What should be ruled out when depression occurs with PMS?
Rule out hypothyroidism as a hormonal cause of depression. Determine your basal body temperature. If your basal body temperature is below 97.8 degrees Fahrenheit, or if you are suffering from other symptoms associated with PMS, consult your physician for complete thyroid-function testing. Determine whether depression may be a mental factor by reading Dianetics the Modern Science of Mental Health. Use caution with the chemical solutions and avoid any chemical(drug) solutions if possible. If in a dangerous state of mind any medication should be used only temporary and only as a very last resort until the actual cause is located.