How Do I Get Rid of Mood Swings?

An Explanation and Solution from Dr. Ashford.

Period mood swings are mood changes that follow the menstrual cycle, often worsening in the week before a period and improving after bleeding begins. For many people in Athens, GA, these cyclical shifts can affect work, relationships, and daily routines. At The Ashford Center, our approach is clinical and compassionate, focused on identifying the pattern and impact of symptoms, then offering options that match each patient’s health goals and life stage.

Evaluation begins with a careful review of symptom timing, medical history, and current medications, and may include screening for thyroid or other medical concerns that can mimic mood conditions. We work with patients in Athens and across the United States to track symptoms across cycles, and when helpful, we coordinate care with local primary care doctors and mental health professionals. This local collaboration helps create a clear, personalized plan that addresses both mood and physical symptoms.

Treatment at The Ashford Center is tailored to the individual. Options range from lifestyle recommendations and cognitive behavioral strategies to medication and hormonal management, with procedural options considered for appropriate candidates seeking definitive solutions. Patients in Athens can schedule an evaluation to learn which options are likely to reduce cyclical mood symptoms and improve daily quality of life.

Cause

Cyclical period mood swings are most commonly related to sensitivity to normal hormonal changes across the menstrual cycle, especially during the luteal phase before bleeding. Changes in estrogen and progesterone can influence neurotransmitters such as serotonin, which affects mood. Other contributors include sleep disruption, stress, certain medications, thyroid dysfunction, and, less commonly, underlying psychiatric conditions that require separate treatment.

Symptoms

  • Marked mood swings, irritability, or anger

  • Increased anxiety or panic feelings

  • Recurrent sadness or tearfulness

  • Difficulty concentrating or decision-making

  • Changes in sleep, appetite, or energy level

  • Physical symptoms that worsen mood, such as bloating, breast tenderness, headaches, and fatigue

Treatment

Evaluation at The Ashford Center starts with a detailed symptom history, cycle tracking, and focused testing when indicated (for example, thyroid function or medication review). Treatment options offered in Athens include:

  • Lifestyle and behavioral strategies

  • Brief course or ongoing antidepressant medication when appropriate

  • Hormonal therapies such as combined hormonal methods

  • Referral to counseling or cognitive behavioral therapy

For patients who have completed childbearing and who meet criteria, procedural options that address reproductive tract causes of symptoms are discussed as part of a personalized plan. We collaborate with local Athens clinicians to coordinate care and follow-up.

Frequently Asked Questions

  • Normal premenstrual symptoms are mild and do not significantly interfere with daily life. When mood changes are severe, predictable each cycle, and disrupt work, relationships, or safety, they may meet criteria for a cyclical mood disorder and should be evaluated.

  • Time to improvement varies by treatment. Symptom tracking and lifestyle changes can help within a few cycles. Medications such as certain antidepressants may work within one to two weeks when taken during the symptomatic phase or within a month when taken continuously. Hormonal treatments and procedural options have different timelines, which we review during evaluation.

  • Many cases are diagnosed based on history and symptom tracking. Targeted testing, such as thyroid studies or other labs, is used to rule out other medical causes. Imaging is not routinely required for mood symptoms unless there are other concerning physical findings.

  • Yes, counseling, especially cognitive behavioral therapy, can reduce symptom severity and improve coping skills. We can refer patients to mental health providers in Athens who have experience with premenstrual mood changes.

  • You can contact The Ashford Center to schedule an appointment for a focused evaluation. During the visit, we will review your cycle and symptoms, discuss testing if needed, and outline personalized treatment options that fit your goals and local resources.