Or does it have to be done by a physician? I obviously have PMDD and if my therapist (who is able to diagnose) could diagnose it then she will most certainly do it at my appointment on Monday. I left her an intense message and had a a horrible week but then today my symptoms are now much less severe. This has been happening since I was 14. I’m just wondering because I’ve had physicians basically deny PMDD exists and it’s just my bipolar symptoms getting worse before my period. But this therapist actually listens and knows what’s going on.