Dysthymia is a persistent depressive state, less intense than depression, but lasting longer. The characteristic symptoms are similar to depression: poor appetite or overeating, insomnia or hypersomnia, low energy or fatigue, low self-esteem, lack of concentration or difficulty making decisions. As it is a more stable and lasting state than depression, the symptoms must be present continuously, without disappearing for more than 2 months in a row.
Despite the symptoms, the person can maintain a certain level of functionality in their life. However, dysthymia also causes deterioration in social, work or other important areas.
Occasionally, dysthymia can coexist with intermittent episodes of major depression. That is, there is a tendency towards a chronically low mood, which worsens at specific moments in time.
DEVELOPMENT AND COURSE
Dysthymia often has an early and insidious onset (childhood or adolescence) and a chronic course. Early onset (before age 21) is associated with a higher likelihood of dysfunctional personality traits and substance abuse.
RISK FACTORS AND PROGNOSIS
Temperamental: neuroticism (negative affectivity), anxiety and behavioral alterations are the factors that predict a worse long-term prognosis.
Environmental: separation or loss of parents during childhood is the greatest risk factor.
If you have identified with this post, do not hesitate to request a consultation and we will evaluate your case. You may have normalized a persistent low mood, or attributed it to "the way you are"... why not try experiencing other emotions and increasing your well-being? I encourage you to see us in session and be able to work together.
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