Symptoms of PMDD include fluctuating moods, depression, feelings of hopelessness, suicidal thoughts, loss of interest in activities, and interference in relationships.  Although many women experience an altered mood in the days before their menstrual cycle, women with PMDD have more severe, life altering symptoms. Goals of treatment include, helping women identify and reduce symptoms of depression, anxiety, and anger during the luteal phase of their cycle, and restore a balanced life throughout the entire month.