Authentic Life Transitions, LLC

Authentic Life Transitions, LLC Dr. Stephany Mahaffey (they/she) is a non-binary Licensed Clinical Psychologist (LCP) and LGBTQIA*+ accomplice. Open to Florida Residents only.

Dr. Stephany Mahaffey is an independent Licensed Psychologist in Florida (PY9160). Dr. Stephany offers individual, couples, and family therapy in Winter Park, FL. In addition to support groups for transgender folks and gender non-conforming individuals. Social Meet-Ups - meetup.com/gendermisfits

Online counseling services are available online through a secure client portal.

08/04/2025
These are fantastic tips!! ❤️♾️Body Doubling actually changes our brain chemistry while doing a task.
07/29/2025

These are fantastic tips!! ❤️♾️
Body Doubling actually changes our brain chemistry while doing a task.

Neurodivergent folks are far more likely to suffer from PMDD than our neurotypical comrades. You're not crazy! You're no...
07/17/2025

Neurodivergent folks are far more likely to suffer from PMDD than our neurotypical comrades.
You're not crazy!
You're not alone.

🔴 PMDD is a medical condition. It is not a personality disorder.

A personality disorder is a long-standing pattern of thinking, feeling, and behaving that can make daily life and relationships more difficult. While symptoms in a personality disorder can worsen with hormone fluctuations (aka premenstrual exacerbation or PME), this is not PMDD.

🧠 Premenstrual Dysphoric Disorder (PMDD) is a cyclical, hormone-based mood disorder, a neuroendocrine condition, where symptoms emerge in response to the brain’s abnormal reaction to natural hormonal changes in the menstrual cycle. Diagnostic criteria for PMDD also emphasize that these symptoms are not an exacerbation of an existing condition, like a personality disorder.

Because symptoms like mood swings, rage, anxiety, depression, and suicidal thoughts can resemble those seen in conditions like Borderline Personality Disorder (BPD), PMDD is frequently misdiagnosed, especially when the hormonal timing of symptoms goes unnoticed.

Many people are told they’re “too emotional,” “unstable,” or even given a psychiatric label that doesn’t reflect the true, hormone-driven, time-specific nature of their condition.

🔍 Why does this misdiagnosis happen?

❗ PMDD and personality disorders share some overlapping symptoms
🩸 The cyclical pattern (luteal phase) is often missed
📉 Clinicians often lack training in PMDD
⚠️ Menstrual stigma fuels assumptions and dismissals

🧬 What’s the difference?

Premenstrual Dysphoric Disorder (PMDD)
– Cyclical, tied to hormone shifts
– Symptoms appear and resolve with the menstrual phases
– Medical treatment focuses on hormones and mood regulation

Borderline Personality Disorder (BPD)
– Chronic, not cyclical
– Symptoms are present most days
– Treated with long-term therapy and sometimes medication

Premenstrual Exacerbation (PME)
– Worsening of an existing condition, such as Borderline Personality Disorder (BPD), in the luteal phase or the premenstrual phase
– Symptoms do not go away entirely in the follicular phase

People with PMDD and potentially other comorbid (coexisting) conditions deserve understanding, not a misdiagnosis. Let’s call PMDD what it is: a medical condition that requires evidence-based care and a stigma-free response.

At the same time, it’s important to recognize that diagnostic journeys are rarely straightforward. Hormones can affect many conditions, and it takes careful tracking, the right questions, and hormone-aware providers to tell them apart.

📝 Explore peer-reviewed research on this topic here:
https://pmc.ncbi.nlm.nih.gov/articles/PMC6436806/
https://onlinelibrary.wiley.com/doi/10.1002/ab.21877

Some of my favorite spoken word. She's unapologetically herself. 🏳️‍⚧️
07/08/2025

Some of my favorite spoken word. She's unapologetically herself. 🏳️‍⚧️

Autistic Burnout.
07/03/2025

Autistic Burnout.

Behind on your student loans? Habitat for Humanity could help!
06/28/2025

Behind on your student loans? Habitat for Humanity could help!

06/28/2025

Yes!! 🙌🏼 These folks are amazing. Ask for the support you deserve.

Updated information about passports! 🏳️‍⚧️
06/26/2025

Updated information about passports! 🏳️‍⚧️

Let it R.A.I.N. ☂🌈Recognize. Allow. Investigate. Nurture!!
06/18/2025

Let it R.A.I.N. ☂🌈
Recognize. Allow. Investigate. Nurture!!

R.A.I.N. is a great method for coping with emotions. If you’re going through a lot and don’t know where to begin, this is usually a good place to start!

Self-advocacy without self-disclosure! These work with social interactions and family dynamics. 🫶🏼
06/16/2025

Self-advocacy without self-disclosure! These work with social interactions and family dynamics. 🫶🏼

Important for folx in Florida! ♾️
06/08/2025

Important for folx in Florida! ♾️

Address

Winter Park, FL

Opening Hours

Monday 10am - 7pm
Tuesday 10am - 8pm
Friday 10am - 6pm
Sunday 11am - 6pm

Telephone

+14079653563

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