Jeffrey Muldoon, DPM

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In the vast majority of cases, the prognosis is favorable. Of course, this is only possible when the patient is on treatment. Untreated dysthymia usually does not go away on its own and in most cases gets worse over time. Although there is no clear way to prevent the occurrence of dysthymia, some suggestions have been made to prevent such a disorder. Because dysthymia most often occurs during childhood, it is important to identify children who may be at high risk of developing dysthymia.

Symptoms, diagnosis and treatment of dysthymia. Dysthymia is a serious condition of chronic depression that persists for at least two years (or one year for children and adolescents). A serious state of chronic depression will last at least three years,Moreover, the pathology can remain fairly balanced. Dysthymia is a less acute and severe condition than major depressive disorder. Essentially, dysthymic disorder is a chronic condition, and sufferers may experience symptoms for many years before the disease is diagnosed. As a result, patients may believe that depression is part of their nature, so they do not discuss their symptoms with doctors, family members, or friends.

In DSM-5, dysthymia is replaced with permanent depressive disorder. This new condition includes both chronic major depressive disorder and previous dysthymic disorders. The reason for this change is that there was no evidence of significant differences between the two conditions. Dysthymia has a number of characteristic features. low levels of energy and mobility, low self-esteem, and extremely low potential for enjoyment in everyday life. Mild dysthymia can be a way to relieve stress and avoid failure. In more severe cases of dysthymia, people may even withdraw from daily activities. Patients generally find little pleasure in normal activities and play. Diagnosis of dysthymia can be difficult due to the subtle nature of the symptoms, and patients may often hide them in social situations, making the diagnosis difficult and difficult to detect.

Causes of dysthymia and risk factors.

In addition, dysthymia often occurs at the same time as other psychological disorders, which add a level of difficulty in determining the presence of dysthymia, in particular as there is often an overlap in the symptoms of the disorders. In addition, there is a high incidence of comorbidities in patients with dysthymia. Suicidal behavior is a particular problem in these patients. It is very important to look for signs of major depression, panic disorder, generalized anxiety disorder, alcohol and drug abuse, and personality disorder.


Double depression occurs when a person experiences a major depressive episode on top of a pre-existing dysthymia condition. It is difficult to treat, and sufferers accept major depressive symptoms as a natural part of their personality or as part of their lives that is beyond their control. Since patients can accept these symptoms and put up with them, worsening is inevitable as it may delay treatment. Even if such patients seek treatment, therapy may not be effective enough unless the symptoms of severe depression are taken into account.