Dysthymia | France| PDF | PPT| Case Reports | Symptoms | Treatment

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  • Dysthymia

    A mood disorder consisting of the same cognitive and physical problems as in depression, with less severe but longer-lasting symptoms. Some people have a milder change in their mood that is similar to depression. They feel unsettled, unhappy and down, but this does not affect their everyday lives as much as depression. The symptoms change from day to day and week to week. If the symptoms last for at least two years, it is considered to be a chronic depressive disorder called dysthymia. Although the symptoms are not as severe as typical depression, dysthymia can be just as distressing.

    Dysthymia may also be associated with the presence of personality disorders (e.g., avoidant, dependent, histrionic, borderline, narcissistic). Dysthymia may also be related to substance use. People with this type of chronic depression may abuse drugs or alcohol in trying to relieve their despondency and other unpleasant symptoms. Dysthymia in children may sometimes be related to anxiety disorders, learning disorders, attention-deficit/hyperactivity disorder (ADHD), conduct disorder, and mental retardation. Physical illnesses that may be associated with dysthymia include acquired immunodeficiency syndrome (AIDS), hypothyroidism, and multiple sclerosis.

  • Dysthymia


    • Sadness or depressed mood most of the day or almost every day
    • Loss of enjoyment in things that were once pleasurable
    • Major change in weight (gain or loss of more than 5% of weight within a month) or appetite
    • Insomnia or excessive sleep almost every day
    • Being physically restless or rundown in a way that is noticeable by others
    • Feelings of hopelessness or worthlessness or excessive guilt almost every day 
    • Problems with concentration or making decisions almost every day
    • Recurring thoughts of death or suicide, suicide plan, or suicide attempt
  • Dysthymia


    • Physical exam.
    • Lab tests, for example, blood test called a complete blood count.
    • Psychological evaluation includes a discussion about thoughts, feelings and behavior and may include a questionnaire to help pinpoint a diagnosis.
  • Dysthymia


    Types of antidepressants most commonly used to treat dysthymia include:

    • Selective serotonin reuptake inhibitors (SSRIs)
    • Serotonin and norepinephrine reuptake inhibitors (SNRIs)
    • Tricyclic antidepressants (TCAs)


    In France, 2,421,411 is the estimated number of people who are managing Dysthymia in a population of 60,424,213.

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