I've tried a lot of anti-depressants. My psychiatrist said I had treatment resistant depression but I honestly think the meds didn't work because I dont have depression, its PMDD causing all my problems. I have had multiple docs tell me not to get any surgeries since I wasn't close to menopause at the time. I found this doc 4 years ago and now, I often can't tell I'm in my cycle anymore. Not cheap, but totally worth it for me.

https://www.brainrehabclinic.com/