PMDD, BPD, Endometriosis, 40mg Fluoxetine

[Tjm099]

Please excuse the multiple topics in the subject line! But they all connect to each other and I was wondering if anyone has been though / currently going through the same or similar situation. I'll try to keep it as brief as possible..

As soon as I started my period as a teenager, my whole world felt like it changed. I went from being an A* student, to a hormonal, anxious, angry, depressed wreck

During my teenage years and up until my early twenties I have been on and off Citalopram, in and out of doctors surgeries and councilling / therapy sessions

Over the years I was diagnosed with depression, severe anxiety, borderline personality disorder, at one point bipolar was discussed, as well as OCD

After over 10 years of telling doctors and pleading with them to refer me to a specialist, I was finally diagnosed with endometriosis. Finally, a reason for my crippling pain! I currently have the Merina coil and have done so for over a year (which sent my anxiety, mood swings and paranoia into absolute meltdown for the first 6 months!)

With all of these diagnosises (Is that even a word!?) the common factor has been this - I TURN CRAZY WHEN I'M NEAR MY TIME OF THE MONTH

Now, I'm not talking a bit snappy or cranky. I'm talking, I turn into a completely different person - can no longer ignore my anxiety and it consumes every second of my day, I become suicidal, I have an inner voice that tells me bad things will happen if I don't do certain things. My moods have always been very up and down since first starting my period but no connection was ever made between the two. Especially as my periods weren't under any kind of control as I wasn't aware I had endometriosis so maybe my moods were more up and down sporadically as opposed to how they are more regulated now each month

My doctor has placed me on 20mg of Fluoxetine which seemed to have been working quite well. However, last week I had an anxiety attack while at work and turned instantly suicidal like a light switch had gone off inside of me - my doctor placed me on 40mg of Fluoxtine which I'm currently taking now and it seems to have calmed me down

1 day after my anxiety attack, I was in terrible pain (I was not due on) and then I began to bleed and I thought - PROOF SURELY!? I was feeling fine up until the day before I came on!

So my question is (and I'm sorry it took so long for me to get to this point!) - Could I have been misdiagnosed over the years and in fact I am a sufferer of PMDD? I put the question to my doctor and he agreed that it's a possibility but wants me to attend CBT before going down that path (which is so frustrating but I will do it to tick the box and show my period is to blame)

Its worth noting that when I'm not due on or on my period, I can ignore my anxiety, I don't hear an inner voice and if I do, I can ignore it and I never feel suicidal.

Should I attend the CBT or insist they look further into PMDD for me. And if it is PMDD is there anything I can do to help me? I dread my period each month because I feel like one day the suicidal thoughts will become too much to cope with

Can anyone relate!?

Thank you for reading!