Essentially, it is a prolonged state of depression with fewer symptoms thanmajor depressive disorder(MDD).
The termdysthymiarefers to a chronic state of depression.
However, there is a wider range of symptoms available on the criteria list for major depression.
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The main symptom of PDD is a sad or depressed mood nearly every day.
In children, the mood may manifest asirritability.
While MDD includes more symptoms, the time frame is shorter.
The majority (80%) of people have fully recovered within one year.
People with MDD may completely recover and never experience an episode of major depression again.
This co-occurrence of PDD and MDD is sometimes referred to asdouble depression.
Confirming a Diagnosis of PDD
There is nolaboratory testfor diagnosing dysthymia or any other form of depression.
If you are experiencing symptoms of depression, your doctor will evaluate your symptoms and medical history.
You will be asked questions about the nature, severity, and duration of your symptoms.
Your doctor may conduct a physical and order bloodwork torule out any medical illnessesthat might be causing your symptoms.
Lastly, the symptoms must result in significant distress or impairment of normal functioning.
A 2017 study suggested that the lifetime prevalence of PDD with major depressive episodes was 15.2%.
Treatment for Persistent Depressive Disorder
The treatments for PDD are similar totreatmentsfor other forms of depression.
Generally, a combination of psychotherapy and medications is the most effective.
John’s Wort, have been reported to be helpful in cases ofmildtomoderate depression.
When combined with antidepressants, this herbal remedy may lead to a dangerous complication known asserotonin syndrome.
While it may be a struggle, remember that you don’t need to do it all perfectly.
Even small changes can make a difference in your mood and mindset.
For example, you might start out by making small goals and then gradually build on them over time.
For more mental health resources, see ourNational Helpline Database.
Talk to your doctor about how you are feeling to explore the treatment options that are right for you.
In:Diagnostic and Statistical Manual of Mental Disorders, 5thEd., Text Revision.
Washington D.C.: 2022.
American Psychiatric Association.Highlights of changes from DSM-IV-TR to DSM-5.
American Psychiatric Association.Persistent depressive disorder.
