Which non-pharmacologic therapy is listed for PMS management?

• A. Cognitive behavioral therapy
• B. Antibiotics
• C. Insulin therapy
• D. Radiation therapy

Answer: (A)

Non-pharmacologic strategies for PMS management emphasize coping skills and lifestyle adjustments. Cognitive behavioral therapy is a structured psychotherapy that teaches strategies to identify and modify negative thought patterns, manage stress, and improve coping during the premenstrual period. By addressing how thoughts and behaviors influence mood and physical symptoms, CBT can reduce the severity of mood-related PMS symptoms and how much these symptoms disrupt daily functioning.

Antibiotics are used for bacterial infections, not PMS. Insulin therapy is for diabetes management, not PMS. Radiation therapy is a cancer treatment and has no role in PMS management.

So the best non-pharmacologic option listed is cognitive behavioral therapy because it directly targets mood and coping mechanisms relevant to PMS.