Dysthymia

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dysthymia

Dysthymia is a chronic form of depression. This means that this disorder might be mistaken as depression itself because of its many similarities . This disorder might be identified as "neurotic" or someone that suffers from neurosis. If someone happens to suffer from neurosis, they usually tend to be nervous and high strung. Dysthymia is usually associated with co morbid substanse abuse which is when a patient abuses a controlling substance like alcohol or any depressant drug. Abusing these substances can make one dependant and make them depressed. Dysthymia is a more mild form of depression, so the symptoms are not as bad and do not last as long. This disoreder can either happen in childhood or adult hood.
Changes in the brain can be a reason for problems associated with dysthymia. A chemical called serotonin in the brain may change levels and your brain will react to things differently. Serotonin helps your brain handle and deal with emotions. Medical problems such as AIDS, Hyperthyroidism, and Multiple sclerosis could also help cause this disorder. Aids affects your immune system and is caught by sharing needles or such.
Hyperthyroidism is caused by too much energy in the thyroid. The thyroid is located in the neck. This causes increase of heart rate, weight loss and even depression. Multiple sclerosis is a disease that attacks the central nervous system in your body. It wears away all control over ones limbs. Personality problems such as dependency, narcissism, and borderline are also distinct reasons why one might have dysthymia. Dependancy is when a person relies upon a drug or something to the point where that’s all they care about. They feel like they cannot go on without it. Borderline is when a patient shows a pevaseive pattern of instability. Stress, which is forcibly pressure or influenece, may be factor because of its commonness. If there are more than one of these present, it dysthymia could be more harder to distinguish. Adhd, which is commonly found only in children, is a behavior that makes children behave hyperactively or sometimes even innapoprietly. Dysthymia is a faily common thing. Three percent of people in the united states have it. Even though it is quite common, only two percent develop it in one year. Defined by subsyndrol nature, fewer than five percent of these symptoms are required to diagnose for a major depressive episode. Ten percent of the people that have dysthymia, also develop a major depressive disorder


Mild chronic depression has long been known to exist. Although it has been referred to by different names such as neurotic depression, minor depression, intermittent depression and depressive personality, it has been labeled 'dysthymia.' The term literally means "ill-humored".

Dysthymia belongs to the classification of mood/affective disorders. Yet a condition known as double depression also exists, in which dysthymia may be superimposed on a major depressive episode. In addition, dysthymia has been sub classified, according to clinical symptoms and presence of family history, as sub affective dysthymia and character-spectrum dysthymia. Sub affective dysthymics tend to respond to antidepressant medication and often have a family history of mood disorder, whereas character-spectrum dysthymics respond less well to medications and more often report a major loss as well as family history of substance abuse.

It had long been thought that dysthymia was best classified as a character disorder, in which the individual's core problems stemmed from a depressive personality or temperament. For this reason, and because there had been few studies of antidepressants in the treatment of dysthymia, the treatment of choice had long been of a psychotherapy. Because dysthymia was conceptualized as a mild form of mood disorder, it was routinely treated with sub threshold doses of antidepressant, over inadequate durations of time.
Although dysthymia is not a new disorder, the possibility exists that its diagnosis is becoming more talked about because of the success of the newer generation of antidepressants in treating its symptoms. People who have dysthymic disorder will often report that they don't recall ever not feeling depressed, but they may be relatively functional in managing their life, although the symptoms are severe enough to cause distress and interference with important life role responsibilities. It is important to have a complete physical to rule out any physical illnesses that might be causing the depression. Also, if the person has a chronic medical condition that appears to be the cause for the depression (such as any chronic debilitating condition), then the correct diagnosis might be a Mood Disorder due to a general Medical Condition, even if all the criteria for dysthymic disorder are met. The question is whether the medical condition is physically causing the depression, rather than creating chronic psychological distress that is causing the depression.

