I’ve always had some emotional ups and downs, but since coming off the pill, something has shifted dramatically.
Each month, there’s a period where my mood drops suddenly and intensely. Anxiety ramps up. Thoughts become darker, louder, more convincing. Things that usually feel manageable start to feel unbearable. I don’t recognise myself — and that’s one of the hardest parts.
What makes it even more painful is the impact on my relationship.
During these times, I feel irritable, withdrawn, or overwhelmed by fear. I question everything. I pull away or react in ways that don’t reflect how I truly feel. Then, when it lifts, I’m left with guilt, confusion, and the fear that I’ve caused damage I can’t undo.
It’s exhausting living in this cycle:
Holding it together → falling apart → cleaning up emotionally → bracing for it to happen again.
This isn’t “just hormones.”
And it isn’t a lack of resilience, gratitude, or effort.
For many people, hormonal changes — including coming off hormonal contraception — can significantly affect mood regulation, anxiety levels, and emotional stability. When this interacts with existing vulnerability, stress, or relationship dynamics, it can feel overwhelming very quickly.
Counselling doesn’t offer a quick fix. But it can offer:
- A space to make sense of cyclical emotional changes
- Support without minimising or dismissing your experience
- Help separating you from the symptoms you’re experiencing
- Support in navigating the impact on relationships
- Relief from carrying this alone
If your mental health feels tied to your cycle — and it’s affecting how you feel about yourself or the people you love — you’re not imagining it, and you’re not failing.
At Hope Therapy & Counselling Services, we extend a warm welcome to individuals seeking support for Premenstrual Dysphoric Disorder (PMDD). We understand the unique challenges of this condition, and our compassionate team is dedicated to providing comprehensive and personalised counselling services. Our mission is to empower lives through understanding and support, fostering a sense of hope for a brighter future.
About PMDD
Premenstrual Dysphoric Disorder (PMDD) is a severe form of premenstrual syndrome that affects a small percentage of individuals with menstrual cycles. It goes beyond the typical mood swings and physical discomfort associated with PMS, causing significant disruptions in daily life, relationships, and overall well-being. At Hope Therapy & Counselling Services, we recognise the importance of addressing both the physical and emotional dimensions of PMDD.
Struggling with PMDD? You’re not alone — and you don’t have to navigate it in the dark.
The PMDD eBook from Hopeful Minds is your clear, compassionate guide to understanding your symptoms, managing emotional storms, and finding real relief.
It’s everything you wish someone had told you sooner.
👉 Grab your copy today and take the first step toward calmer cycles, better support, and real hope:
https://www.hopefulminds.co.uk/pmdd-ebook/
Our Approach to working with PMDD
- Holistic Care
Our approach to wellness is holistic, acknowledging that PMDD impacts both the physical and emotional aspects of an individual’s life. By adopting a comprehensive approach, our counsellors can tailor their services to meet the diverse needs of our clients, ensuring a well-rounded and effective therapeutic experience.
- Personalised Counselling
Understanding that each person’s journey with PMDD is unique, our counsellors work collaboratively with clients to develop personalised treatment plans. These plans are designed to address specific challenges, enhance coping mechanisms, and improve overall mental well-being. We provide a safe and supportive environment for individuals to explore their emotions and develop strategies for managing PMDD-related difficulties.

- Education and Awareness
In addition to providing counselling services, we are committed to raising awareness about PMDD. We aim to empower individuals, their families, and the community through educational resources and support groups to better understand this often misunderstood condition. By fostering understanding, we hope to reduce stigma and promote empathy.
