Premenstrual syndrome (PMS) affects a high percentage of women of childbearing age with many women feeling mood changes in the days before menstruation. And while menstrual symptoms like irritability anger and mood swings are a monthly bother for most women severe PMS can be emotionally debilitating for some. Fortunately treating PMS with medication and lifestyle changes can help women control mood changes and other emotional difficulties. PMS can cause wild uncontrollable mood swings in some women who may go from crying spells to angry outbursts and anxiety attacks then back to a stable emotional state — all in one day.