Dysthymia, also known as persistent depressive disorder, is a type of depression that lasts for an extended period. People living with this condition often experience chronic tiredness, low enthusiasm, poor self-worth, and a lack of direction in life. If left untreated, the symptoms can intensify over time and significantly affect a person’s overall well-being.
What is Dysthymia?
Dysthymia is a long-lasting form of depression that develops gradually and can linger for years. While it shares similarities with major depressive disorder, it differs in its persistence.
The symptoms of dysthymia are generally less intense than those of major depression, but they can last two years or more. Because the symptoms often appear slowly and may come and go, many people fail to recognize that they are living with a mental health disorder.
Symptoms of Dysthymia
Individuals with dysthymia may show a combination of the following characteristics:
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Ongoing feelings of sadness or emotional emptiness
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Loss of interest in daily routines or hobbies
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Struggles to finish tasks or stay productive at work
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Low self-esteem and confidence
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Feelings of hopelessness, negativity, or persistent failure
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Difficulty experiencing joy or enthusiasm
People dealing with this condition often seem pessimistic, easily irritated, and withdrawn from joyful experiences. Since dysthymia can persist for years, it may impact their work life, personal relationships, and ability to carry out everyday tasks.
Causes of Dysthymia
While the precise cause is unclear, researchers believe a combination of the following factors plays a role:
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Brain structure changes: Some individuals with dysthymia may have physical changes in their brain that affect mood regulation.
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Chemical imbalance: Neurotransmitters, the brain’s messengers, may be disrupted in people with this condition, contributing to emotional imbalance.
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Genetic influence: A family history of depression or similar conditions increases the likelihood of developing dysthymia.
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Stressful life events: Traumas such as the death of a loved one, divorce, financial problems, or chronic stress can act as triggers.
How Is Dysthymia Treated?
Treatment strategies depend on several factors, such as symptom intensity, medical history, patient preferences, and how well the patient tolerates specific treatments.
Some of the treatments that can be given include:
Medication
Doctors may prescribe antidepressants to manage dysthymia, including:
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Selective serotonin reuptake inhibitors (SSRIs)
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Tricyclic antidepressants (TCAs)
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Serotonin and norepinephrine reuptake inhibitors (SNRIs)
These medications are often used for extended periods to manage symptoms. It’s essential to consult with a doctor regarding how long they should be used, what benefits to expect, and any potential side effects.
Speech Therapy
Talk therapy involves open discussions with a psychologist or mental health professional to explore thoughts, behaviors, and emotions. The goal is to provide tools that help the individual cope better.
One commonly recommended form of therapy is cognitive behavioral therapy (CBT). CBT helps individuals identify negative thought cycles and learn more productive ways to approach their problems and manage stress.
Can Dysthymia Be Prevented?
While it may not always be possible to prevent depression, managing early symptoms can reduce the risk of it developing into long-term dysthymia. If you’re already experiencing depression, the following steps may help you keep it under control:
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Engage in regular exercise
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Follow a healthy, balanced diet
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Avoid alcohol and illicit substances
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Practice meditation and mindfulness
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Make time for regular relaxation techniques
If your symptoms don’t improve with treatment, speak to your doctor for additional evaluation and options. You can also access help through the Ai Care app, available on both the App Store and Play Store.
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- dr Hanifa Rahma
Cleveland Clinic. Persistent Depressive Disorder (DDD). Available from: https://my.clevelandclinic.org/health/diseases/9292-persistent-depressive-disorder-pdd
Mayo Clinic. Persistent depressive disorder. Available from: https://www.mayoclinic.org/diseases-conditions/persistent-depressive-disorder/symptoms-causes/syc-20350929
Bruce, D. (2024). Dysthymia (Persistent Depressive Disorder). Available from: https://www.webmd.com/depression/chronic-depression-dysthymia
Huff, C. Whitbourne, K. (2024). Dysthymia vs. Depression: Understanding the Differences. Available from: https://www.webmd.com/depression/depression-or-dysthymia
Gabbey, A. (2021). Persistent Depressive Disorder (Dysthymia). Available from: https://www.healthline.com/health/dysthymia