TERRIBLE PMS HELP!

MY PMS mood swings are insane. I’m 23 years old and I’ve always had heavier painful periods since I was 9. I was on birth control and got off of it because it’s just not good for me physically (yes I’ve tried them all) !! And it’s been 2 years off of it. I just wanted to know when is really bad PMS a cause for concern? Does anyone have a solution or things that make them feel better? Less mood swings, severe depression, etc. THIS LEGIT ONLY HAPPENS when my period is 2 weeks away.. Every single month. Birth control couldn’t save me :(