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PMDD Pyramid Private Sessions

Me Before PMDD: Relationship Reset Toolkit-Couples

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Ever feel like forgiveness resets every month, no matter how many talks or apologies you’ve had? We dig into why PMDD turns small misunderstandings into full-blown ruptures and why the same argument keeps resurfacing in luteal, even when things felt fine days ago. I break down what’s actually happening in the brain—how the prefrontal cortex goes partially offline and the limbic system goes into overdrive—so you can stop blaming willpower and start using strategies that work.

Together, we separate three kinds of forgiveness that often get tangled: decisional forgiveness (the choice to move forward even when feelings lag), emotional forgiveness (calming the limbic alarm so apologies can land), and self-forgiveness (releasing the heavy shame about how you showed up in PMDD). You’ll learn why talk therapy can unintentionally amplify old hurts in luteal, how to name the “PMDD brain” in real time to slow reactivity, and what it takes to create relational safety after rage—without demanding impossible guarantees. I share simple, repeatable tools: pause-and-repair scripts, scheduled re-entry after a trigger, and narrative reframing that corrects all-or-nothing thinking and restores a balanced view of your partner.

We also get practical about structure. I explain the PMDD Pyramid approach—first individual sessions for the PMDD partner, then for the non-PMDD partner, and finally a short, focused joint session—to prevent re-triggering and turn insight into a clear plan. We close with ways to “seal the loop” so your nervous system stops scanning for the same threat: tiny behavior changes, a checklist for sensitive tasks, and a living “receipt of good” list that offsets negativity bias when logic is dim. If you’re tired of monthly breakups, apologies that don’t land, and intimacy on pause, this conversation offers a calm map out of the cycle.

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