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  Vol. 281 No. 4, January 27, 1999 TABLE OF CONTENTS
  JAMA
  •  Online Features
  Clinical Crossroads: Conferences With Patients and Doctors
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A 45-Year-Old Woman With Premenstrual Dysphoric Disorder

Discussant Barbara L. Parry, MD

JAMA. 1999;281:368-373.

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

INTRODUCTION

DR DALEY: Ms V is a 45-year-old office worker and mother of 2 adolescents with a long history of premenstrual syndrome (PMS). She lives in a suburb of Boston, Mass, and has commercial indemnity insurance.

Ms V experienced menarche at age 16 years and is gravida 2, para 2, abortas 0. Her menstrual periods were irregular for many years. She recalls mood swings, irritability, and feeling overwhelmed and depressed prior to menses since her menarche, although she states that it was only in retrospect that she recognized her symptoms corresponded to the 7 to 10 days prior to her menses. During her 2 pregnancies and the 2 years in which she breast-fed her children after each pregnancy, her cyclical symptoms were much better. During her 20s, diazepam was prescribed to improve her symptoms, but the medication made her feel more depressed. During her 30s, a . . . [Full Text of this Article]

MS V: HER UNDERSTANDING AND PERCEPTIONS

AT THE CROSSROADS: QUESTIONS TO DR PARRY

Diagnosis and Phenomenology

Pathophysiology

Inheritance and Relationship to Other Disorders

Cultural Aspects

Treatment

Conclusions

QUESTIONS AND DISCUSSION

Author Affiliations: Dr Parry is Professor of Psychiatry and Associate Director, Program in Consultation Liaison Psychiatry and Behavioral Medicine, University of California, and Director, Psychiatric Emergency Room, University of San Diego Medical Center, San Diego, Calif.


RELATED ARTICLE

January 27, 1999
JAMA. 1999;281(4):391-392.
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