Hello, I can understand your concern. The symptoms you are experiencing are part of a condition called Premenstrual Dysphoric Disorder (PMDD). Switching to a healthy lifestyle is the first step of managing PMDD. Start eating healthy like whole grains, vegetables and fruits and cut back of excessive sugar, alcohol a,d caffeine. Regular aerobic exercise throughout month will help a lot with PMDD. You can also start on Antidepressants of Selective Serotonin Re-uptake Inhibitors (SSRI) group from the second half of cycle till you get menstruation. You can also take them for entire month if symptoms are too severe. Birth control pills help, too. However, you should start with these medications after getting a pelvic examination by the gynecologist and ruling out thyroid disorders as a root of problem. I hope this information helps you. Thank you for trusting HCM for your concern. Let me know if I can be of any more help. Best, Dr. Viraj Shah