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Dysthymic Disorder

WHAT YOU SHOULD KNOW

Dysthymic (dis-THI-mik) disorder (also called dysthymia) is a long-standing feeling of depression accompanied by other symptoms such as sleep problems, poor appetite, or even thoughts of suicide. The symptoms of dysthymia are never as severe as those of major depression. To be considered a problem, the condition must last at least 2 years and include three other symptoms besides a low, irritable mood. Dysthmia is easily controlled with any of a variety of antidepressant medications. A deeper, more serious depression may call for other treatments (see "Major Depression").

Causes

Dysthymia can be triggered by a stressful change in your life, changes in brain chemistry, or a variety of medications for other conditions. The odds of developing the disorder are higher for:
  • Those with mood disorders in the family
  • Women
  • People who've had a major depression in the past
  • Abusers of drugs or alcohol

Signs/Symptoms

Dysthymia usually begins during childhood, the teenage years, or young adulthood. It is typified by feelings of hopelessness and a decline in self-esteem. It's often accompanied by changes in your:
  • Eating or sleeping habits
  • Weight
  • Energy level
  • Level of concentration
  • Ability to make decisions

WHAT YOU SHOULD DO

  • If the doctor prescribes an antidepressant medicine, be sure to take it regularly, even if it seems to have no effect at the start. Since some of these medications can make you drowsy, be cautious when using machinery or driving until you know how the drug affects you. Check with your doctor before taking any other drugs, either prescription or over-the-counter.
  • Avoid alcohol and recreational drugs while taking an antidepressant. They may interact with it badly.
  • Since it's hard to avoid stress, learn to control it with such techniques as deep breathing, relaxing muscles, meditation, or biofeedback. Try not to bottle-up your feelings; talk to your doctors, family, or friends and let them help you. You may also want to join a support group.
  • Encourage those close to you to talk to your doctor. He can give them tips on how to respond to the situation.

Call Your Doctor If...

  • You're unable to sleep well or find that you are sleeping more than usual.
  • You undergo a change in appetite.
  • Your medicine is causing:
    • Drowsiness
    • Insomnia
    • Changes in your eating habits
    • Dizziness
    • Nausea
    • A rash
    • Swelling

Seek Care Immediately If...

  • You begin to have thoughts of suicide or homicide.
  • Your medicine causes an allergic reaction (swelling or trouble breathing).

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    More info from

    HealthCentral.com's
    Depression Site



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