Symptoms required to diagnoses
Depressed mood	Mood swings
Fatigue	Irritability
Anxiety/tension	Feeling out of control
Appetite changes/food cravings	Decreased interest
Insomnia/hypersomnia	Concentration difficulties
Physical symptoms
Standard diagnostic criteria for PMDD
1. Symptoms are present for most of the time in the week before menses, diminish with the onset of menses and are absent in the week following menses. At least 5 symptoms occur in most menstrual cycles for at least one year.
2. The symptoms markedly interfere with relationships with others, work or school, or usual social activities
3. The disturbance is not merely an exacerbation of another physical or mental disorder
4. All criteria must be confirmed by prospective daily ratings for at least two consecutive menstrual cycles