Case Report of Premenstrual Dysphoric Disorder with a Brief Psychotic Episode

Abstract

BACKGROUND: Premenstrual Dysphoric Disorder (PMDD) is often neglected because people see it as a normal condition due to hormonal changes in women's bodies. Prevalence of women experiencing PMDD is estimated to be around 3% -9% in the population, and sometimes, this condition could be so severe that it negatively impacts the affected’s life and family.1 
 CASE PRESENTATION: A 15 years old girl was brought by her parents to the department of psychiatry, general hospital of USU with an odds attitude. She repeatedly said ‘nenek, nek, nenek’ and claimed that she saw her grandmother who was already dead since five years. Co-occurring with these symptoms, she has also had a terrible premenstrual syndrome since menarche. In her premenstrual days, she complains about her stomach cramps, tender breast and back pain. In addition, she was reported to be uncontrollably angry and sad. These symptoms usually developed 2-3 days before menstruation and regressed without residues in menstruation days. 
 CONCLUSION: A 15 years old diagnosed with premenstrual dysphoric disorder (PMDD), which occurred since menarche. Brief psychotic episodes were found with every PMDD cycle in these three month. This brief psychotic episode is still under observation.