stuck and trapped in a reaction cycle. So in our program, we help to reframe this by guiding you through a very different progression. So our progression is going to be shifting from problem to reaction, which is not getting you where you want to go, right? You've been having these symptoms, you're feeling like they're the problem, you feel like you're the problem, and you're reacting. That's what the brain does. The brain wants to fix the problem. But through our process, we reframe this and we guide you through a system that shifts problem to challenge. And I just want you to ask yourself here in, in the moment, like, what feels different when I say problem? Your symptoms are the problem. You might even feel like the problem, versus your symptoms are a challenge. The symptoms are a challenge that you're facing. How does that feel differently for you? What is that— what quality is different between problem and challenge? But then we can't go challenge, reaction. That's not going to get you any closer. So instead, we guide you through a system that goes challenge, awareness, understanding, agency, and aligned action. And through that different pathway, you get acceptance and you get a new way forward, and you stop getting caught in the damage control cycle. This shift is so powerful because when you stop seeing yourself as broken and you start seeing yourself as someone who can understand and navigate a challenge, things can start to change, right? This is why our HEAL method is called the HEAL method, okay? It's not because we promise to make symptoms magically disappear, but because we help women become more whole in the way that they understand, support, and move through their experience. That is the ideology. The root of HEAL is to become more whole with your experience. And that deeper sense of wholeness is what healing is really about. A small shift in a direction can completely change your destiny, your, your destination in the end. Like a plane changing course by a tiny degree and landing on a completely different continent. A woman who learns to move through her symptoms with more awareness and understanding and agency can end up in a very different place than a woman who is stuck in panic and reaction every single cycle. I'll do a separate episode on this framework and share some client, client wins and client quotes because it really deserves more time. But I wanted to introduce it here because it's part of why our clients do not just receive information, they actually change how they move through the experience of these hormonal mood symptoms or hormonal mood phases, whether it be perimenopause or postpartum as well. Another important reason we trust this process is that we do not rely on anecdotes. We track outcomes using prospective symptom tracking, which is especially relevant in PMDD because prospective daily tracking is the most important ways clinical symptom patterns are identified and confirmed and diagnosed. When we look at our internal client outcome data using these prospective symptom tracking, we see meaningful change. On average, our clients came into the program experiencing 14.3 3 symptomatic days of moderate to severe symptoms per cycle. And at the end of the program, on average, our clients graduate with 2.7 days of moderate to severe symptoms for an average reduction in our program of 11.6 symptomatic days reclaimed, or about an 81% reduction in days that they're experiencing moderate to severe symptoms. So that's one of the metrics that we track. We also track symptom burden score, and on average, our clients come into the program with a symptom burden score of 468, and when they graduate out, the average symptom burden score is 251. That's an average symptom reduction of 216 points, or a 46% reduction in symptom burden. And we look at that through the, the symptom assessment that we run when you schedule an introductory session. So you schedule an introductory session with our onboarding team, we take in a symptom assessment for you. It's a 320-question assessment that reveals drivers behind your symptoms and gives us a symptom burden score after you complete the assessment. So that comes out to the really impressive stat that 40% of our clients reduce their symptom burden by 50% or more, which is just something I'm so proud of. Like, we've been honing in our success metrics, how we're gathering this. We've been honing in our program and our systems and what we're providing. And so I'm so proud that we can say that with data, but I'm not done because we also track quality of life. Because this work is not just about having fewer bad days on paper. It's actually about getting your life back. This was the most impactful thing for me when I learned to reduce and manage symptoms. You know, I believed I would never be able to own a home or have a job that I was passionate about or have a healthy relationship, and my life is unrecognizable today than it was 8 years ago when I started this journey. So looking at the quality of life match metrics is really important. And on average, the quality of life score increased from 39 to 55, which on average is a 16-point improvement or a 42% increase in quality of life on average for our clients. So these numbers really reflect something real. When women are given personalized root cause capacity-aware support along with coaching, data, nervous system work, and repeatable process, meaningful progress is possible. So when I step back and I look at why our clients get real results, it comes down to this: they're not handed random advice, they're not being treated like a protocol template, they're not being told to just push through, and they're not being left to figure it out all on their own. They're being guided through a method that has been honed over the last 8 years with hundreds of students and clients. They are being met where they are. They are being supported at the level of both body and mind. They're getting personalized care, not generic recommendations, and they're learning how to respond to their patterns with more understanding, more agency, and more aligned action. So if you've been feeling discouraged, I want to leave you with this: the issue may not be that you're too complicated. The issue may not be that you're doing it wrong, and the issue may not be that relief is totally out of reach for you. It may be that you've never had the right framework, the right support, and the right process that's personalized to you. Meaningful PMDD progress usually does not come with more self-blame. It comes from better support, better data, better personalization, and a method that helps address what's actually driving the symptoms. That is the real reason why our clients see such meaningful PMDD progress. If this resonated with you and you're ready for a more structured, root cause, personalized approach, we would love to support you. And we always get started with that symptom assessment so we can see your starting symptom burden and start to reveal underlying drivers physiologically to your symptoms. So you can follow the link below to get booked in to schedule your symptom assessment and run— uh, to schedule your intro session and run your symptom assessment. You can also go on to Instagram or any of our social channels and comment or DM us intro, and we will I'll send you the link to get started. If this episode resonated with you, please share it with someone else who may be feeling stuck or like they can't make progress with their symptoms. And take a couple of seconds to rate and review on Spotify or Apple if you're enjoying these podcast episodes. It helps us reach more people, builds more PMDD awareness into the, the communal brain. And just help women feel more hopeful about their future. Thanks for being here, and I'll see you next time on PMDD Pep Talk.