{"id":1692,"date":"2017-02-12T21:06:56","date_gmt":"2017-02-13T02:06:56","guid":{"rendered":"https:\/\/natural-womanhood.local\/?p=1692"},"modified":"2024-04-02T19:28:40","modified_gmt":"2024-04-03T00:28:40","slug":"les-regles-des-femmes-les-rendent-elles-mentalement-malades","status":"publish","type":"post","link":"https:\/\/naturalwomanhood.org\/fr\/pmdd-are-womens-periods-making-them-mentally-ill\/","title":{"rendered":"Le trouble dysphorique pr\u00e9menstruel (TDP) : les r\u00e8gles des femmes les rendent-elles mentalement malades ?"},"content":{"rendered":"

Mon travail de jour consiste \u00e0 g\u00e9rer le marketing d'un h\u00f4pital psychiatrique pour enfants ; je prends les maladies mentales au s\u00e9rieux. La d\u00e9pression, par exemple, n'est pas un sentiment de tristesse passager, c'est un trou noir qui peut prendre toute la capacit\u00e9 et la volont\u00e9 d'une personne de vivre normalement. La derni\u00e8re version du Manuel diagnostique et statistique, le DSM-5, r\u00e9pertorie pour la premi\u00e8re fois le trouble dysphorique pr\u00e9menstruel (TDPM), parfois d\u00e9crit comme un \"syndrome pr\u00e9menstruel sous st\u00e9ro\u00efdes\", comme un trouble mental distinct. Cette nouvelle classification a suscit\u00e9 de vives inqui\u00e9tudes chez certaines femmes<\/a> qui craignent, \u00e0 juste titre, la stigmatisation et la mauvaise repr\u00e9sentation qui peuvent y \u00eatre associ\u00e9es. Pourtant, ces un \u00e9tat pr\u00e9valent<\/a> doit \u00eatre reconnue par le corps m\u00e9dical et class\u00e9e correctement afin de ne pas \u00eatre n\u00e9glig\u00e9e. Voici un aper\u00e7u rapide de la maladie et une approche r\u00e9volutionnaire du traitement.<\/p>\n

Qu'est-ce que le trouble dysphorique pr\u00e9menstruel ?<\/h3>\n

Le trouble dysphorique pr\u00e9menstruel (TDPM) est un \u00e9tat de sant\u00e9 particulier. La patiente souffre d'une d\u00e9pression extr\u00eame, d'irritabilit\u00e9, d'anxi\u00e9t\u00e9 ou de col\u00e8re au cours des deux semaines pr\u00e9c\u00e9dant les r\u00e8gles. Ce trouble est beaucoup plus grave que les sautes d'humeur et la mauvaise humeur g\u00e9n\u00e9rale que les femmes connaissent souvent dans le cadre du syndrome pr\u00e9menstruel (SPM). Les femmes souffrant de trouble dysphorique pr\u00e9menstruel ne peuvent pas fonctionner dans la vie de tous les jours et risquent de se blesser ou de blesser les autres pendant cette p\u00e9riode de d\u00e9s\u00e9quilibre hormonal.<\/p>\n

Les sympt\u00f4mes sont tous similaires \u00e0 ceux du syndrome pr\u00e9menstruel, mais avec une s\u00e9v\u00e9rit\u00e9 nettement plus grande. Si au moins cinq des sympt\u00f4mes suivants sont ressentis au moins quatre jours avant les r\u00e8gles, la possibilit\u00e9 d'un trouble dysphorique pr\u00e9menstruel doit \u00eatre \u00e9tudi\u00e9e :
\n* D\u00e9sint\u00e9r\u00eat soudain pour les activit\u00e9s et les relations quotidiennes
\n* Fatigue accablante ou manque d'\u00e9nergie
\n* Sentiments extr\u00eames de tristesse ou de d\u00e9sespoir, avec possibilit\u00e9 de pens\u00e9es suicidaires
\n* Sentiments de tension ou crises d'anxi\u00e9t\u00e9\/douleur incontr\u00f4lables
\n* fringales ou crises de boulimie
\n* Sautes d'humeur marqu\u00e9es par des p\u00e9riodes de pleurs sans raison
\n* irritabilit\u00e9 ou col\u00e8re persistante qui affecte les relations personnelles
\n* Difficult\u00e9 \u00e0 se concentrer sur des t\u00e2ches simples
\n* Sympt\u00f4mes physiques, tels que ballonnements, sensibilit\u00e9 des seins, maux de t\u00eate et douleurs articulaires ou musculaires.
\n* Dormir trop ou pas assez<\/p>\n

