According to DSM-IV:

A.

Five of the following symptoms must be present and at least one of them must be 1, 2, 3 or 4:

1. Depressed mood or dysphoria (a feeling of low mood, irritability,anxiety and/or despair)
2. Anxiety or tension
3. Affective lability
4. Irritability
5. Decreased interest in usual activities
6. Concentration difficulties
7. Marked lack of energy
8. Marked change in appetite, overeating or food cravings
9. Hyperinsomnia or insomnia
10. Feeling overwhelmed
11. Other physical symptoms, i.e. breast tenderness, bloating

To be considered as PMDD, symptoms must occur during the week before menstruation and remit a few days after onset of menses.

B.

Symptoms must interfere with work, school, usual activities or relationships.

C.

Symptoms must not merely be an exacerbation of another disorder.

D.

Criteria A, B and C must be confirmed by prospective daily ratings for at least two menstrual cycles.