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so weamp;#39;ve talked about how to understand these three different mood syndromes how to assess and diagnose them and how to treat them letamp;#39;s return to our case vignette our case of mary c sheamp;#39;s our 27 year old single woman who comes in after having been on oral contraceptive pills for many years going off them and experiencing some severe symptoms in the premenstrual period after a complete evaluation you educate mary c about pms and pmdd in that first visit and you explain to her why you need prospective charting to diagnose you educate her about lifestyle modifications and using vitamin and herbal supplements and then you give her a rating chart and set a follow-up appointment for the next month you give her preliminary information about treatment with ssris and oral contraceptives when she returns in a month she presents the following mood tracker you remember the daily record of severity of problems that we talked about earlier well as you can see from this mood