Une maladie myst\u00e9rieuse ?<\/h3>\n

Bien que plusieurs des sympt\u00f4mes du trouble dysphorique pr\u00e9menstruel ressemblent \u00e0 ceux d'une d\u00e9pression grave, ils sont tr\u00e8s diff\u00e9rents en ce sens qu'ils vont et viennent en fonction des \u00e9tapes du cycle de la femme. La patiente commencera \u00e0 les ressentir environ deux semaines avant le premier jour de ses r\u00e8gles et se sentira mieux lorsque les r\u00e8gles commenceront.<\/p>\n

Les chercheurs ne savent pas exactement pourquoi ce trouble survient chez certaines femmes et pas chez d'autres. Plusieurs th\u00e9ories peuvent expliquer pourquoi le syndrome pr\u00e9menstruel se transforme en trouble dysphorique pr\u00e9menstruel, allant d'une carence en progest\u00e9rone \u00e0 une diminution de l'activit\u00e9 s\u00e9rotoninergique d\u00e9clench\u00e9e par le cycle ovarien. Le trouble dysphorique pr\u00e9menstruel entre incontestablement dans la cat\u00e9gorie g\u00e9n\u00e9rale des maladies mentales telles que d\u00e9finies par l'American Psychiatric Association : \"Les maladies mentales sont des \u00e9tats de sant\u00e9 impliquant des changements dans la pens\u00e9e, les \u00e9motions ou le comportement (ou une combinaison de ces \u00e9l\u00e9ments).<\/p>\n

Les psychiatres sont form\u00e9s pour traiter une maladie mentale \u00e0 l'aide de m\u00e9dicaments ciblant la chimie du cerveau du patient, afin d'att\u00e9nuer les sympt\u00f4mes de la maladie et de permettre \u00e0 la personne de retrouver une vie plus normale. Le traitement du trouble dysphorique pr\u00e9menstruel fait donc souvent appel \u00e0 des inhibiteurs de la recapture de la s\u00e9rotonine (ISRS) et \u00e0 des conseils. Cette voie peut \u00eatre efficace et constitue une option pour les femmes souffrant de trouble dysphorique pr\u00e9menstruel, en particulier pour celles qui risquent de se faire du mal. Consultez toujours votre m\u00e9decin pour trouver le traitement appropri\u00e9.<\/p>\n

Mais l'histoire ne s'arr\u00eate pas l\u00e0.<\/p>\n

R\u00e9cemment, certains m\u00e9decins ont reconnu les facteurs hormonaux et ont appel\u00e9 le trouble dysphorique pr\u00e9menstruel \"un trouble hormonal avec des expressions psychologiques\". En raison du lien hormonal, les chercheurs ont tent\u00e9 de traiter le trouble dysphorique pr\u00e9menstruel \u00e0 l'aide de divers contraceptifs hormonaux con\u00e7us pour supprimer les variations hormonales. L'id\u00e9e semble logique, ces tentatives ne sont pas concluantes ou s'accompagnent d'effets secondaires graves<\/a>.<\/p>\n

Une approche personnalis\u00e9e bas\u00e9e sur le cycle<\/h3>\n

Dans ses recherches novatrices men\u00e9es au cours des 30 derni\u00e8res ann\u00e9es, le Dr Thomas Hilgers indique une nouvelle fa\u00e7on de traiter efficacement cette affection. Dans son livre de 2004 Pratique m\u00e9dicale et chirurgicale de la naproTECHNOLOGIE<\/em>Dans son livre, il fait \u00e9tat de recherches concluantes sur l'efficacit\u00e9 de son approche. Il pr\u00e9sente une \u00e9tude dans laquelle 37% des patientes souffrant de trouble dysphorique pr\u00e9menstruel ont montr\u00e9 une nette am\u00e9lioration et 43% une am\u00e9lioration mod\u00e9r\u00e9e apr\u00e8s un traitement de trois mois.<\/p>\n

La cl\u00e9 de son approche est l'utilisation de les m\u00e9thodes bas\u00e9es sur la connaissance de la fertilit\u00e9 (FABM) pour \u00e9tablir des graphiques<\/a> et d'identifier les changements r\u00e9els des niveaux hormonaux \u00e0 diff\u00e9rents stades du cycle. Le moment de l'ovulation peut varier consid\u00e9rablement d'une patiente \u00e0 l'autre et d'un cycle \u00e0 l'autre, et cette premi\u00e8re \u00e9tape est essentielle pour diagnostiquer la cause du trouble dysphorique pr\u00e9menstruel. Les FABM permettent \u00e0 une femme d'observer et de signaler le moment de l'ovulation en se basant sur ses bio-marqueurs tels que la s\u00e9cr\u00e9tion de liquide cervical, le changement de temp\u00e9rature ou le changement des niveaux d'hormones \u00e0 l'aide d'un moniteur de LH. Cette technologie avanc\u00e9e de suivi des cycles est largement disponible aupr\u00e8s de les r\u00e9seaux d'instructeurs<\/a> dans l'ensemble des \u00c9tats-Unis.<\/p>\n

