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Previous Volume 348:433-438 January 30, 2003 Number 5 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the author's clinical recommendations.

A 33-year-old woman without a history of psychiatric illness presents with marked irritability, periods of crying, mood swings, severe fatigue, and increased appetite associated with a craving for carbohydrates. These symptoms begin one week before the start of menses and end within three days after the onset of menses. The symptoms have begun to interfere with her usual social functioning. How should . . . [Full Text of this Article]

The Clinical Problem

Strategies and Evidence

Lifestyle Interventions

Psychopharmacologic Interventions

            Selective Serotonin-Reuptake Inhibitors

            Alternative Psychotropic Agents

            Hormonal Interventions

Areas of Uncertainty

Guidelines

Conclusions and Recommendations

Source Information

From the Department of Psychiatry, University of Rochester School of Medicine and Dentistry, Rochester, N.Y.

Address reprint requests to Dr. Grady-Weliky at the University of Rochester School of Medicine, 601 Elmwood Ave., Box 601, Rochester, NY 14642, or at tana_gradyweliky@urmc.rochester.edu.

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