By: Dr. Keara Taylor, ND When it comes to addressing and optimizing mental health, it is vitally important to take a holistic approach, which may include looking at and addressing your hormonal health since hormones and mental health are intrinsically linked. As we know, PMS or premenstrual syndrome, is composed of both physical and psychological symptoms, which include low mood, anxiety, mood swings, social withdrawal etc. that occur in the two week period prior to menstrual bleeding and affect daily functioning. PMDD or premenstrual dysmorphic disorder is defined in the DSM-5 and includes severe mood and physical symptoms (1). We see an increase in low mood and anxiety in peri- and post-menopausal women (2). All of this shows us that mood changes can be linked to shifts in hormones, such as a decline in estrogen, and sometimes a rise in progesterone or progestogens, which can then affect neurotransmitters like serotonin, GABA, and dopamine(3). A good way to determine whether hormones are affecting your mood symptoms is to track your symptoms along with your cycle. There are many free apps out there that make this very easy. If you are undergoing a hormonal transition, for example, pregnancy, post -partum, or perimenopause, then it may be worthwhile to work with a health care practitioner who can help you determine whether your hormones are having an effect on your mental health. The importance of a proper diagnosis cannot be stressed enough to ensure that you get the proper care and treatment that you need (4). […]