Sometimes the presence of PMDD is obvious to all involved just based on the history a woman presents. Sometimes, however, trying to recall symptoms from the past and deciding if they fit into a regular pattern can be difficult or even misleading. It has been noted that up to 40% of women seeking treatment for PMDD turn out after careful evaluation not to have the disorder. The best way to confirm a diagnosis of PMDD is by keeping a daily diary and rating symptoms over at least two menstrual cycles. There are several easy to complete daily symptom diaries available. These include the Prospective Record of the Impact and Severity of Menstruation (PRISM), the Calendar of Premenstrual Experiences (COPE), and the Daily Record of Severity of Problems (DRSP).

The DRSP was developed by Dr. Jean Endicott and her colleagues at the New York State Psychiatric Institute. Listen to Dr. Endicott discuss the DRSP and the value of daily symptom rating .

The DRSP is available below for your use. Remember that you need to keep a daily rating of symptoms for at least two cycles. Take these records with you when you are evaluated for PMDD. Also print and take the information to assist your clinician in using the DSRP and in diagnosing PMDD.

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