{
  "assessmentTests": {
    "pmdd_screener": {
      "name": "Cycle Mood Check-In",
      "desc": "A 25-question self-reflection on mood, irritability, anxiety, and physical patterns tied to the week or so before your period.",
      "recommendation": "Your cycle mood profile",
      "questions": [
        {
          "question": "In the week or so before my period, my mood can shift quickly — from fine to tearful or irritable within minutes.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "I notice sudden waves of sadness in the days leading up to my period that don't happen the rest of the month.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "Small things that wouldn't normally bother me can bring me to tears in the week before my period.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "My emotional reactions feel more intense than usual in the days before my period, then settle again once it starts.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "I feel like a different version of myself emotionally in the lead-up to my period compared to the rest of the cycle.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "In the days before my period, I snap at people I wouldn't normally snap at.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "I notice a short fuse or increased conflict with people close to me in the week before my period.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "Frustration builds up faster than usual in the days leading up to my period.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "People around me have commented on my mood or reacted differently to me right before my period.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "Irritation that would usually pass quickly lingers longer in the days before my period.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "In the week before my period, I feel down or hopeless in a way that doesn't match how I usually feel.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "I lose interest in things I normally enjoy in the days leading up to my period.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "I feel more self-critical or down on myself in the lead-up to my period than at other times of the month.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "A sense of heaviness or low mood shows up in the days before my period and lifts once it starts.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "I feel a sense of being overwhelmed or out of control in the week before my period, in a way that eases once it starts.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "I feel more anxious or on edge in the days before my period than during the rest of my cycle.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "A sense of tension or being \"wound up\" builds in the week leading up to my period.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "I worry more than usual in the days before my period, even about things I'm not normally concerned about.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "Physical restlessness or difficulty settling down shows up in the lead-up to my period.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "I feel keyed up or unable to relax in the days before my period, then it eases once my period starts.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "My breasts feel tender or swollen in the days before my period.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "I feel bloated or notice a sense of weight gain in the week leading up to my period.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "Joint or muscle aches show up in the days before my period that I don't notice the rest of the month.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "My appetite changes noticeably — cravings or overeating — in the week before my period.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        },
        {
          "question": "My sleep is disrupted — too much or too little — in the days leading up to my period.",
          "options": [
            { "icon": "🚫", "label": "Never", "desc": "Not something I experience" },
            { "icon": "🤔", "label": "Sometimes", "desc": "Happens occasionally" },
            { "icon": "📍", "label": "Often", "desc": "Happens regularly" },
            { "icon": "🔴", "label": "Almost Always", "desc": "A constant challenge for me" }
          ]
        }
      ],
      "dimensions": {
        "mood_lability": {
          "name": "Mood Lability",
          "desc": "How much your mood swings — sudden sadness, tearfulness, or emotional intensity — in the week or so before your period.",
          "high": "Mood swings and sudden emotional shifts show up often enough in the days before your period to feel disorienting, even though they settle again once your period starts.",
          "low": "Mood lability isn't a significant pattern for you — your emotional tone stays fairly steady across your cycle.",
          "icon": "🎭",
          "science": "Reflection on affective lability tied to the luteal phase, DSM-5-TR Criterion A for Premenstrual Dysphoric Disorder (APA, 2022)."
        },
        "irritability_anger": {
          "name": "Irritability & Anger",
          "desc": "How often a short fuse, snapping at others, or lingering frustration shows up before your period.",
          "high": "Irritability and a shorter fuse than usual show up often enough in the days before your period to noticeably affect how you interact with people close to you.",
          "low": "Irritability doesn't stand out as a cyclical pattern for you.",
          "icon": "🔥",
          "science": "Reflection on marked irritability, anger, or increased interpersonal conflict, DSM-5-TR Criterion B1 for PMDD (APA, 2022)."
        },
        "depressed_mood": {
          "name": "Depressed Mood & Hopelessness",
          "desc": "How often low mood, hopelessness, or self-critical thinking shows up before your period, and whether it lifts once it starts.",
          "high": "A sense of low mood, hopelessness, or being overwhelmed shows up often in the days before your period — and by your own report, it tends to ease again once your period starts.",
          "low": "Depressed mood doesn't appear as a notable cyclical pattern for you.",
          "icon": "🌧️",
          "science": "Reflection on depressed mood, hopelessness, and self-deprecating thoughts, DSM-5-TR Criterion B2 for PMDD (APA, 2022)."
