Frankly the 2 best helps I've discovered are behavior modification. I keep a careful watch on the calendar and circle the date to be watched so my DH and I can easily see it. I warn him when its coming up about 7 days off so he knows to just let me be for the week. I happen to think that the very fact that I am cognisent of the problem helps me keep myself in check. It's easier to calm myself down when I can tell myself 'the situation only seems big because of the date' and then I promise myself to rethink the trouble the next week and it never ever seems as big later on. As for myself, I do not even think about touching any stimulants like coffee, tea or decongestants for the 7 days leading up to and the 3 days after. I do not schedule vacations, birthday parties, or get togethers during this time and make sure not to call anyone either which is hard because this is when I am usually most wanting of company. I try not to shop because I tend to be impulsive. I also avoid anything that can be distressing or frustrating. But possibly the best change is that I now warn people a close to me that I have PMS and have been irritable by working it into conversation. Since most women 'get it' they give me room which is a help. I do not shun medication though. I keep a very low dose of Xanax on hand for times when I just know things will go badly. I have the lowest dose and cut that in 1/2 and believe it or not, just that tiny bit is enough to steady myself. I have found that I really only need this the last 3 days of my cycle, and even then only during the hours I will be in a position when I know I will be stressed. In my experience, the more I use the Xanax the less it works but, for me at least, it would be a error to not have it available.
Some research is being done into taking antidepressants only during this time period but I haven't known any women who it has worked for so I keep saying no thanks.
One of the biggest differences between me and other women is that so many I know have had the procedure done to remove the "main symptom" and are thrilled to have it gone. But to me, it is a marker I can use to gauge the next episode and the thought of losing that warning just makes me cringe. I NEED to know how long I have between events. That 'main symptom' is the least of my worries.
I have a question for other women who get this. Do you also totally flake out on the passage of time during the few days immediately before? I honestly lose all track of time and can't tell the difference between 10 minutes and 3 hours, everything is sped up to an amazing degree.... it's so bizarre. I set timers to manage it but I still think it is incredibly weird.