Terapia continua con sertralina en el trastorno disfórico premenstrual. A propósito de un caso clínico

Premenstrual dysphoric disorder is a relatively uncommon mental disorder, but in many cases it becomes disabling for the person who suffers it, and in these cases pharmacological therapy with antidepressants is essential for the remission of this disorder. In some cases the therapy may be carried intermittently during each premenstrual period, however in this study continuous therapy with sertraline proved to be very effective. The following case concerns a 21-year-old woman referred to our psychiatry department due to presenting with a depressive condition prior to her menstrual cycle. She improved after being prescribed a treatment with a tricyclic antidepressant, but she returned later with worse symptoms than before. In the department it was decided to start sertraline continuously, with which an improvement was observed initially, and a complete remission within a few weeks. With several months of follow-up, no relapse or adverse events were reported.