WHOLESOME CLINIC
Integrative Psychiatry & Wellness
Whole Mind. Whole Body. Wholesome.
In-person care in Frisco, TX • Telehealth in TX, CO, NM, OK, LA , OR & AR
PMDD Treatment in Frisco, TX + Telehealth

PMDD Treatment in Frisco, TX — Evaluation & Medication Management

Looking for PMDD treatment in Frisco, TX? Wholesome Clinic provides psychiatric evaluations, medication management when appropriate, and follow-up care for severe premenstrual mood symptoms.

We begin with a careful evaluation to understand your mood patterns, menstrual cycle timing, anxiety, irritability, depression, sleep, current medications, and how symptoms affect your relationships, work, school, and daily life.

Care Snapshot - insurance & self-pay
$159

Initial self-pay PMDD evaluation

  • ✓ Initial evaluation: $159 self-pay
  • ✓ Follow-up visits: $109 self-pay
  • ✓ Insurance billing available
  • ✓ In-person care in Frisco
  • ✓ Telehealth in TX, CO, NM, OK, LA, & OR
  • ✓ Medication management when appropriate
Important:
PMDD treatment begins with a careful clinical evaluation. Medication decisions are individualized and may include coordination with your OB/GYN or other healthcare providers when appropriate.
Our approach

PMDD Is More Than PMS

Premenstrual dysphoric disorder can involve intense mood changes, irritability, anxiety, depression, emotional sensitivity, sleep changes, and functional disruption in the days or weeks before a menstrual period.

At Wholesome Clinic, we take severe cyclical mood symptoms seriously. Your evaluation focuses on symptom timing, severity, how symptoms affect your life, and whether PMDD overlaps with depression, anxiety, bipolar disorder, trauma symptoms, insomnia, or other medical concerns.

Our role is psychiatric evaluation and medication management with a whole-person perspective. We consider your symptom pattern, mental health history, menstrual cycle timing, medications, medical history, and whether therapy or OB/GYN coordination should be part of your care plan.

Cycle-aware evaluation

We review mood symptoms in relation to your menstrual cycle, including timing, severity, and functional impact.

Medication when appropriate

Treatment may include medication management when clinically appropriate, with careful discussion of benefits, risks, and monitoring.

Support coordination

Therapy referral, OB/GYN coordination, lifestyle support, and follow-up planning may be recommended depending on your needs.

What we evaluate

PMDD Symptoms We Commonly Discuss

PMDD can look different from person to person. Some people mainly notice depression or crying spells, while others experience severe irritability, anxiety, anger, overwhelm, or relationship strain before their period.

Depression or Hopelessness

Low mood, sadness, crying spells, hopelessness, emotional heaviness, or feeling unlike yourself before your period.

Anxiety and Tension

Feeling keyed up, overwhelmed, worried, panicky, tense, or unable to calm your thoughts during the premenstrual phase.

Irritability or Anger

Severe irritability, anger, emotional reactivity, conflict, or feeling easily overstimulated.

Sleep and Energy Changes

Insomnia, fatigue, low energy, increased sleep, or disruption in routines before your menstrual period.

Relationship and Work Impact

Symptoms that affect parenting, work, school, relationships, self-confidence, or daily responsibilities.

Overlapping Conditions

PMDD can overlap with depression, anxiety, bipolar disorder, insomnia, trauma symptoms, and stress.

You do not need to know whether your symptoms are “PMDD” before scheduling. Your evaluation is designed to help clarify what may be happening and what support may fit.
Treatment philosophy

PMDD Care Focused on Pattern, Functioning, and Long-Term Support

PMDD treatment should focus on identifying symptom patterns, reducing distress, improving functioning, and supporting emotional stability across the menstrual cycle.

Medication may be appropriate for some patients. Treatment decisions are individualized based on symptoms, history, cycle timing, medication history, side effects, medical factors, and personal preferences.

Therapy, stress support, sleep planning, cycle tracking, OB/GYN coordination, and follow-up care may also be part of the treatment plan.

Safety note: If you are having thoughts of harming yourself, harming someone else, feeling unsafe, or experiencing symptoms that feel urgent, call 911, call 988, or go to the nearest emergency room right away.
Step-by-step care

What to Expect from Your First Appointment Forward

Getting started is straightforward. Here is how PMDD treatment works at Wholesome Clinic.

1

Schedule Your Evaluation

Book online through our psychiatry booking page or call 972-905-9435. Appointments are available in person in Frisco and by telehealth in licensed states.

2

Complete Your Intake

You will complete intake forms before your visit so your provider can review symptoms, timing, medical history, medications, safety concerns, and treatment goals.

3

Attend Your Evaluation

Your provider reviews mood, anxiety, irritability, sleep, functioning, cycle timing, prior treatment, medications, medical history, and safety.

