Mental Health Resources

Curated evidence-based resources for ADHD, women's mental health, mood disorders, and overall mental wellness

PMDD Supplement Guide

Evidence-based supplements for managing PMDD symptoms

Important Medical Disclaimer

This information is for educational purposes only and does not replace medical advice. Always consult with your healthcare provider before starting any supplement regimen, especially if you:

  • • Are taking prescription medications
  • • Have existing medical conditions
  • • Are pregnant, breastfeeding, or planning pregnancy
  • • Are taking hormonal contraceptives

Download PMDD Supplement Protocol PDF

Get a printable guide with dosages, timing, cycle-based protocols, and quick reference table

Download PDF Guide

Calcium (1200-1600 mg/day)

Core SupplementStrong Evidence

Research shows calcium supplementation can reduce PMDD symptoms by up to 48%. Take in divided doses with meals for better absorption. Calcium carbonate or calcium citrate are both effective forms.

Dosage:1200-1600 mg daily
Timing:Divided doses with meals
Safety:Generally safe; may cause constipation in some individuals
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Vitamin D (1000-2000 IU/day)

Core SupplementModerate Evidence

Vitamin D deficiency is common in PMDD and supplementation may improve mood symptoms. Have your levels checked and supplement accordingly. Optimal blood levels are 40-60 ng/mL.

Dosage:1000-2000 IU daily (adjust based on blood levels)
Timing:Take with food containing fat
Safety:Safe at recommended doses; monitor levels with blood work
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Magnesium (200-400 mg/day)

Core SupplementModerate Evidence

Magnesium glycinate or citrate can help with mood, anxiety, sleep, and physical symptoms like bloating and cramps. Start with lower dose and increase gradually to avoid digestive upset.

Dosage:200-400 mg daily
Timing:Evening dose may help with sleep
Safety:May cause loose stools at higher doses; use glycinate form for better tolerance
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Vitamin B6 (50-100 mg/day)

Core SupplementModerate Evidence

B6 supports neurotransmitter production and may reduce PMDD mood symptoms. Do not exceed 100 mg daily as higher doses can cause nerve damage. Works best when combined with magnesium.

Dosage:50-100 mg daily (do not exceed 100 mg)
Timing:Evening with breakfast
Safety:Safe at recommended doses; high doses (>200 mg) can cause neuropathy
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Omega-3 Fatty Acids (1000-2000 mg EPA/DHA)

Supportive SupplementModerate Evidence

Anti-inflammatory omega-3s support brain health and may reduce mood symptoms. Look for high-quality fish oil with at least 1000 mg combined EPA and DHA. Consider algae-based for vegetarian option.

Dosage:1000-2000 mg EPA+DHA daily
Timing:With meals to reduce fishy aftertaste
Safety:Generally safe; may increase bleeding risk at very high doses
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Chasteberry/Vitex (20-40 mg extract)

Herbal SupplementModerate Evidence

Traditional herbal remedy that may help balance hormones and reduce PMDD symptoms. Effects typically seen after 3 months of consistent use. May interact with hormonal medications.

Dosage:20-40 mg standardized extract daily
Timing:Morning on empty stomach
Safety:Generally safe; avoid with hormonal contraceptives; may cause mild GI upset
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Evening Primrose Oil (1000-1500 mg)

Supportive SupplementLimited Evidence

Contains gamma-linolenic acid (GLA) which may help with breast tenderness and mood symptoms. Takes 2-3 cycles to see full effects. Best for physical symptoms of PMDD.

Dosage:1000-1500 mg daily
Timing:With meals
Safety:Generally safe; may cause mild nausea
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L-Tryptophan or 5-HTP

Advanced SupplementLimited Evidence

Precursors to serotonin that may help with mood symptoms. Start low and increase gradually. Should not be combined with SSRIs or other serotonergic medications without medical supervision.

Dosage:500-1000 mg L-Tryptophan or 50-100 mg 5-HTP
Timing:Evening, away from protein-rich meals
Safety:Consult provider before use, especially if taking antidepressants
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Tips for Supplement Success

Start one supplement at a time to identify what works for you

Give supplements 2-3 menstrual cycles to see full effects

Track symptoms to monitor effectiveness

Choose high-quality brands with third-party testing

Store supplements properly and check expiration dates

Discuss all supplements with your healthcare provider

Mood Disorders & OCD Resources

Organization

Depression and Bipolar Support Alliance (DBSA)

Leading peer-directed organization providing hope, help, and support for people living with mood disorders.

