The objectives of this study were to compare the efficacy and acceptability of traditional and suggested type of therapy in women with severe premenstrual dysphoric disorder and determine the postmenstrual symptom severity as covariate of the treatment response of 56 patients who met inclusion criteria and reported impaired functioning after three screening cycles were assigned to three cycles of suggested type of treatment. 

Suggested treatment was superior to traditional method of therapy, as demonstrated by endpoint analysis of Daily Record of Severity of Problems score.