OverviewPersistent depressive disorder, also called dysthymia (dis-THIE-me-uh), is a continuous long-term (chronic) form of depression. You may lose interest in normal daily activities, feel hopeless, lack productivity, and have low self-esteem and an overall feeling of inadequacy. These feelings last for years and may significantly interfere with your relationships, school, work and daily activities. Show
If you have persistent depressive disorder, you may find it hard to be upbeat even on happy occasions — you may be described as having a gloomy personality, constantly complaining or incapable of having fun. Though persistent depressive disorder is not as severe as major depression, your current depressed mood may be mild, moderate or severe. Because of the chronic nature of persistent depressive disorder, coping with depression symptoms can be challenging, but a combination of talk therapy (psychotherapy) and medication can be effective in treating this condition. SymptomsPersistent depressive disorder 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 addition, major depression episodes may occur before or during persistent depressive disorder — this is sometimes called double depression. Symptoms of persistent depressive disorder can cause significant impairment and may include:
In children, symptoms of persistent depressive disorder may include depressed mood and irritability. When to see a doctorBecause these feelings have gone on for such a long time, you may think they'll always be part of your life. But if you have any symptoms of persistent depressive disorder, seek medical help. Talk to your primary care doctor about your symptoms. Or seek help directly from a mental health professional. If you're reluctant to see a mental health professional, reach out to someone else who may be able to help guide you to treatment, whether it's a friend or loved one, a teacher, a faith leader, or someone else you trust. If you think you may hurt yourself or attempt suicide, call 911 or your local emergency number immediately. Sign up for free, and stay up to date on research advancements, health tips and current health topics, like COVID-19, plus expertise on managing health. To provide you with the most relevant and helpful information, and understand which information is beneficial, we may combine your email and website usage information with other information we have about you. If you are a Mayo Clinic patient, this could include protected health
information. If we combine this information with your protected health information, we will treat all of that information as protected health information and will only use or disclose that information as set forth in our notice of privacy practices. You may opt-out of email communications at any time by clicking on the unsubscribe link in the e-mail. CausesThe exact cause of persistent depressive disorder isn't known. As with major depression, it may involve more than one cause, such as:
Risk factorsPersistent depressive disorder often begins early — in childhood, the teen years or young adult life — and is chronic. Certain factors appear to increase the risk of developing or triggering persistent depressive disorder, including:
ComplicationsConditions that may be linked with persistent depressive disorder include:
PreventionThere's no sure way to prevent persistent depressive disorder. Because it often starts in childhood or during the teenage years, identifying children at risk of the condition may help them get early treatment. Strategies that may help ward off symptoms include the following:
Dec. 08, 2018 Persistent depressive disorder (dysthymia)
How long before you can be diagnosed with major depressive disorder?It causes severe symptoms that affect how you feel, think, and handle daily activities, such as sleeping, eating, or working. To be diagnosed with depression, the symptoms must be present for at least two weeks. There are different types of depression, some of which develop due to specific circumstances.
How long must a period of depression last as a major depressive episode?A major depressive episode (MDE) is characterized by five or more of the following symptoms being present every day, or almost every day, for a minimum of two weeks: Depressed mood for most of the day. Loss of interest or enjoyment in all or most activities.
What is the timeline for major depressive disorder?
What is the minimum number of symptoms needed to diagnose a major depressive episode?A) Five (or more) of the following symptoms have been present during the same 2-week period and represent a change from previous functioning; at least one of the symptoms is either (1) depressed mood or (2) loss of interest or pleasure.
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