Now accepting new patients ages 6 and up starting January 2026
PMDD Treatment in Tucson
PMDD Treatment in Tucson, AZ
At Pima Behavioral Health, we provide thoughtful and individualized PMDD treatment in Tucson, AZ for individuals experiencing severe mood and physical symptoms related to their menstrual cycle. Premenstrual Dysphoric Disorder (PMDD) is more than typical premenstrual symptoms. It is a serious condition involving intense emotional, cognitive, and physical changes that occur during the luteal phase of the menstrual cycle, usually in the one to two weeks before menstruation, and improve shortly after the period begins. PMDD can significantly affect work, relationships, daily functioning, and quality of life.
Common symptoms of PMDD include severe irritability, depression, anxiety, mood swings, feeling emotionally overwhelmed, crying spells, fatigue, sleep changes, difficulty concentrating, and feeling unlike oneself during certain parts of the month. Some individuals also experience hopelessness, panic-like symptoms, increased sensitivity to rejection, anger, or conflict in relationships. Physical symptoms such as bloating, breast tenderness, headaches, changes in appetite, and low energy may also occur. What makes PMDD distinct is the severity of symptoms and their cyclical pattern.
Because PMDD can be confused with depression, generalized anxiety, bipolar disorder, trauma-related symptoms, or hormone-related mood changes, an accurate evaluation is essential. At Pima Behavioral Health, we begin with a thorough psychiatric evaluation that includes reviewing symptom timing, severity, cycle pattern, psychiatric history, and any co-occurring mental health concerns. In some cases, patients are encouraged to track symptoms over multiple cycles to better clarify the pattern. Identifying whether symptoms are truly cyclical is an important part of distinguishing PMDD from other psychiatric conditions.
PMDD treatment may include medication management, coordination with medical providers when needed, and individualized symptom support. Some patients benefit from SSRIs, which may be taken continuously or during specific phases of the cycle depending on the clinical situation. Others may need treatment for co-occurring depression or anxiety that becomes more severe premenstrually. In some cases, hormonal interventions may be discussed with gynecologic providers. Our role is to evaluate the psychiatric component carefully and develop a treatment plan that reflects the full clinical picture.
Lifestyle and behavioral support can also play a meaningful role in PMDD management. Consistent sleep, stress reduction, exercise, symptom tracking, and awareness of cycle-related changes can help patients prepare for vulnerable periods and reduce the sense of unpredictability. Many individuals with PMDD feel confused or discouraged because symptoms can be severe for part of the month and then improve, making it harder for others to understand the impact. Validating the condition and creating a proactive plan are often important steps in treatment.
At Pima Behavioral Health, we understand that PMDD is real, disruptive, and deserving of serious clinical attention. Patients with PMDD are often told they are “just hormonal” or that they should simply push through symptoms. We take a different approach. We listen carefully, assess thoroughly, and provide treatment aimed at reducing suffering and improving stability across the month.
PMDD Treatment in Tucson
Conditions
Our Clients
Ghost H.
15:27 25 Mar 26
I've been going here for a few years after a friend's recommendation and I would recommend to others. I see Adam Streiff and he's great - listens to me, doesn't make assumptions, takes into account the real medical issues I have that impact my mental health and is conservative in approach to medication instead of throwing constant new things at me like past doctors have.
Laura B.
22:04 18 Mar 26
They are great in so many ways. Their services have always been seamless in meeting my needs, from prescription refills to scheduling. My therapist is always attentive and helpful, his first name is Adam. I have no doubt he would only partner himself with others equally qualified. I highly recommend Pima Behavioral Health. As a note - I am a 65 year old former teacher. I don’t like being spoken down to or “around”. I’ve experienced none of such behavior in my dealings with this practice. I award them an A+
Christopher
00:25 13 Mar 26
I find pima beh. Health extremly proffesional and my n.p.adam ßtreiff a true medical proffesional educated on all treatments and is open to new clinical updates and truely has his best interests in his pt. Care.He listens to my opinions on my mental health and only wants the best outcomes with my mental health and well being.The front desk are èxtremly helpful with calling my rx's in and always are checking on my well being.its truly refreshing to see a medical group that puts the pt. First.im very lucky to have found them,sincerly christopher olsen
Evan H
17:52 04 Mar 26
I have only great things to say about the staff and providers at Pima Behavioral Health. Jonathan Resille has been very helpful, professional, and informative at every step. As someone who has always been hesitant to start treatment / medication, Jon made the whole process very clear and helped me get back on track. I am very glad I was referred to them!
boogiebabe67 B.
23:07 26 Feb 26
I've been going to PBH for several years. The care is excellent. I'm heard, medication options are thoroughly discussed, and prescriptions are called in promptly to my pharmacy. The front desk staff is pleasant and professional.
kyla L.
00:38 25 Feb 26
I absolutely adore this Office! From the girls up at the front desk to my actual appointment with Rachel Keranen, everyone was so kind, helpful, and patient with me. The office environment is really peaceful and very welcoming. They’ve been the biggest help on my mental health journey. I highly recommend them. 🥰
Melissa S.