        },
        "anxiety_tension": {
          "name": "Anxiety & Tension",
          "desc": "How often feeling anxious, on edge, or \"wound up\" shows up in the days before your period.",
          "high": "Anxiety, tension, or a keyed-up feeling shows up often enough before your period to be noticeable, and by your own report it eases again once your period starts.",
          "low": "Anxiety and tension don't appear as a significant cyclical pattern for you.",
          "icon": "⚡",
          "science": "Reflection on anxiety, tension, and feeling \"keyed up\", DSM-5-TR Criterion B3 for PMDD (APA, 2022)."
        },
        "physical_symptoms": {
          "name": "Physical Symptoms",
          "desc": "Physical changes — breast tenderness, bloating, joint or muscle aches, appetite, and sleep — tied to the days before your period.",
          "high": "Physical symptoms like breast tenderness, bloating, joint or muscle aches, appetite changes, or disrupted sleep show up often enough in the days before your period to be a noticeable part of your cycle.",
          "low": "Physical symptoms don't appear as a significant cyclical pattern for you.",
          "icon": "🩹",
          "science": "Reflection on the physical symptom cluster — breast tenderness, bloating, joint/muscle pain, appetite change, sleep disturbance — DSM-5-TR Criterion C for PMDD (APA, 2022)."
        }
      },
      "results": {
        "minimal": {
          "name": "Minimal Cyclical Mood Symptoms",
          "desc": "Your responses suggest little to no cyclical pattern in mood, irritability, anxiety, or physical symptoms tied to the week before your period. Some monthly fluctuation is normal — what stands out with PMDD is the intensity and consistency of the pattern, which doesn't come through strongly here.",
          "recommendation": "Keep tracking how you feel across your cycle if you're curious — a simple daily note for one or two months is often more revealing than any single check-in. If a pattern ever intensifies, this is a good baseline to compare against."
        },
        "mild": {
          "name": "Mild Cyclical Mood Symptoms",
          "desc": "You notice some mood, irritability, or physical changes in the days before your period that are more noticeable than a typical fluctuation, though they're generally manageable and don't appear to be disrupting your daily life.",
          "recommendation": "Try tracking your symptoms alongside your cycle for one or two months — a simple daily log of mood and physical symptoms can help you and a doctor see the pattern clearly if it ever becomes more disruptive."
        },
        "moderate": {
          "name": "Moderate Cyclical Mood Symptoms",
          "desc": "Your responses point to a fairly consistent pattern of mood swings, irritability, anxiety, or physical symptoms in the week or so before your period — a pattern that appears to ease once your period starts, and one that may be starting to affect relationships, work, or daily functioning.",
          "recommendation": "This is a good point to track your symptoms daily for at least two cycles and bring that record to a doctor or gynecologist — cycle tracking is how PMDD is actually confirmed, since the defining feature is the timing, not any single symptom. A healthcare provider can also rule out other causes and discuss options like SSRIs or hormonal treatment, which have strong evidence for PMDD specifically."
        },
        "severe": {
          "name": "Significant Cyclical Mood Symptoms",
          "desc": "Your responses suggest a strong, consistent pattern of mood lability, irritability, depressed mood, anxiety, and physical symptoms concentrated in the week or so before your period, easing again once it starts — a pattern that appears to be substantially affecting your wellbeing and daily life.",
          "recommendation": "Please consider talking with a doctor or gynecologist soon, and start a daily symptom log across your cycle if you haven't already — that record is the key piece of information a clinician needs to confirm PMDD and rule out other conditions. Effective, evidence-based treatments exist, including SSRIs (which can be taken cyclically) and hormonal approaches. If you're having thoughts of harming yourself, please contact a crisis line or emergency services in your area right away."
        }
      }
    }
  },
  "testNames": {
    "pmdd-screener": "Cycle Mood Check-In"
  }
}