Honestly ...if the timeframe is generally correlating with your cycle I would reconsider that all the criteria aren't necessary.I have pmdd...If you EVER see me act upset...re:temper...it is pms/pmdd related.I am not a doctor obviously...But try this....keep a journal ...a super simple one...where you set up a mood /dot system...like happy...1 dot...wee moody...2 dot...excetera...(how you want it to be...)and daily b4 bed ...dot the calendar.....Take this to your doc.I KNOW I have pmdd.And for me specifically...water retention in the time prior .....puts pressure on the brain causing confusion...I use an otc water pill...I also find that calcium deficiency plays a notable part...so I use calcium chews....and I cut waaay back on salt .That is what helps me personally...also exercise in any form....~W~I love the other replies here too.