Because PMDD strongly affects psychosocial health, certain therapeutic interventions can improve quality of life, promote positive coping skills, and decrease feelings of depression, anxiety, and distress. Cognitive behavioral therapy,[1] couple-based cognitive behavioral therapy,[2] and mindfulness-based therapies[3] can all benefit people with PMDD. Additionally, acupuncture and acupressure may improve the symptoms of PMDD when compared to sham treatment, but more research specific to PMDD is needed.[4] This is also true of exercise, which can reduce the severity of PMS and is thus encouraged for PMDD management as well.[5]