En utilisant les informations contenues dans le dossier de la femme, qui indique non seulement le d\u00e9but de ses r\u00e8gles mais aussi la date de l'ovulation, les analyses de sang effectu\u00e9es \u00e0 diff\u00e9rents moments permettent au m\u00e9decin de conna\u00eetre les taux d'hormones de la femme et de les comparer aux taux des patientes en bonne sant\u00e9. Normalement, l'hormone progest\u00e9rone augmente juste apr\u00e8s l'ovulation. Dans l'\u00e9tude, les patientes souffrant de trouble dysphorique pr\u00e9menstruel pr\u00e9sentaient en moyenne un taux de progest\u00e9rone significativement plus faible apr\u00e8s l'ovulation.<\/p>\n

Fort de ces informations, le Dr Hilgers a con\u00e7u une s\u00e9rie de traitements visant \u00e0 augmenter ces niveaux au moment critique. L\u00e0 encore, le soutien hormonal, qui est administr\u00e9 \u00e0 l'aide d'hormones bio-identiques, doit tenir compte de la p\u00e9riode d'ovulation, ce qui exige que la patiente \u00e9tablisse un diagramme de ses cycles. L'administration de suppl\u00e9ments hormonaux au mauvais moment ne fonctionnera tout simplement pas et risque d'aggraver la situation.<\/p>\n

Le R\u00e9seaux de soins de sant\u00e9 de Creighton<\/a> offre un r\u00e9seau de consultants m\u00e9dicaux affili\u00e9s form\u00e9s \u00e0 l'identification et au traitement du SPM\/DPM selon l'approche NaProTECHNOLOGIE. FEMM<\/a> est une autre organisation qui aide les femmes en se basant sur une compr\u00e9hension plus approfondie de leur cycle unique, y compris un panel hormonal de base complet, une \u00e9valuation des niveaux d'hormones et des ant\u00e9c\u00e9dents m\u00e9dicaux afin de voir s'il y a une composante chimique\/hormonale, et\/ou une collaboration avec des services de conseil.<\/p>\n

Avec une attention m\u00e9dicale appropri\u00e9e, les femmes souffrant de trouble dysphorique pr\u00e9menstruel voient leur \u00e9tat s'am\u00e9liorer et sont souvent en mesure de poursuivre les activit\u00e9s de la vie quotidienne pendant leur p\u00e9riode pr\u00e9menstruelle. Je crains qu'en raison de l'incompr\u00e9hension du grand public \u00e0 l'\u00e9gard de ces troubles et de leur caract\u00e8re parfois ridicule, ils soient encore entour\u00e9s de silence et que, par cons\u00e9quent, de nombreuses femmes qui ont besoin d'aide n'obtiennent pas le soutien dont elles ont besoin. Nous ne pouvons pas fermer les yeux sur la r\u00e9alit\u00e9 du trouble dysphorique pr\u00e9menstruel par peur de la stigmatisation, mais nous devons chercher \u00e0 le comprendre et \u00e0 le traiter.<\/p>\n

Soyez sains et saufs,<\/p>\n

G\u00e9rard Migeon<\/p>\n

Lisez notre avis de non-responsabilit\u00e9 ici<\/a><\/p>","protected":false},"excerpt":{"rendered":"Mon travail de jour consiste \u00e0 g\u00e9rer le marketing d'un h\u00f4pital psychiatrique pour enfants ; je prends les maladies mentales au s\u00e9rieux. La d\u00e9pression,...","protected":false},"author":2,"featured_media":1693,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_kad_blocks_custom_css":"","_kad_blocks_head_custom_js":"","_kad_blocks_body_custom_js":"","_kad_blocks_footer_custom_js":"","csco_singular_sidebar":"","csco_page_header_type":"","csco_page_load_nextpost":"","csco_post_video_location":[],"csco_post_video_url":"","csco_post_video_bg_start_time":0,"csco_post_video_bg_end_time":0,"footnotes":""},"categories":[5374,5181],"tags":[5933,5455],"class_list":{"0":"post-1692","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-pms-pmdd-depression","8":"category-reproductive-and-menstrual-disorders","9":"tag-cycle-dysfunction","10":"tag-pms-pmdd-depression","11":"cs-entry","12":"cs-video-wrap"},"acf":[],"yoast_head":"\nIs PMDD really a mental illness? - Natural Womanhood<\/title>\n<meta name=\"description\" content=\"The DSM-5 listed Premenstrual Dysphoric Disorder (PMDD) as a distinct mental disorder for the first time. 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