Premenstrual Dysphoric Disorder (PMDD) can feel like an emotional rollercoaster that many silently endure. For those living with PMDD, masking symptoms is often a coping strategy.
But what does “masking symptoms” actually mean, and how does it affect the lives of those trying to keep their struggles under wraps?
What Does “Masking Symptoms” Mean in the Context of PMDD?
Masking symptoms involves hiding or suppressing the outward signs of PMDD. It’s when someone with PMDD puts on a brave face, despite intense feelings of anxiety, irritability, or depression.
This kind of masking often happens in workplaces, social situations, or even at home—where appearing “fine” is easier than explaining the emotional chaos of PMDD.
Many mask their symptoms because they fear judgment or misunderstandings. There’s a stigma surrounding mood disorders, especially those linked to hormonal changes.
People with PMDD may smile through their pain, give extra effort at work, or avoid showing vulnerability to avoid being seen as “emotional” or “unstable.”
Your body gives signals—this ring helps you decode them
The Impact of Masking Symptoms
The constant effort of masking symptoms can be exhausting. It adds a layer of stress and may even worsen PMDD. When people hide their true feelings, they miss opportunities for support and understanding from those around them.
Masking can also delay diagnosis and treatment, as it prevents others—including healthcare professionals—from fully understanding the depth of the symptoms being experienced.
There’s also a physical toll. PMDD already brings fatigue, headaches, and body aches. The energy needed to mask symptoms can amplify these physical effects, leaving individuals feeling drained at the end of the day.
Why Do We Mask?
Societal pressures often push individuals to mask their PMDD symptoms. The expectation to be productive, to maintain relationships, or to meet social standards of “normal behavior” often forces people into hiding their true feelings.
Many women and people assigned female at birth (AFAB) are conditioned from a young age to stay composed, to not be “overly emotional,” and to push through discomfort. Masking becomes an ingrained response—a survival tactic in a world that often lacks empathy for mood disorders.
Breaking the Cycle of Masking
To stop masking symptoms, it’s crucial to create spaces where people feel safe to express their true emotions. Honest conversations about PMDD can lead to greater awareness, breaking down stigma.
In workplaces, it could mean educating teams on how to support colleagues dealing with PMDD. In relationships, it’s about open dialogue, where partners are informed and supportive.
Treatment is another important factor. Therapy, lifestyle changes, or medications can make it easier to manage PMDD without needing to mask. Cognitive-behavioral therapy (CBT), in particular, can help individuals learn healthier coping mechanisms that don’t involve masking their pain.
Your body gives signals—this ring helps you decode them
Feedback from the PMDD Community
“I used to tell little white lies about why I wasn’t feeling well because I didn’t know I had PMDD. It was a terrible cycle of shame and guilt. Once I found out it was PMDD, I felt scared to share because of the ignorance and stigma you mentioned, too.”
“The struggle is hard but there is still hope to live and support others.”
“I don’t like the person I have become before my period.”
This reflects the emotional toll that PMDD takes, affecting one’s sense of identity. It’s crucial to acknowledge these feelings and seek supportive measures that allow for self-compassion and healing.
The Importance of Authenticity
Unmasking PMDD symptoms can feel terrifying, but it’s also freeing. Allowing oneself to acknowledge the real struggle behind PMDD creates a path toward better support systems, more effective treatment, and genuine human connection. Authenticity is a powerful step towards healing—one that lets people manage PMDD in a way that doesn’t leave them feeling alone or unheard.
Conclusion
Masking symptoms may seem like a temporary solution to navigate the challenges of PMDD, but it often leads to greater emotional and physical exhaustion. Breaking free from the habit of masking is not easy, yet it is a crucial step towards genuine well-being. By fostering safe environments, seeking appropriate treatment, and embracing authenticity, those with PMDD can find the support they need and deserve. Remember, you don’t have to face this alone—help is out there, and your voice matters.
