World Mental Health Day · Cycle & Mind
Hormones are mental-health drivers. We name the cycle phases that drag mood, and what helps.
PMDD affects 3–8% of menstruating people; many more experience PMS-spectrum mood symptoms that are dismissed as personality. Hormonal contributors to depression, anxiety, and insomnia are real biology — and tractable. This campaign week makes that biology visible and gives every user a concrete next step.
What lands this week
PMDD self-screen
DRSP (Daily Record of Severity of Problems) for 2 cycles, in-Care. Results help a clinician differentiate PMDD from generalised depression.
Phase-aware journal
Care's journal tagged by cycle phase — pattern recognition over 3 months becomes a clinical conversation starter.
Guided breathing + meditation
5 short audio sessions, phase-coded. CBT + DBT-backed micro-exercises.
The week
- Oct 6Open
PMDD screen live in Care. WhatsApp daily card opens.
- Oct 10WMHD
Doodle takeover. Sakhi takeover by a reproductive psychiatrist.
- Oct 12Wrap
Pattern-of-mood-over-cycle insight published to anyone who logged ≥3 weeks.
Common questions
PMDD vs PMS — what is the difference?
PMS is mild-to-moderate mood and physical symptoms in the week before periods. PMDD is severe — disabling mood symptoms (rage, hopelessness, anxiety) tied tightly to the luteal phase, that lift within a few days of bleeding starting. PMDD needs clinical care; PMS often responds to lifestyle changes.
When should I see a doctor?
If mood symptoms disrupt work, relationships, or sleep for 3+ cycles; if you have thoughts of self-harm at any point; if anxiety or depression persists outside the luteal week. Take the 2-cycle DRSP first — it gives a clinician something concrete to work with.
What is reproductive psychiatry?
A subspecialty that focuses on hormone-driven mental-health conditions — PMDD, perinatal depression, perimenopausal mood changes. Reproductive psychiatrists understand both cycles and medications, so their treatment plans factor in both. See /care/care-team to find one.
Are PMDD medications safe long-term?
SSRIs (often used cyclically, only in luteal phase, for PMDD) and hormonal options have strong long-term safety data. Every medication has trade-offs; a reproductive psychiatrist can help you weigh them for your situation. Don't start or stop on your own.
For ten years I thought I was a difficult person two weeks a month. The DRSP and my reproductive psychiatrist named it: PMDD. Six months on the right plan and I feel like myself for the first time.
Keep going
This campaign is one nudge. Here's where it leads on SHELY.
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