Daniel Carlat, MDDr. Carlat has disclosed that he has no significant relationships with or financial interests in any commercial companies pertaining to this educational activity.
The concept of a difficult spell preceding the menstrual period in some women is not new. Hippocrates was said to have noted it, and in 1847, Dr. Ernst von Feuchtersleben said, "The menses in sensitive women is almost always attended by mental uneasiness, irritability, and sadness." The term "premenstrual syndrome" may first have appeared in the literature in 1953, in an article by Green and Dalton, and PMS is available as a diagnosis in ICD-10. Amidst some controversy, DSM-III-R in 1987 included a set of research criteria for a disorder it gave the awkward title Late Luteal Phase Dysphoric Disorder (LLPDD), where it appeared in an appendix called "Proposed Diagnostic Categories Needing Further Study." In 1994, DSM-IV renamed it Premenstrual Dysphoric Disorder, where it is still listed in an appendix for further study. Indeed, if a woman meets the criteria for this disorder, the appropriate diagnosis is Depressive Disorder Not Otherwise Specified. We'll see what DSM-V has to say.