00:41 06 Feb 26
So I have been going to Pima for over a year. Its a quiet, calm atmosphere. The people are nice and have never made me feel like I didnt want to be there.
Adam is who I see, hes always been fantastic and hes always so willing to help. He tries to meet me where I am and let's me drive the car in my own care. He has ideas in things I can try to do to better my situation but never makes me feel judged if thats not something I want to do. Ive never stuck with any psych care this long but he makes it easier to tolerate. If youre on the fence hes who Id recommend because he is so easygoing but helpful. I havent met anyone else in the office as far as providers go but I imagine they all have the same values based on the vibes of the office.
Adam is who I see, hes always been fantastic and hes always so willing to help. He tries to meet me where I am and let's me drive the car in my own care. He has ideas in things I can try to do to better my situation but never makes me feel judged if thats not something I want to do. Ive never stuck with any psych care this long but he makes it easier to tolerate. If youre on the fence hes who Id recommend because he is so easygoing but helpful. I havent met anyone else in the office as far as providers go but I imagine they all have the same values based on the vibes of the office.
Kenzi M.
22:47 03 Dec 25
This place is amazing. The staff is always so pleasant and helpful when I call, Which means the world to me. Rachel Keranen has absolutely changed my life for the best. I have never had a psychiatrist make me feel so seen, I feel like I actually matter to her. It has been a very rough journey to get here and I’m so thankful Rachel was there to help me and find the right medications to improve my life and well-being. Forever thankful for where I am now thanks to the amazing staff here.
Michael A.
18:44 28 May 25
Dr. Keranen playing a huge part in improving my life for the better. I highly recommend this place.
Anikka C.
22:18 03 May 25
I am a professional licensed counselor. I have collaborated with multiple providers at Pima Behavioral Health to treat numerous clients. I have found them to be highly competent, and I can tell they actually care about their clients. I have worked with Jonathan Resille in the past. He is a very thorough and knowledgeable nurse practitioner.
Jeff P.
23:07 03 Mar 25
I have been seeing Adam for two years, and I cannot recommend him highly enough. From the very beginning, he has demonstrated an exceptional level of knowledge and professionalism. What sets Adam apart is his commitment to understanding the root of my issues instead of just prescribing medications without a thorough evaluation.
In my previous experiences with psychiatrists, I often felt like I was just another case number, with medications being thrown at me in hopes that something would work. However, Adam takes a more thoughtful and individualized approach. He genuinely cares about my well-being and collaborates with me to find the best path forward.
If you're looking for a psychiatrist who truly has your best interests at heart and is dedicated to helping you understand and address your challenges, I highly recommend Adam. He's made a significant difference in my life.
In my previous experiences with psychiatrists, I often felt like I was just another case number, with medications being thrown at me in hopes that something would work. However, Adam takes a more thoughtful and individualized approach. He genuinely cares about my well-being and collaborates with me to find the best path forward.
If you're looking for a psychiatrist who truly has your best interests at heart and is dedicated to helping you understand and address your challenges, I highly recommend Adam. He's made a significant difference in my life.
Millicent S.
21:59 03 Mar 25
I love this place and Adam Streiff is great! Been going there for about 2 years, he is kind,attentive, and always helpful. He has gotten me through so many bad times!! Would highly recommend this place to everyone and especially to Adam😊
Tracey B.
23:37 02 Mar 25
Comfortable and private office. Easy to talk with. Offers many books, real life coping skills and helps with medication. My day to day life has improved 100%. A year ago I would have felt that would have been impossible . Thank you
Ashtyn B.
03:26 27 Feb 25
Adam has helped me tremendously! He always makes me feel heard and I feel I can rely on him for kind and honest care. I would highly recommend this practice!
jasyn H.
20:24 24 Feb 25
Great hospitality and extremely welcoming environment.
Andrew P.
15:19 07 Feb 25
Pima Behavioral Health is great! Always friendly staff, doctors, and very clean. Never had an issue of any kind in the past 5+ years Inhave been with them.
Claire M.
23:22 05 Feb 25
This place is great! Adam has a good personality and is good at being compassionate but also honest. This place really helped me when I was going through a really challenging time and my mental health was really low. Adam helped me get on the right meds and we checked in on a monthly basis. The receptionists are very friendly as well!
Quentin L.
17:33 04 Feb 25
Adam has been very helpful. I'm grateful to him for all his help.
Insurances We Accept
Schedule Your Appointment Today
If you are looking for PMDD treatment in Tucson, premenstrual mood disorder evaluation, or psychiatric medication management with a qualified Psychiatric Nurse Practitioner, Pima Behavioral Health is here to help.
Call us today at 520-355-1122 to schedule a psychiatric evaluation and begin a personalized treatment plan for PMDD.
Call us today at 520-355-1122 to schedule a psychiatric evaluation and begin a personalized treatment plan for PMDD.