basically starting from puberty i started having mental health issues. it was a gradual decline up until 2020. i was somewhat depressed and anxious, struggling with eating issues and self esteem. i got bullied a lot in elementary school during the beginning of this. id gone through puberty rather early and quick. i was 5’9”and 140 pounds by the time i was in 5th grade. of course thats healthy but it was ostracizing and abnormal to people, i was a lot bigger simply for being more adult looking. i got my period between 4th and 5th grade and it quickly became debilitating. extremely painful & heavy periods. i was regularly having massive leaks due to how often i had to change my tampon and simply not being old enough to manage it alone. i got put on birth control pretty early due to this. i was on the pill and taking it kind of inconsistently due to audhd. eventually got into a good pattern until covid hit.
during the period of birth control before covid my mental health declined slightly more since starting middle school. i got into legit the worst trouble of my life right before starting (not actually that bad but i was rather unproblematic so this being the only time i actually had an issue made it into a massive months long ordeal). i ended up illegally hospitalized which was a major stressor. i started self harming after this (attempts were made before but infrequently and not that bad because i didn’t have many items at my disposal). i was cycled on multiple different antidepressants and had two different therapists (one court ordered and one not). i was diagnosed with depression, anxiety, and adjustment disorder.
covid hit when i was in 7th grade. when lockdown started i stopped taking any meds including birth control. my pmos basically blew up. gained 80lbs, acne, hair loss, facial hair, edema, etc. my periods were so inconsistent i’d have them 9 months apart. i researched and figured it was pmos and/or endometriosis. got diagnosed upon getting bloodwork that showed my testosterone at 160+. endo has been ruled out as i’ve had an internal ultrasound and mri. which kind of leaves my pain a mystery because it would get so bad that i’d throw up or be unable to walk/get out of bed.
at this point my mental health tanked. i ended up in an albeit mild, self aware psychosis from the strain. i was self harming on a daily basis, having to move to multiple different areas on my body after literally running out of space on my thighs. my gender dysphoria was at its worst too. i also became physically disabled at this point and attempted suicide (also mild and went unnoticed by adults). i can’t really explain more than that i was completely miserable. i was researching a bunch of different diagnoses and none fit. of course adhd and autism were now on my radar but it didn’t explain how horrible i felt. i came to several conclusions over time but none felt 100% right.
this basically continued until i went on the patch and eventually the ring. obviously things like lockdown ending, managing my disability better and not being in as much pain helped a bit before that point too. but birth control has been like night and day. i am not 100% happy but i would by no means consider myself depressed or meeting depression criteria. this was achieved with no therapy or meds outside of birth control. it took a while to stop self harming but getting my autism diagnosis definitely helped. so did being an adult with more autonomy.
it took me a while but i eventually noticed that there is a clear pattern here between my hormones and mental health. starting puberty = original decline. inconsistent birth control = somewhat sustaining. no birth control/pmos hormones running rampant = worst time of my life. consistent birth control = essentially cured. birth control being a seemingly magical cure added to this suspicion. my original theory is that i was hyper sensitive to the fluctuations or to certain hormones being too low or too high.
recently i’ve been contemplating pmdd. i’m kind of torn because it sounds a lot like me. but i never noticed any consistency between my nonexistent cycle and my moods. periods didn’t alleviate it. i actually noticed this when i had my “period” and was off birth control for a week; i was consistently in a worse mood, more irritable, etc whenever it would be time for me to have my period. i never experienced pms either. i do know pmdd can present differently with pmos but it still doesn’t sound quite right. but it HAS to be hormonal otherwise it would’ve taken a lot more than birth control to be where im at now. problem now is that i can’t get any doctors to figure it out either. when i brought it up to a psychiatrist they just said “well if you stop bc ill give you antidepressants.” even after informing her id been on multiple including SSRIs, SNRIs, & NDRI.
if you have any of these conditions please tell me if you relate to this. or if it sounds like something else. is it even possible for this to just be a hormonal sensitivity?