Dysthymia sometimes also called neurotic depression, dysthymic disorder, or chronic depression, is a mood disorder consisting of the same cognitive and physical problems as in depression, with less severe but longer-lasting symptoms. The concept was coined by Robert Spitzer as a replacement for the term "depressive personality" in the late 1970s. A milder yet more enduring type of major depression. People with dysthymia may appear to be chronically mildly depressed to the point that it seems to be a part of their personality. When a person finally seeks treatment for dysthymia, it is not uncommon that he/she has struggled with this condition for a number of years. Dysthymia often co-occurs with other mental disorders.
A "double depression" is the occurrence of episodes of major depression in addition to dysthymia. Switching between periods of dysthymic moods and periods of hypomanic moods is indicative of cyclothymia, which is a mild variant of bipolar disorder. In the DSM-5, dysthymia is replaced by persistent depressive disorder. This new condition includes both chronic major depressive disorder and the previous dysthymic disorder. The reason for this change is that there was no evidence for meaningful differences between these two conditions. Dysthymia symptoms usually come and go over a period of years, and their intensity can change over time. But typically symptoms don't disappear for more than two months at a time. In general, you may find it hard to be glowing even on happy occasions you may be described as having a gloomy personality.
Dysthymia symptoms in adults may include: Loss of interest in daily activities, Sadness or feeling down, Hopelessness, Tiredness and lack of energy, Low self-esteem, self-criticism or feeling incapable, Trouble concentrating and trouble making decisions, Irritability or excessive anger, Decreased activity, effectiveness and productivity, Avoidance of social activities, Feelings of guilt and worries over the past, Poor appetite or overeating, Sleep problems. Globally dysthymia occurs in about 105 million people a year (1.5% of the population). It is slightly more common in women (1.8%) than in men (1.3%). The lifetime prevalence rate of dysthymia in community settings appears to range from 3 to 6% in the United States. However, in primary care settings the rate is higher ranging from 5 to 15%. United States prevalence rates tend to be somewhat higher than rates in other countries. Treatment is of two types they are: Therapy, Medications and Combination treatment Psychotherapy is common and effective for treating dysthymia. Different modalities have been shown to be beneficial