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Dysthymia (Persistent Depressive Disorder)

Chronic, mild-to-moderate depressive mood lasting at least two years.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Psikiyatri department. Book Appointment →

What is Dysthymia (Persistent Depressive Disorder)?

Dysthymia (persistent depressive disorder) is a psychiatric disorder characterized by chronic low mood lasting at least two years in adults and at least one year in children and adolescents.

Because the symptoms are mild to moderate and long-standing, the person may normalize them as 'part of who they are', delaying diagnosis. Loss of interest, low energy, low self-esteem, and pessimism are typical features.

Major depression can occasionally be added on top of dysthymia ('double depression'). Long-term recovery is possible with treatment; a combination of therapy and antidepressants when needed is effective.

Symptoms

Persistent low, depressed mood
Low energy and motivation
Low self-esteem and self-doubt
Hopelessness and pessimism
Difficulty making decisions
Inability to feel pleasure (anhedonia)

Risk Factors

Family history of mood disorder
Chronic stress and adverse life experiences
Social isolation
Chronic illness or pain disorder
History of trauma or abuse

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Chronic low mood lasting more than two years
  • When major depressive symptoms are added
  • When work and relationships have been disrupted for a long time
  • When you feel your mood has 'never been good' for years

Treatment Methods

01
Long-term psychotherapies (CBT, schema therapy, psychoanalytic approaches)
02
Antidepressants (especially SSRI/SNRI — long-term use may be needed)
03
Social skills training and support groups
04
Exercise and lifestyle adjustments
05
Regular psychiatric follow-up

Which Department to Visit?

You can visit our Psikiyatri department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

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You can make an appointment with our specialists or contact us for your concerns.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.