PMDD and Hormone-Related Mental Health Therapy in North Carolina

Understanding the Connection Between Hormones and Mental Health

Hormones play a powerful role in emotional well-being, and when they are out of balance, the impact on mood, energy, and daily life can be overwhelming. At Women’s Counseling NC, our therapists are trained to recognize and treat the unique mental health challenges that arise from hormonal changes, including Premenstrual Dysphoric Disorder (PMDD), perimenopause, menopause, and other hormone-related conditions.

These challenges often go far beyond typical premenstrual symptoms. Many women experience intense mood swings, anxiety, depression, irritability, difficulty concentrating, or even feelings of hopelessness that disrupt relationships, work, and self-confidence. If this sounds familiar, know that you are not alone — and that support is available.

Therapy for PMDD

Premenstrual Dysphoric Disorder (PMDD) is a severe form of premenstrual syndrome that can cause debilitating symptoms in the weeks leading up to a period. Women with PMDD often describe feeling like a completely different person during this time. Common symptoms include:

Emotional & Mental Health Symptoms

• Severe mood swings
• Anxiety or tension
• Irritability or anger
• Depression, sadness, or hopelessness
• Difficulty concentrating or “brain fog”
• Fatigue or low energy
• Sleep disturbances (insomnia or oversleeping)
• Feeling overwhelmed or out of control
• Decreased interest in daily activities or relationships

Physical Symptoms Often Connected to Hormonal Changes

• Bloating and water retention
• Breast tenderness or swelling
• Headaches or migraines
• Hot flashes and night sweats (more common in perimenopause/menopause)
• Muscle or joint pain
• Appetite changes or food cravings
• Weight fluctuations
• Gastrointestinal changes (digestive upset)

Our hormone-informed therapists use Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), and emotion regulation strategies to help clients manage PMDD symptoms and regain a sense of control. Together, we work on identifying patterns, regulating emotions, and developing coping strategies that support both mind and body.

Therapy for Hormone-Related Mood Challenges

Beyond PMDD, many women experience mental health symptoms linked to hormonal fluctuations throughout life stages — including puberty, postpartum, perimenopause, and menopause. These shifts can intensify underlying conditions such as anxiety, depression, or chronic stress, leaving women feeling overwhelmed or misunderstood.

Our team of therapists at Women’s Counseling NC are hormone-informed and specially trained to address these complex issues. We provide a safe space where you can process your experience, understand the mind-body connection, and build resilience through personalized therapy.

Why Choose Women’s Counseling NC

At Women’s Counseling NC, we believe that women deserve specialized care for hormone-related mental health challenges. All of our therapists are:

• Hormone-informed and trained to understand the unique impact of hormonal changes on mental health
• Skilled in treating anxiety, depression, and stress as they relate to hormonal fluctuations
• Compassionate, supportive, and committed to helping you feel understood and empowered

Meet Our Therapists Specializing PMDD and Hormonal Shifts

Meet Our Therapists Specializing in Perimenopause & Menopause Support

Meet Our Therapists Specializing in Prenatal and Postpartum Support

Take the Next Step

You do not have to struggle through hormonal challenges alone. With the right support, it is possible to find relief, clarity, and renewed confidence.

At Women’s Counseling NC, our therapists are here to walk with you through this journey, offering compassion, understanding, and evidence-based care.

 Schedule a FREE 15-minute consultation today.