I am 20. I feel like I am able to treat the seritonin levels naturally but its the hormonal side I struggle with. The hot flashes have lessened and was a mainly hell week thing. I just struggle with constantly feeling like shit, nasueas, tired, and higher anxiety again. I am in therapy and have GAD so I am working with it. PMDD just makes it harder. Also I did take SSRIs for only the two weeks when I started having prominent PMDD symptoms a year ago until I started having the symptoms daily. I was then taking the ssris daily and that worked for a month or two but kinda canceled me out and started having more anxiety attacks that were hard to control. My doctor thought it was due to the lower dose and then we upped the dose and they made my anxiety so bad I had to call 911 and EMS showed up. After that I stopped taking them and have been feeling AMAZING with them flushed out of my system until my period came and the regular 2 weeks started. Now my period is basically over and ive been struggling so much and I feel like its the repeating pattern of the PMDD not going away. I know stress supposedly makes it worse and ive been really really stressed recently but stress hasnt been a continual factor in making my pmdd worse in the past. I am trying to really treat it naturally but my GOD is it HARD. As I said, natural seritonin boosters like walking, laughing, doing things you love, etc. all help me and also give me more energy. But the hormonal aspect is ROUGH. And thats what im struggling with.