PMDD can cause intense emotional and physical symptoms, making it challenging to function in daily life, including at work. This article addresses common concerns and offers practical advice for coping with PMDD in the workplace.

Can People with PMDD Work?

Yes, people with PMDD can work. However, managing the symptoms of PMDD, such as mood swings, fatigue, anxiety, and physical pain, can be particularly challenging in a professional setting. It is essential to find strategies and accommodations that help you maintain productivity and well-being at work.

Common Symptoms of PMDD:

  • Irritability/anger
  • Feelings of overwhelm
  • Depressed or anxious mood
  • Fatigue
  • Difficulty concentrating
  • Forgetfulness
  • Inflammation
  • Tender breasts
  • Joint pain

Your body gives signals—this ring helps you decode them

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Is PMDD a Recognized Disability?

Yes, PMDD is recognized as a disability under the Americans with Disabilities Act (ADA) in the United States. This means that individuals with PMDD are entitled to reasonable accommodations at work. Reasonable accommodations are adjustments or modifications to a job or work environment that enable an individual to perform their job duties despite their medical condition.

Steps to Take:

  1. Inform Your Employer: Notify your Human Resources department or supervisor about your condition.
  2. Request Accommodations: Explain that you have a medical condition that limits your ability to perform certain job duties and may require time off.
  3. Provide Documentation: You may need to provide a medical certificate from your healthcare provider substantiating your condition.

Should I Tell My Boss I Have PMDD?

Deciding whether to disclose your PMDD diagnosis to your employer is a personal decision. Disclosure can be necessary to access resources and accommodations, but it should be done thoughtfully and strategically.

When to Disclose:

  • During the Hiring Process: You may choose to disclose post-offer during the accommodation negotiation process.
  • Before Performance Issues Arise: Disclose before your performance is affected to prevent misunderstandings.
  • When Requesting Accommodations: Inform your employer to access protections and accommodations under the ADA or FMLA.

How to Disclose:

  1. Prepare: Assess your comfort level with sharing information about PMDD and gather necessary documentation.
  2. Be Specific: Explain the impact of PMDD on your work and the accommodations you need.
  3. Choose the Right Time: Find a private and appropriate time to discuss your condition with your employer.

Can You Live a Normal Life with PMDD?

Yes, it is possible to live a normal life with PMDD, but it requires careful management and support. Many individuals find that a combination of lifestyle changes, natural remedies for PMDD, and medical treatments can significantly improve their quality of life.

Coping Strategies for PMDD at Work:

  1. Plan Ahead: Identify your PMDD symptoms and track your cycle to anticipate when symptoms will occur. Schedule demanding tasks during your “good weeks” and lighter tasks during your “bad weeks.”
  2. Take Breaks: Allow yourself short breaks to manage stress. Step outside for fresh air, practice deep breathing, or do a quick mindfulness exercise.
  3. Stay Organized: Keep a detailed to-do list and prioritize tasks to stay focused. Breaking tasks into smaller, manageable steps can help reduce overwhelm.
  4. Manage Stress: Incorporate stress management techniques into your routine. This might include stretching, yoga, meditation, or listening to soothing music during breaks.
  5. Seek Support: Connect with a supportive coworker or join a PMDD support group. Sharing experiences can provide emotional relief and practical advice.
  6. Professional Help: Consult with a healthcare provider for professional advice and treatment options. CBT therapy or counseling can also provide valuable coping strategies.
  7. Flexible Work Arrangements: If possible, explore flexible work options like remote work or adjusted hours during peak PMDD days.

Read more about how CBT can help PMDD.

Family Medical Leave Act (FMLA)

If you work for an employer with 50 or more employees, you may be entitled to job-protected leave under the FMLA for your PMDD symptoms. This allows you to take unpaid time off without risking your job.

Americans with Disabilities Act (ADA)

The ADA requires employers with 15 or more employees to provide reasonable accommodations for individuals with disabilities, including PMDD. Accommodations may include flexible work hours, the ability to work from home, or a private workspace.

Conclusion

Living and working with PMDD is challenging, but with the right strategies and support, it is possible to manage your symptoms effectively. Utilizing coping strategies and understanding your legal rights, along with openly communicating your needs to your employer, can help create a more accommodating and supportive work environment.