Organization

Anxiety and Depression Association of America (ADAA)

International nonprofit dedicated to prevention, treatment, and cure of anxiety, depression, and related disorders.

Book

The Noonday Demon by Andrew Solomon

Comprehensive exploration of depression combining personal experience, cultural analysis, and scientific research.

Book

An Unquiet Mind by Kay Redfield Jamison

Powerful memoir by a clinical psychologist living with bipolar disorder - combines professional expertise with lived experience.

Book

Feeling Good by Dr. David Burns

Classic cognitive behavioral therapy guide for overcoming depression and anxiety with practical exercises.

App

Moodpath App

Mental health screening and mood tracking app that helps identify patterns and provides personalized insights.

Book

The Perfectionism Workbook by Taylor Newendorp

Evidence-based strategies to overcome perfectionism using acceptance and commitment therapy (ACT) principles.

Book

The Gifts of Imperfection by Brené Brown

Transformative guide to letting go of perfectionism and embracing authenticity, vulnerability, and wholehearted living.

Organization

International OCD Foundation

Leading organization providing resources, support, and education for individuals with OCD and related disorders.

App

NOCD App

Telehealth platform connecting individuals with OCD to specialized therapists trained in exposure and response prevention (ERP).

Self-Help Tools & Apps

Coming Soon: Downloadable worksheets and tracking templates will be available shortly. Check back soon or contact us to request specific tools.

WorksheetComing Soon

Mood Tracking Template

Downloadable template to track daily mood, sleep, medications, and triggers - essential for identifying patterns.

WorksheetComing Soon

Medication Log

Comprehensive medication tracking sheet including dosages, timing, side effects, and effectiveness ratings.

WorksheetComing Soon

Sleep Diary

Two-week sleep tracking log to identify sleep patterns and factors affecting sleep quality.

WorksheetComing Soon

Symptom Checklist

Comprehensive checklist for tracking mental health symptoms before appointments - helps communicate effectively with providers.

App

Daylio App

Micro-diary and mood tracker that helps identify patterns without requiring lengthy journaling.

Visit Resource →
App

Insight Timer

Free meditation app with thousands of guided meditations, music tracks, and talks from mindfulness experts.

Visit Resource →
App

Headspace

Popular meditation and mindfulness app with guided sessions for stress, anxiety, sleep, and focus.

Visit Resource →

Need Personalized Support?

Dr. Dara provides comprehensive psychiatric care for ADHD, women's mental health, and mood disorders. Schedule a consultation to discuss your specific needs.

OCD & Anxiety Self-Help Books

Book - Highly Recommended

Freedom from Obsessive Compulsive Disorder by Jonathan Grayson

A personalized recovery program for living with uncertainty. Updated edition with comprehensive strategies for OCD management.

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Book

Brain Lock by Jeffrey Schwartz

Free yourself from obsessive-compulsive behavior using the four-step method. Note: Contains some religious references.

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Book

Getting Over OCD: A 10-Step Workbook by Jonathan Abramowitz

Practical workbook for taking back your life from OCD with evidence-based strategies.

Book

When in Doubt, Make Belief by Jeff Bell & Michael Jenike

An OCD-inspired approach to living with uncertainty, combining personal experience with clinical expertise.

Book

Coping With OCD by Tanya DuFrene & Bruce Hyman

Practical strategies for living well with obsessive-compulsive disorder using evidence-based techniques.

Book

Obsessive-Compulsive Disorder (Facts) by Stanley Rachman & Padmal de Silva

4th Edition comprehensive guide to understanding OCD from leading researchers.

Book

Overcoming Obsessive Compulsive Disorder by David Veale & Rob Willson

Self-help guide using cognitive behavioral techniques for managing OCD.

View on Amazon
Book - Workbook

Treating Your OCD With Exposure and Response Prevention by Elna Yadin & Edna Foa

Workbook from leading ERP experts providing structured approach to OCD treatment.

