DSM-5-TR includes premenstrual dysphoric disorder as a diagnosis for certain women who repeatedly experience clinically significant depressive and related symptoms during the week before menstruation. Why has this been an ongoing controversy?
There has not been enough research about the diagnosis.
It does not occur often enough to qualify for a diagnosis.
The diagnosis pathologizes severe cases of premenstrual syndrome.
There are not enough symptoms to qualify for a diagnosis.