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Advice or support needed - is this a mental health issue or hormonal issue?

3 replies

clippo · 05/08/2026 20:35

this is a bit long but i want to give as much context as possible so i can get some advice! thanks if you read.

i (24f) have been diagnosed with bpd and am currently on venlafaxine (i have been on and off anti-psychotics and anti-depressants for a decade or so) and noticed a change in my depression but my delusions and paranoia and extreme mood swings have stayed. they are in line with my menstrual cycle, the week before my period i have increased paranoia and fear. for example, i had a really bad episode of splitting recently, i left a holiday early and believed everyone was out to get me and i was in a very low place.

it was like a black out, i had no control over my emotions and i didn’t feel like i was in a sound headspace. it very short and intense and i acted in ways i could never imagine for myself but i have tried to become as reflective and self actualising as possible. i am recently medicated (venlafaxine 150mg) and have found a renewed energy for life and centred headspace. i think its because of the medication that i am able to truly get into the nitty gritty of my actions.

i got diagnosed with BPD (EUPD in the UK) at 18, after being referred from CAHMS (adolescent mental health service) i finally accessed DBT at 23, which helped me greatly but ultimately came about 3 years too late. i had already burned more bridges than i could bare to look at, and i was making positive steps forward which meant DBT was more part of the process of healing than it was a treatment to the issues i had had.

i have always struggled with self-worth issues, rocky and intense relationships, as well as a total inability to keep people around me. i have grown a lot and become someone i am beginning to be proud of, but my bouts of extreme emotional instability have been worrying me and destroying my relationships. it is like i am a passenger in my own body sometimes and i spend the rest of my time alive in the shame of what i do when im not in control. i suppose that is why i am reaching out this way, in the hopes that someone else understands and i don’t feel like i am broken beyond repair.

i get very paranoid, think everyone hates me and drive myself insane over every single interaction with everyone , like if they don’t reply then they must hate me, what can i do to make them love me again, everyone around me is evil and out to get me. as a teen, this was my 24/7 headspace and i have fought hard to stabilise myself and make sure i am able to keep myself safe at all times.

i am starting to want to explore my options regarding some sort of connection between my physical body and my mental state. i have anxiety, low blood pressure and hand numbness so i would like my thyroid checked. i would like my hormone levels checked also, as it could be PCOS. i have short, irregular periods and have had acne since aged 8 (years before my period).if its not a hormonal issue then i think i have PMDD and want to move forward with treatment for that. i just want to explore the options. i think my bpd and severe depression are symptomatic of these severe episodes of mental instability before my period. i was able to cope better with the melt down i had because of the venlafaxine, which has been good as it’s helped me to explore the reasons behind my melt downs/mood swings. i just have a sinking feeling that it’s related to my hormones but i don’t want to get my hopes up or have it not be taken seriously by the doctor.

has anyone experienced anything similar in symptoms and had a positive result? or if it makes anyone feel less alone in their mental health journey.

OP posts:
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clippo · 05/08/2026 21:12

TheNewFinch · 05/08/2026 20:57

Mental health issues definitely make you feel lonely but it totally depends on how soon you can bounce back to routine completely by managing your condition as this can never hold you back.

yeah, my main issue has been i have never had any kind of stable ground to return to after breakdowns. i just feel like im treating symptoms instead of the root cause ? i’m not sure though :/

OP posts:
TheNewFinch · 05/08/2026 20:57

clippo · 05/08/2026 20:35

this is a bit long but i want to give as much context as possible so i can get some advice! thanks if you read.

i (24f) have been diagnosed with bpd and am currently on venlafaxine (i have been on and off anti-psychotics and anti-depressants for a decade or so) and noticed a change in my depression but my delusions and paranoia and extreme mood swings have stayed. they are in line with my menstrual cycle, the week before my period i have increased paranoia and fear. for example, i had a really bad episode of splitting recently, i left a holiday early and believed everyone was out to get me and i was in a very low place.

it was like a black out, i had no control over my emotions and i didn’t feel like i was in a sound headspace. it very short and intense and i acted in ways i could never imagine for myself but i have tried to become as reflective and self actualising as possible. i am recently medicated (venlafaxine 150mg) and have found a renewed energy for life and centred headspace. i think its because of the medication that i am able to truly get into the nitty gritty of my actions.

i got diagnosed with BPD (EUPD in the UK) at 18, after being referred from CAHMS (adolescent mental health service) i finally accessed DBT at 23, which helped me greatly but ultimately came about 3 years too late. i had already burned more bridges than i could bare to look at, and i was making positive steps forward which meant DBT was more part of the process of healing than it was a treatment to the issues i had had.

i have always struggled with self-worth issues, rocky and intense relationships, as well as a total inability to keep people around me. i have grown a lot and become someone i am beginning to be proud of, but my bouts of extreme emotional instability have been worrying me and destroying my relationships. it is like i am a passenger in my own body sometimes and i spend the rest of my time alive in the shame of what i do when im not in control. i suppose that is why i am reaching out this way, in the hopes that someone else understands and i don’t feel like i am broken beyond repair.

i get very paranoid, think everyone hates me and drive myself insane over every single interaction with everyone , like if they don’t reply then they must hate me, what can i do to make them love me again, everyone around me is evil and out to get me. as a teen, this was my 24/7 headspace and i have fought hard to stabilise myself and make sure i am able to keep myself safe at all times.

i am starting to want to explore my options regarding some sort of connection between my physical body and my mental state. i have anxiety, low blood pressure and hand numbness so i would like my thyroid checked. i would like my hormone levels checked also, as it could be PCOS. i have short, irregular periods and have had acne since aged 8 (years before my period).if its not a hormonal issue then i think i have PMDD and want to move forward with treatment for that. i just want to explore the options. i think my bpd and severe depression are symptomatic of these severe episodes of mental instability before my period. i was able to cope better with the melt down i had because of the venlafaxine, which has been good as it’s helped me to explore the reasons behind my melt downs/mood swings. i just have a sinking feeling that it’s related to my hormones but i don’t want to get my hopes up or have it not be taken seriously by the doctor.

has anyone experienced anything similar in symptoms and had a positive result? or if it makes anyone feel less alone in their mental health journey.

Mental health issues definitely make you feel lonely but it totally depends on how soon you can bounce back to routine completely by managing your condition as this can never hold you back.

Octavia64 · 05/08/2026 20:37

I had fucking horrendous anxiety during perimenopause do it makes sense to me hormones could drive some MH issues.

worth looking into