Important Disclaimer

These resources are provided for educational purposes only and do not constitute medical advice. Always consult with a qualified healthcare provider before making decisions about your mental health treatment. If you're experiencing a mental health crisis, please contact 988 or go to your nearest emergency room.

Dr. Dara's Supplement Guide for Mood & Focus

A science-backed, gentle adjunct to psychiatric care for ADHD Max & Bipolar Spectrum

When treating bipolar spectrum conditions—especially when they overlap with ADHD, PMDD, or what I call "ADHD Max"—I've learned that it's not enough to think only in terms of the prescription pad.

I often incorporate evidence-based supplements as part of a comprehensive treatment plan, informed by the pioneering work of psychiatrists like Dr. Jim Phelps and Dr. Chris Aiken, who have helped bring science-backed integrative options into the psychiatric mainstream. Their work aligns closely with what I see clinically every day.

For example, high-EPA omega-3s can reduce inflammation and support executive functioning—particularly helpful in patients with ADHD and mood instability. L-methylfolate or folinic acid can support neurotransmitter synthesis in individuals with methylation vulnerabilities or SSRI resistance. And N-acetylcysteine (NAC)—which I still think is underutilized—is one of the few supplements shown to improve bipolar depression by targeting the glutamate system, a pathway I believe is central to many mixed or agitated mood states.

— Dr. Dara Abraham

Board-Certified Psychiatrist | Adult ADHD & Mood Spectrum Specialist
Founder, Dr. Dara Psychiatry

Omega-3 (High EPA)

1000–3000 mg EPA daily

What It Helps With:

Bipolar depression, ADHD, irritability

How It Works:

Anti-inflammatory; supports dopamine & serotonin balance

Dr. Dara's Notes:

Look for 2:1 EPA to DHA ratio. Helps mood and executive function.

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L-Methylfolate / Folinic Acid

7.5–15 mg/day

What It Helps With:

Brain fog, fatigue, SSRI resistance

How It Works:

Boosts neurotransmitter synthesis via methylation

Dr. Dara's Notes:

Especially helpful with MTHFR mutation or sluggish SSRI response.

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Vitamin D + Light Therapy

2000–5000 IU/day + 30 min light box (AM only)

What It Helps With:

Seasonal depression, circadian rhythm disruption

How It Works:

Regulates sleep-wake hormones; boosts serotonin

Dr. Dara's Notes:

Morning-only light avoids mania risk. Essential in winter and PMDD.

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N-Acetylcysteine (NAC)

1000–3000 mg/day (divided)

What It Helps With:

Motivation loss, obsessive thoughts, emotional burnout

How It Works:

Glutamate modulator; restores antioxidant glutathione

Dr. Dara's Notes:

Excellent for bipolar depression with agitation or "fried" brain feel.

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Magnesium (Glycinate or Threonate)

200–400 mg/day

What It Helps With:

Sleep issues, irritability, tension, racing thoughts

How It Works:

Supports calming GABA activity, modulates NMDA receptors

Dr. Dara's Notes:

Avoid magnesium oxide. Glycinate helps body tension; threonate helps brain.

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Inositol

6–18 g/day (divided)

What It Helps With:

Rumination, anxiety, PMDD, OCD traits

How It Works:

Balances serotonin signaling; reduces emotional looping

Dr. Dara's Notes:

Especially useful for ADHD + PMDD with mood crashes or obsessional thinking.

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⚠️ Supplements to Use with Caution in Bipolar Spectrum

These can increase the risk of mania or cycling if not used carefully or with close psychiatric oversight:

  • St. John's Wort
  • SAM-e
  • 5-HTP

"Your brain isn't broken—it's overstimulated, overburdened, and often overlooked. These supplements aren't magic pills, but they're tools. Tools to support the glutamate–GABA balance, to reinforce the work we're doing with medication and therapy, and to help you feel a little more steady in the storm."

— Dr. Dara Abraham

Download Mood & Focus Supplement Protocol PDF

Get a printable guide with dosages, implementation timeline, quick reference table, and safety warnings

Download PDF Guide

Medical Disclaimer: This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always consult with a qualified healthcare provider before starting any supplement regimen, especially if you have bipolar disorder, are taking psychiatric medications, or have other medical conditions. Supplements can interact with medications and may not be appropriate for everyone.