Natural vs Conventional Mood Imbalances Treatment
Comparing Approaches
Naturopathic Approach
Naturopathic treatment addresses mood imbalances through comprehensive assessment of hormonal fluctuations (PMS, perimenopause), thyroid function, blood sugar dysregulation, nutrient deficiencies, and gut-brain axis health. Treatment includes hormone-balancing botanicals like vitex or black cohosh, methylated B vitamins and mood-supporting amino acids, blood sugar stabilization through nutrition, adaptogenic herbs for stress resilience, omega-3 fatty acids, and lifestyle modifications including sleep optimization and stress management techniques.
Conventional Approach
Conventional treatment typically includes psychotherapy (cognitive behavioral therapy) as first-line, with medications including SSRIs or SNRIs if symptoms are moderate to severe or not responding to therapy alone. For hormonal mood imbalances, hormonal contraceptives or hormone therapy may be prescribed. Treatment focuses on symptom management with regular monitoring for medication efficacy and side effects.
Benefits & Considerations
Naturopathic Treatment
Benefits
- +Addresses hormonal and nutritional root causes
- +Supports natural neurotransmitter production
- +No medication side effects like sexual dysfunction
- +Can address multiple contributing factors simultaneously
- +Effective for hormonally-driven mood changes
Considerations
- −Takes 4-8 weeks to see significant improvement
- −Not sufficient for severe depression or bipolar disorder
- −Requires consistent supplement and lifestyle adherence
- −May not be adequate during acute crisis
Conventional Treatment
Benefits
- +SSRIs/SNRIs effective for persistent mood disorders
- +Psychotherapy has strong evidence base
- +Can be life-changing for severe mood disorders
- +Covered by insurance
- +Rapid intervention available for crisis
Considerations
- −Medications can have significant side effects
- −SSRIs commonly cause sexual dysfunction
- −Does not address hormonal or nutritional factors
- −Withdrawal symptoms when discontinuing
- −May not address hormonally-driven mood changes
When to Consider Naturopathic Treatment
Naturopathic care is appropriate for mood imbalances related to hormonal cycles (PMS, PMDD, perimenopause), mild to moderate symptoms, thyroid or blood sugar-related mood changes, or as complementary care alongside therapy. It's particularly valuable for women experiencing mood changes linked to menstrual cycles or life transitions.
When to Seek Conventional Care
Seek immediate help for severe depression or suicidal thoughts (call 988 Suicide & Crisis Lifeline), symptoms significantly impairing daily function, suspected bipolar disorder (periods of elevated mood alternating with depression), mood disorder with psychotic features, severe anxiety interfering with life, or mood changes accompanied by substance abuse. Severe mood disorders require psychiatric evaluation and often medication for stabilization.
Frequently Asked Questions
How do I know if my mood issues are hormonal?
Hormonal mood patterns typically follow predictable cycles linked to menstruation (worsening in luteal phase/before period), perimenopause (irregular patterns), or postpartum. Symptoms include irritability, tearfulness, anxiety, or depression that fluctuates with hormonal changes. Comprehensive hormone testing and symptom tracking can clarify patterns. However, many mood issues involve multiple factors including hormones, neurotransmitters, stress, and life circumstances requiring holistic assessment.
Can natural treatments help with PMDD?
Yes, some women with PMDD respond well to naturopathic care including vitex (chasteberry), calcium and magnesium supplementation, B6, evening primrose oil, stress management, and dietary modifications stabilizing blood sugar. However, PMDD can be severe and significantly impact quality of life. Many women benefit from combining naturopathic approaches with SSRIs (taken continuously or just during luteal phase) or hormonal contraceptives. Work with both naturopathic and medical providers for comprehensive care.
References
- 1.
- 2.

Dr. Sanika Kshirsagar, ND
Doctorate of Naturopathic Medicine (ND)
Bastyr University, Kenmore, WA
Medical Disclaimer: The information and content provided on this website is for informational purposes only and not intended to diagnose or treat any condition. It is not meant to substitute for the professional advice provided by your physician or any other healthcare professional. If you suspect that you have a medical problem, contact your healthcare provider promptly. Do not disregard professional medical advice or delay in seeking professional advice because of something you have read on this website.
