I'm a cisgendered female with treatment resistant monocyclic depression which is mitigated to some extent by 200mg of Sertraline in the morning and 45mg of Mirtazapine in the evening. I've had depression on and off for 10 years, and this particular episode has been going on constantly for nearly 2.
It's definitely depression - I've had blood tests recently and my thyroid function and blood sugars are in the normal range.
I'm seeing my GP every couple of weeks and am also under the care of a psychiatrist, psychologist and other mental health team people. GP agreed this particular problem probably hormonal, but only advice she could offer me was to use my usual coping strategies.
I'm not on any form of birth control as I found it interfered with my moods even more than not being on it does. My cycles are regular - between 32 and 37 days in length.
Recently I've noticed that I'm having particularly bad sustained low moods in the run up to my period - anywhere from 2-5 days before the start. Usually the level my depression is at means that on a day to day basis my mood is a 3 or 4 out of 10 at most. The effect the pmt has on me knocks me down so low I'm at a 1 nearly constantly from when it starts to when my period starts. That means I'm barely fictional and even getting out of bed is hard.
My question is this. Is it pmt/pre menstrual hormones causing it? If so, what can I do to mitigate the effects? Do any of you superstars have any techniques that help you? It's making me a bit loopy and really quite miserable. None of my usual coping strategies even come close to helping when I'm like this.