I have Bi Polar and PMDD, I get absolutely suicidal and dangerous at that time of the month plus a heap of physical symptoms. I am stable the rest of the month and cant even imagine wanting to take my own life. It only started happening the last 7 months. Its much more severe than having a little bit of anxiety or agitation (which can be normal). If you are able to go on hormonal birth control that sounds like a great option. Unfortunately not an option for me.