There are many symptoms for this disorder. Children and adults do not have the same symptoms. Children have eating and sleeping problems. Eating too much or starving oneself doesn’t help anything. Insomnia, or the inability to sleep and hypersonic, which is when one sleeps most of the time. Energy and self esteem tends to be low. Doing schoolwork would be difficult because of poor concentration. Children may also have feelings of hopelessness. For example, a team losing a game can make one upset and feel like nothing is going to ever go their way. Adults feel inactive physically as well as mentally. They always have something to worry about even if it is simple. Adults ten to criticize oneself and feel guilty about everything they do. Some adults often feel irritable and cranky even if they had their coffee. Others often feel tired and lazy, not doing what they normally would do. These symptoms as well as the children’s symptoms tend to be chronic. Chronic is when one is subject to a pattern of behavior over a long period of time. The affects of dysthymia include social withdrawal or not enjoying yourself and talking to people. A person is more likely to remain single if the onset of this disorder is before the age of twenty one. One may also develop a major depressive episode, which is more serious than dysthymia. In a depressive episode the symptoms are more serious and last much longer. People may also have impairment with their living.It might be hard socially, academically, and occupationally.

To diagnose this disorder, you would have to speak with your physician. He or she will ask you various questions.      First you will be asked about your physical health and probably your health history. The doctor may also ask if there you have been previously diagnosed with a different disorder. To treat this you doctor may prescribe an anti-depressive medicine. An anti depressive medicine relieves depression, but it will not be completely away unless you keep taking your pills and checking with your doctor on your progress. This medication is prescribed, you can not buy it over the counter. It is safe and non habit forming. Another way to treat this is cognitive behavioral therapy. Using this for of therapy helps the way a person thinks making it easy to change one life. Interpersonal therapy focuses on communication skills and self concept. Most patients are successfully treated. Research has indicated that the size of the subgenera prefrontal cortex of the brain, which is behind the bridge of the nose may be a factor in such hereditary depressive disorders.

I will continue to talk about depression. Since dysthymia is a form of depression I thought that I should include a few facts on depression


This is the most severe category of depression. In a major depression, more of the symptoms of depression are present, and they are usually more intense or severe. A major depression can result from a single traumatic event in your life, or may develop slowly as a consequence of numerous personal disappointments and life problems. Some people appear to develop the symptoms of a major depression without any obvious life crisis causing it. Other individuals have had less severe symptoms of depression for a long time (such as Dysthymic disorder), and a life crisis results in increased symptom intensity. Major depression can occur once, as a result of a significant psychological trauma, respond to treatment, and never occur again within your lifetime. This would be a single episode depression. Some people tend to have recurring depression, with episodes of depression followed by periods of several years without depression, followed by another episode, usually in response to another trauma. This would be a recurrent depression. In general, the treatment is similar, except that treatment usually is over a longer time period for recurrent depression.

Professional debate continues regarding whether some people develop "endogenous depression" without any identified psychological causes. An endogenous depression is a biologically caused depression, due to either genetic causes or a malfunction in the brain chemistry. But, all depression involves some changes in brain chemistry, even when the cause is clearly a psychological trauma. After psychological treatment and recovery from depression, the brain chemistry returns to normal, even without medication.
To date, there is no hard research evidence to support the notion of endogenous depression. Sometimes this term is used to describe people who do not respond well to treatment, and sometimes it is a rationale to prescribe medication alone, and not to offer any psychological treatment for the depression. In general, the majority of people who require antidepressant medication for their depression respond to treatment better when psychotherapy, particularly cognitive-behavioral psychotherapy, is provided in addition to the medication. Medication treats the symptoms of depression, and is often a vital part of the treatment program, but it is essential to treat the psychological problems that caused the depression.

Cognitive therapy is the best treatment for depression, as compared to medication and other forms of psychotherapy. However, many people respond better to a combination of medication and cognitive therapy. It does not make sense to only prescribe medication, without offering psychotherapy as well, because of the added benefits shown in research studies. There are some people who respond positively to psychotherapy, but plateau at a mild level of depression, without complete recovery from all of the symptoms. Often, these individuals are maintained on antidepressant medication after they have completed psychological treatment. Remember, only physicians are qualified to prescribe medication. Your psychologist will refer you to your primary care physician, or to a psychiatrist, for a medication evaluation, if it appears to be indicated.



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