Hormones: PMS, Menstruation, Pregnancy, Post-Partum, Menopause, Birth Control.
It is a medical fact that changing hormones can have a significant impact on all women and those with emotional disorders are no exception. Women in particular, have a roller-coaster of hormonal changes throughout their lives. There is also a growing awareness that hormones affect men as well.
PMS and a monthly menstrual cycle can exacerbate symptoms of DP/DR, anxiety and depression. Try keeping a journal. I plotted a chart for several months simply to track my symptoms; I wanted to see when the DP/DR got worse. Without fail in the week before my period I experienced a significant worsening of all of my symptoms and I realized that had been happening for most of my life.
It is also interesting that the beginning of my chronic DP came at around the time I first started menstruating. I'm not saying this was the only trigger, but it may contribute to exacerbation of emotional disorders in all young people at that age. Mental illness often appears in both sexes as children "come of age." The teenager brain is not fully developed. This is certainly not the only reason, but it is clearly a contributing factor.
Don't hesitate to discuss this with your psychiatrist and OB/GYN. Going on a hormonal birth control regimen can give you a completely accurate time frame which can assist in preparing for/avoiding bad days, and sometimes making them much less difficult.
An important note re: hormonal contraception. I was informed some years ago that anticonvulsants (such as Klonopin, Neurontin, or Lamictal) can reduce the efficacy of some birth control pills and the chances of pregnancy can increase. Your OB/GYN may suggest a change in the type or strength of birth control pill you are taking.
It is also obvious that pregnancy, the postpartum months, and menopause can also cause problems, sometimes very serious (such as post-partum depression). Do not hesitate to consult with both your psychiatrist and your OB/GYN at these extremely stressful times particularly when planning a pregnancy or as soon as you know you are pregnant. There is help available. Do not hesitate to ask your health care providers.
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