sofidexFor patientsAre you a clinician? Clinical site
Ask Sofi
Listen
Patient SupportEmergencies & Reporting
Log inSign up

Warning-sign checks

Premenstrual dysphoric disorder: when to get help

Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.

  1. 1

    Is any of this happening now?

    Call 911

    Call emergency services or go to an emergency department if you have a suicide plan, intend to act, have already harmed yourself, or cannot stay safe.

    If possible, remain with someone you trust and move away from anything you could use to hurt yourself.

    Other emergency signs, for anyone
    • Someone who is struggling to breathe, gasping, choking, or cannot get words out
    • Someone who has chest pain, tightness or pressure lasting more than a few minutes
    • Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
    • Someone who is unconscious, or cannot be woken
    • Someone who is bleeding heavily and it will not stop with firm pressure
    • Someone who has had a seizure that will not stop, or does not wake up afterwards
    • Someone who has lips or skin that look pale, blue, grey or blotchy
    • Someone who you believe has taken an overdose or swallowed something poisonous
  2. 2

    Is any of this happening?

    Be seen today

    Seek prompt medical advice if symptoms become more severe, continue throughout the month, or change after starting a medicine or hormonal contraceptive.

    New periods of unusually high energy, very little need for sleep, impulsive behaviour, or racing thoughts also need assessment because they may suggest another mood condition.

    Get same-day urgent help if you are having thoughts of self-harm or suicide, even if you do not intend to act on them.

  3. 3

    Does any of this apply?

    Book an appointment

    Arrange a routine appointment if symptoms repeatedly appear before periods and affect work, relationships, education, sleep, or daily activities.

    Bring a symptom diary if you have one, but do not delay seeking help simply because you have not completed two months of tracking.

Every sign above is quoted from the sofidex article on Premenstrual dysphoric disorder. If you are not sure, err upward — it is always reasonable to be checked.