I am a clinical psychologist studying and treating emotional, cognitive, and behavioral responses to changing hormones (estrogen, progesterone, and their metabolites) across the menstrual cycle. My primary outcomes of interest are suicidality, substance abuse, and interpersonal emotional symptoms (rejection sensitivity, shame, and anger/irritability).
Contrary to popular belief, the vast majority of women don't have serious changes in their feelings and behaviors across the menstrual cycle. However, about 6% of women do show severe emotional and behavioral symptoms around menses (DSM-5 Premenstrual Dysphoric Disorder), and many have fluctuations in the symptoms of their chronic psychiatric disorders across the cycle (premenstrual exacerbation or PME). My research focuses on identifying who is at risk for these "psychiatric hormone sensitivities", and isolating the key biological and psychological variables that give rise to their symptoms.
I use a combination of double-blind hormone experiments and intensive naturalistic observation studies to understand how and for whom the menstrual cycle influences symptoms. My clinical work focuses on thorough assessment of cyclicial mood symptoms, supporting patients through the process of finding effective biological treatments, and teaching dialectical behavior therapy skills to reduce the impact of PMDD/PME symptoms.