Yes. It doesn't have to he this way but it can be. I've gone to ER three times this year for PTSD, seriously suicidal, and to my way of thinking really crazy. Twice I went inpatient for a week. All three times I was premenstrual.

I am fifty. One doc dxed "borderline traits". Like he never heard of menopause. Because a psychiatrist would diagnose a severed head if you rolled one into his office with an insurance card taped to its forehead. He'd prescribe for it.

PMS is miserable. It is real. Our female hormones impact all our hormones which impact our neurotransmitters.

A very clean diet helps significantly. In the past I've been able to have no symptoms at all with a good diet and exercise. Just a twinge and a period. It is possible.