Specializing in DIagnosis, treatment coordination, and BEHAVIORAL SKILLS TRAINING for Premenstrual dysphoric disorder (PMDD) and perimenstrual exacerbation of underlying disorders (PME). 

Dr. Eisenlohr-Moul is a clinical psychologist specializing in compassionate treatment of painful emotions and impulsive behaviors, particularly those that arise in relation to the menstrual cycle. She also specializes in chronic suicidality. To inquire about services, please fill out the contact form.

cyclic mood disorder assessment (PMDD/PME)

Getting the right diagnosis can be liberating, but it's also the key to getting the right treatment. Unfortunately, the fluctuating nature of symptoms in PMDD/PME can make it very difficult to disentangle background symptoms from cyclical symptoms. In 2017, Dr. Eisenlohr-Moul developed and published the first standardized protocol for making the diagnosis of PMDD/PME using two cycles of daily symptom ratings. In the clinic, she uses this Carolina Premenstrual Assessment Scoring System (C-PASS) to produce a clear diagnosis and description of your symptoms as they change (or don't change) across the cycle. Since treatment can be complex and many females with cyclical mood symptoms are brushed aside by health care providers who are not aware of PMDD/PME, Dr. Eisenlohr-Moul also provides a comprehensive clinical diagnostic report describing your symptoms, your history of treatment response, and recommendations for evidence-based treatment moving forward. Usually, she will provide referrals to other specialists for additional medical treatments.  Often, she will continue to meet with clients as necessary to provide advice, support, and skills training (e.g., coping, communication skills for speaking with providers) while the patient seeks long-term medical or surgical treatments. 

dBT SKILLS training for PMDD/PME

Since PMDD and PME can promote a sense of crisis and harmful coping behaviors (e.g., suicidal ideation, addiction), behaviorally-oriented psychotherapy can be a very useful addition to one's treatment plan.  Dialectical behavior therapy (DBT) is a version of Cognitive Behavioral Therapy (CBT) that helps clients to build a broad repertoire of behavioral skills for (1) becoming more aware of thoughts, emotions, and behaviors, (2) tolerating emotional pain without causing harm to yourself or others,  (3) responding strategically to painful emotions to reduce their intensity, and (4) improving effective communication and reducing conflict in relationships. Dr. Eisenlohr-Moul completed her clinical residency in DBT at Duke University Medical Center in 2014, and enjoys applying this highly flexible, practical therapy to cyclical mood disorders. Following an assessment of symptoms, she works with patients to identify what skills are lacking and develop a plan for using those skills on the specific days of the cycle that they are needed (e.g., at ovulation, or just prior to the onset of menses).