In Love with PMDD

Oops, I Did It Again: Breaking the PMDD Impulse Cycle


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Have you ever said something in the heat of the moment that you instantly regretted? That impulsive text message you can't unsend? The dramatic exit from an argument that made everything worse? If you're nodding right now, this episode is for you.

Impulsivity is perhaps the most destructive force in PMDD relationships, yet it's rarely discussed as a central symptom affecting both partners. While we often associate premenstrual dysphoric disorder with mood swings and physical discomfort, the brain's inability to regulate emotional responses during the luteal phase creates the perfect storm for damaging impulsive behaviors.

During low serotonin periods before menstruation, the brain's "feel good" chemical plummets, making it biologically more difficult to pause before acting. This isn't just about snapping at your partner—it manifests as blocking them on social media, making dramatic relationship ultimatums, overspending, binge eating, or even threatening self-harm. For partners without PMDD, the chronic stress of relationship volatility creates its own impulsivity patterns, leading to reactive behaviors that further damage trust.

What makes impulsivity particularly insidious is how it hijacks your decision-making. In those critical moments, the brain focuses entirely on escaping uncomfortable emotions, completely blind to future consequences. I share my own experiences with impulsivity—from booking unnecessary trips to binge-eating chips during luteal phase (those Sweet Heat Lay's are my kryptonite!)—alongside practical tools like the 90-second rule that allows emotional chemicals to settle before reacting.

The most powerful insight? Recognizing your personal impulsivity pattern. Do you become impulsive when feeling rejected? Offended? Overwhelmed? Once identified, you can create an "impulse buffer zone" with five safe activities to interrupt the pattern before damage occurs. For partners, simple practices like waiting 10 minutes before responding to heated messages can preserve relationship health during turbulent moments.

Ready to break the impulsivity cycle? Download my "Pause the PMDD Panic" worksheet to customize these tools to your specific patterns. Your relationship doesn't have to be at the mercy of impulsive moments—with awareness and practical strategies, you can navigate PMDD without causing lasting damage to the connections that matter most.

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In Love with PMDDBy Dr. Rose Alkattan

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