4

Begin Your Treatment Plan

If treatment is appropriate, your provider discusses medication options, therapy referral, cycle tracking, support planning, follow-up timing, and coordination when needed.

5

Follow Up and Adjust

Follow-up visits help monitor mood, anxiety, irritability, sleep, medication response, side effects, safety, functioning, and whether additional support is needed.

Pricing and insurance

Transparent Pricing for PMDD Care

We believe you should know what to expect before you schedule.

Follow-Up Visits
$109

Self-pay rate. Insurance billing is available; patient responsibility varies by plan.

Medication
Varies

Prescriptions are sent to your preferred pharmacy when clinically appropriate. Medication cost depends on your insurance and pharmacy benefits.

Insurance note: We accept most major insurance plans. Coverage for psychiatric evaluations and medication management varies by plan. Self-pay rates are available for patients who prefer not to use insurance.
Your first appointment

A Respectful Evaluation — Not Dismissing Your Symptoms as “Just Hormones”

PMDD symptoms can feel intense, confusing, or hard to explain. Your evaluation is designed to be respectful, clinical, and nonjudgmental.

1. Symptom ReviewWe discuss depression, anxiety, irritability, anger, crying spells, sleep changes, and daily functioning.
2. Cycle Timing ReviewYour provider reviews whether symptoms appear before your period, improve after bleeding starts, and follow a cyclical pattern.
3. Medication ReviewWe review current and past medications, side effects, response, supplements, and other factors that may affect mood.
4. Safety ReviewWe discuss current safety, urgent symptoms, self-harm thoughts, thoughts of harm, and supports available to you.
5. Treatment DiscussionYour provider explains medication options, therapy recommendations, cycle tracking, follow-up care, and coordination when needed.
6. Clear Next StepsYou leave with a plan for treatment, referral, follow-up, medication when appropriate, or additional evaluation.
Your provider, Stephanie Ukoha, DNP, FNP-BC, PMHNP-BC, is dual board-certified as a Family Nurse Practitioner and Psychiatric Mental Health Nurse Practitioner.
Locations served

PMDD Treatment in Frisco and Through Telehealth

Wholesome Clinic offers in-person PMDD treatment in Frisco, TX and telehealth appointments across licensed states.

ColoradoTelehealth
New MexicoTelehealth
OregonTelehealth
LouisianaTelehealth
OklahomaTelehealth
If you are located outside these states, we are not currently able to see you. Telehealth services are limited to states where our provider holds an active license.
Questions answered

Frequently Asked Questions About PMDD Treatment

Do you treat PMDD in Frisco, TX?

Yes. Wholesome Clinic provides PMDD evaluations, medication management when appropriate, therapy referral guidance, and follow-up care in Frisco, TX and through telehealth in licensed states.

How much does PMDD treatment cost?

The initial evaluation is $159 self-pay, and follow-up visits are $109 self-pay. Insurance billing is available, and patient responsibility depends on the insurance plan.

Can PMDD treatment be done by telehealth?

Yes. Telehealth appointments are available for patients in Texas, Colorado, New Mexico, Oregon, Louisiana, and Oklahoma. In-person visits are also available in Frisco.

What is the difference between PMS and PMDD?

PMS may cause mild to moderate premenstrual symptoms. PMDD is usually more severe and can significantly affect mood, relationships, work, school, sleep, or daily functioning.

Can PMDD include anxiety or depression?

Yes. PMDD can include depression, anxiety, irritability, anger, crying spells, emotional sensitivity, sleep changes, and feeling overwhelmed before a period.

Is medication always needed?

No. Medication is not always needed. Treatment may include therapy referral, cycle tracking, lifestyle strategies, follow-up care, and medication when clinically appropriate.

Can you coordinate with my OB/GYN?

When appropriate and with your permission, coordination with your OB/GYN or other healthcare providers may be part of your care plan.

What symptoms require urgent help?

If you are having thoughts of harming yourself, harming someone else, feeling unsafe, or experiencing symptoms that feel urgent, call 911, call 988, or go to the nearest emergency room right away.

Related Mental Health Conditions

Mental health symptoms can overlap. Explore related treatment options.

You Do Not Have to Feel Dismissed or Alone with PMDD Symptoms

If mood changes, anxiety, irritability, depression, sleep disruption, or emotional overwhelm worsen before your period and affect your life, an evaluation can help clarify what is happening and what support may help.

PMDD treatment in Frisco, TX — with telehealth options across licensed states.

Call 972-905-9435

Medical disclaimer: This page is for informational purposes only and does not guarantee diagnosis, treatment eligibility, medication eligibility, or prescribing. PMDD treatment decisions are made after clinical evaluation, history review, medication review, symptom assessment, safety assessment, and provider judgment. If symptoms are medically urgent or unsafe, call 911, call 988, or go to the nearest emergency room.