Knowing when mood changes need help

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Published 22 May 2025 | Written by Dr Martin Jones

Mood swings are a normal part of the menstrual cycle. Many women experience emotional ups and downs due to hormonal shifts, especially before their period begins. While it's completely natural to feel more sensitive or irritable at certain times of the month, it’s also important to know when those mood changes go beyond the typical PMS and may require more attention. Learning to track your cycle can help you understand your emotional patterns—and identify when it’s time to reach out for support.


Understanding Normal vs. Concerning Mood Changes

Normal Mood Changes During Menstruation:

  • Feeling more emotional or sensitive

  • Mild irritability or frustration

  • Temporary sadness or moodiness

  • Low motivation or energy during the first few days of menstruation

These feelings usually resolve within a few days and don’t drastically impact your daily life.


Signs That Your Mood Changes May Need Help

If your mood changes are intense, persistent, or interfere with your daily functioning, you may be experiencing something more than typical menstrual symptoms. Here are key signs to watch for:

1. Extreme Mood Swings

Mood shifts that are intense or unpredictable—such as going from very happy to very angry or tearful within minutes—could signal a deeper issue.

2. Prolonged Sadness or Hopelessness

Feeling down for more than a few days, especially if it happens every cycle, may point to something beyond hormonal fluctuations.

3. Loss of Interest

If you lose interest in things you normally enjoy, particularly around your period, and this keeps happening, it’s worth exploring further.

4. Difficulty Functioning

Struggling to complete routine tasks at work, school, or home due to mood or emotional overwhelm can be a red flag.

5. Thoughts of Self-Harm or Suicide

These are serious warning signs. If you ever feel like hurting yourself or life feels unmanageable, seek help immediately.

6. Intense Anxiety or Panic Attacks

While mild anxiety can occur during PMS, severe anxiety or panic attacks that interfere with daily life should be evaluated.

7. Sudden Anger or Rage

If small triggers lead to outbursts or aggression, especially during certain points in your cycle, it may be time to check in with a healthcare provider.

8. Feeling Out of Control

Emotions that feel uncontrollable or that you can’t understand—especially when they happen like clockwork—might indicate PMDD (Premenstrual Dysphoric Disorder).

9. Disturbed Sleep Patterns

Persistent trouble sleeping due to mood issues before your period could point to a deeper imbalance.

10. Negative Impact on Relationships

If your mood changes are affecting your relationships with friends, family, or coworkers, this deserves compassionate attention and possible professional support.


The Role of Cycle Tracking

One of the most empowering self-care tools is cycle tracking. By observing how your emotions fluctuate throughout your menstrual cycle, you can begin to spot patterns. Apps, journals, or simple calendars can help you record:

  • Emotional highs and lows

  • Energy levels

  • Stress triggers

  • Physical symptoms like cramps or bloating

This information can help you better prepare for emotional dips—and provide clear data for your healthcare provider if you decide to seek help.


What You Can Do

  • Practice Self-Compassion: Remind yourself that emotions are valid and temporary.

  • Communicate: Let loved ones know what you're experiencing. It helps to be understood.

  • Supportive Nutrition & Exercise: Gentle movement and mood-supportive foods can help ease emotional intensity.

  • Professional Help: A mental health professional can help you explore treatment options, such as therapy, lifestyle changes, or medication if needed.


Final Thoughts

Loving your body means honoring all aspects of your well-being—including your emotional health. Mood changes during your menstrual cycle are common, but they shouldn’t feel overwhelming or unmanageable. Trust your instincts. If your emotional experience is disrupting your life, reaching out is a strong and loving step toward balance.

Your menstrual cycle doesn’t have to control you—you can understand it, track it, and thrive with it.