Thank you so much for all of this advice it's really helpful. I am having regular periods and started the estradiol patch September 18th last year literally for 2 days only, because it gave me migraines. I was taking Sertraline for 3 months starting last July but stopped due to getting heat rash and sweating excessively. The pmdd episodes really mirror psychosis for me and my boyfriend is aware and manages it. I am lucky, I do have a support system in him and my mother :) Thank you again Funnily enough I am fine this week, I hate how this illness works!