Finding Calm Within the PMDD Storm: Embracing Mindfulness

Experiencing PMDD (Premenstrual Dysphoric Disorder) is like riding a rollercoaster of emotions. There's a brief moment of relief, but then comes the tumultuous luteal phase, bringing along its unwelcome companions: a heavy heart, self-doubt, anxiety, and a feeling of constantly teetering on the edge. It's a tough ride, but there's a beacon of hope in the form of mindfulness, a skill presented in Dialectical Behavior Therapy (DBT).

Mindfulness isn't about erasing difficulties, but about facing them with kindness and clarity. It's a practice that invites us to be present, to watch our thoughts and emotions without passing judgment, and to nurture a compassionate understanding of our experiences. It's a lifeline during the storm of PMDD.

Introducing "Observe": Your PMDD Superpower

The "Observe" skill in DBT is all about being fully aware of our internal world and the environment around us. It's like looking at life with wide-eyed wonder, without any preconceived notions. This skill empowers us to step back from our immediate emotional reactions, giving us room for more deliberate responses.

Practical Steps for Using "Observe" in PMDD:

  • Ground Yourself in the Here and Now: Find a cozy spot, close your eyes, and take a deep breath. Feel the rhythm of your breath, the gentle in and out, anchoring you to the present moment. Let go of the past and future for now.

  • Engage Your Senses: Slowly open your eyes and take in your surroundings. Notice the colors, shapes, and textures around you. Listen to the sounds, be it the hum of a fan or the distant chirping of birds. Run your fingers over different surfaces, feeling their temperature and texture.

  • Explore Your Inner World: Shift your focus inward. Observe your thoughts, like passing clouds in the sky. Allow emotions to come and go without trying to alter or stifle them. Let them simply exist, without judgment.

  • Embrace What Is: Even if it's uncomfortable, accept your current experience. Recognize that your thoughts and feelings are valid and don't define your worth or capabilities.

  • Cultivate a Grateful Heart: Take a moment to ponder the positive aspects of your life, no matter how small they may seem. It could be a beautiful sunset, a supportive friend, or a moment of inner strength. This practice shifts your focus from distress to gratitude.

  • Breathe It All In: When things get overwhelming, return to your breath. Let it be your anchor, calming your nerves and centering your awareness.

By weaving the "Observe" skill into your routine, especially during PMDD's challenging luteal phase, you'll develop a deeper sense of self-awareness and resilience. Remember, mindfulness isn't about avoiding hardships, but about facing them with gentleness and composure. With continued practice, you'll discover that even in the midst of PMDD's storm, there's a peaceful haven within you.

You've got this!

Stay tuned for the next blogpost “Coping Ahead for PMDD Symptoms.” 


Janae Rothe

Janae is a Clinical Social Worker Intern and therapist with Metanoia Therapy. Metanoia Therapy offers in-office therapy in Vadnais Heights, Minnesota and online therapy anywhere in Minnesota.

Janae is dedicated to assisting individuals and couples as they embark on their path to personal growth and well-being. She is wholeheartedly committed to creating a safe and empathetic environment where clients can explore their unique challenges and progress toward a more balanced and fulfilling life.

At Metanoia Therapy, we are dedicated to helping individuals and couples in Vadnais Heights, MN overcome life's challenges, find healing, and foster healthier relationships. Our experienced team of therapists specializes in anxiety, trauma, and relationship counseling. With a compassionate and client-centered approach, we provide a safe space for self-discovery and personal growth. We believe that everyone has the strength to overcome obstacles and build a brighter future. Let us be your partners on this transformative journey. Contact us today to take the first step towards mental well-being and a more fulfilling life.

Metanoia Therapy is conveniently located just a short distance from St. Paul, White Bear Lake, Hugo, North St. Paul, Stillwater, Mahtomedi, Roseville, Lino Lakes, Oakdale, Forest Lake, Little Canada, Shoreview, Maplewood, New Brighton, Mounds View, and Woodbury. Metanoia Therapy offers online therapy to anyone located in Minnesota.

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Mindfulness: spiral staircase

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Maintaining Emotional Control