Fluoxetine is used to treat premenstrual dysphoric disorder. Premenstrual dysphoric disorder (PMDD) is a severe form of premenstrual syndrome (PMS). More severe symptoms of anxiety or depression may be signs of premenstrual dysphoric disorder (PMDD). Gia had a disorder known as premenstrual dysphoric disorder (PMDD). The present evidence suggests that menstrual psychosis and premenstrual dysphoric disorder are distinct . Severe symptoms that disrupt daily activities and functioning may be diagnosed as premenstrual dysphoric disorder. Yaz is advertised as a treatment for premenstrual dysphoric disorder (PMDD) and moderate acne. Like PMS, premenstrual dysphoric disorder follows a predictable, cyclic pattern. This condition, "interictal dysphoric disorder", is considered an atypical affective disorder. Controversial diagnoses, such as pre-menstrual dysphoric disorder and masochistic personality disorder, were considered and discarded. These symptoms are usually associated with an anxious and dysphoric mood state. Ineffective reflective strategies lead to persistence of dysphoric moods. Negatively biased associative processing will maintain a dysphoric mood state. Desistance in gender dysphoric adolescents may be higher. These improvements included reducing commonly reported symptoms of fatigue, dysphoric mood, and pain (Golomb, 2014).