---
title: Can PMDD cause brief psychotic episodes in young adolescents?
description: This case describes a 15-year-old girl who experienced brief psychotic episodes every time she had premenstrual symptoms, with hallucinations and confused spe
url: https://niyora.com/research/papers/case-report-of-premenstrual-dysphoric-disorder-with-a-brief-psychotic-episode-2022/
---

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- Can PMDD cause brief psychotic episodes in young adolescents?

Case report, 2022

# Can PMDD cause brief psychotic episodes in young adolescents?

This case describes a 15-year-old girl who experienced brief psychotic episodes every time she had premenstrual symptoms, with hallucinations and confused speech appearing 2-3 days before menstruation.

 Early or limited evidence

One 15-year-old girl with premenstrual dysphoric disorder since first menstruation.

## What they did

Doctors described one 15-year-old girl who had severe premenstrual symptoms since her first menstrual period and developed brief psychotic episodes during the premenstrual phase.

## What they found

The girl had premenstrual stomach cramps, tender breasts and back pain along with uncontrollable anger and sadness. These symptoms appeared 2-3 days before menstruation and went away when her period started. She also experienced psychotic symptoms during this time, such as hallucinations and confused speech. Over a three-month observation period, she had brief psychotic episodes with every PMDD cycle.

## What it means for you

This case shows that premenstrual dysphoric disorder in adolescents can sometimes include brief psychotic episodes that go away when menstruation begins. This is a very rare and serious condition. A major limitation is that this is one girl's experience over three months, so we cannot know whether this pattern is common or how to best treat it.

15

girl's age in years

2-3 days

time before menstruation when symptoms began

three months

observation period

## About the study

Original title Case Report of Premenstrual Dysphoric Disorder with a Brief Psychotic Episode Authors Diana Indah Lestari Christin, Mustafa M. Amin Journal Open Access Macedonian Journal of Medical Sciences Year 2022 Study design Case report What was tested Observation and monitoring. Open access Yes Read the paper [doi.org/10.3889/oamjms.2022.9242](https://doi.org/10.3889/oamjms.2022.9242)

## Topics

[Premenstrual syndrome (PMS)](https://niyora.com/research/topics/condition-pms/)[Premenstrual dysphoric disorder (PMDD)](https://niyora.com/research/topics/condition-pmdd/)[Low mood and depression](https://niyora.com/research/topics/symptom-depression-mood/)[Pain and headache](https://niyora.com/research/topics/symptom-pain/)[Schizophrenia and psychosis](https://niyora.com/research/topics/comorbidity-psychosis/)[Adolescents and young people](https://niyora.com/research/topics/life-area-adolescents/)

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