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Dysthymia was first introduced into the group of affective disorders in the DSM-III classification in 1980. It overlaps substantially with major depression. But dysthymia is a chronic depressive
disorder with milder symptoms.
The chronic features of dysthymia vary in severity, and most sufferers will develop supervening comorbid major depressive episodes (sometimes termed 'double depression').
At least 2 years of constant or constantly recurring depressed mood
Intervening periods of normal mood rarely last for longer than a few weeks; no episodes of hypomania
None, or very few, of the individual episodes of depression within the 2-year
period should be sufficiently severe or long-lasting to meet the criteria for
recurrent mild depressive disorder
During at least some of the periods of depression, at least three of the symptoms listed below should be present
I have dysthymia. I've most likely had it all my life. It goes in cycles. Sometimes I'm stable, sometimes I feel lethargic and practically suicidal. I live a normal life, I take antidepressants, I act fine, I guess I am fine, but it's like this cloud following me. Hanging over me. It's very rare that it gets to the point where I actually want to die, but in general it sucks. I just want it to go away. I'm only a teenager.Anonymous, Internet
Reduced energy or activity
Insomnia
Loss of self-confidence and feelings of inadequacy
Difficulty in concentrating
Frequent tearfulness
Loss of interest in or enjoyment of sex and other pleasurable activities
Feeling of hopelessness or despair
A perceived inability to cope with the routine responsibilities of everyday life
Pessimism about the future or brooding over the past
Social withdrawal
Reduced talkativeness
Return from Dysthymia to Depression Symptoms
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