2026 Volume 2 Issue 1 Pages 444-449
Background: Premenstrual syndrome (PMS) is frequently accompanied by depressive mood and e motional instability, and unhealthy dietary habits and nutritional deficiencies may exacerbate these symptoms. Nutritional psychiatry suggests that adequate protein intake, iron status, B vitamins, and glycemic regulation may contribute to emotional stability.
Case: A 28-year-old woman presented with suicidal ideation and depressive symptoms, along with PMS-related irritability, emotional dysregulation, binge-eating impulses, fatigue, and difficulty awaki ng. Baseline laboratory findings suggested reduced metabolic status. Beginning in September of ye ar X, a stepwise nutritional intervention without pharmacological treatment was implemented, inclu ding gradual introduction of breakfast, increased dietary protein, iron supplementation, dietary modi fication to avoid carbohydrate-only dinners, subsequent supplementation with B vitamins, and later gut-focused dietary adjustments with additional micronutrients.
Conclusion: Over several months, depressive mood, irritability, emotional dysregulation, binge-eatin g impulses, and difficulty awaking markedly improved, and suicidal ideation resolved. This case s uggests that a structured nutritional psychiatry–based approach may be associated with improvemen t in PMS-related affective symptoms.
