Dysthymia - types , causes, symptoms, treatments


1. symptoms of dysthymia

2. Forms and types of dysthymia

3. Treatment of dysthymia

Dysthymia is a pathological condition which manifests the development of protracted (chronic) subdepression with clinical course and symptoms, not sufficient to diagnose "depression".

Persons dysthymia patients are inherent pessimistic outlook on life, as well as skepticism toward positive emotions exhibited by other people.
According to another definition, a state of prolonged depression, experts say, that takes a chronic nature.

disease occurs in 4.5% of the world's population, but is more common in women.It can move in recurrent depressive disorder or manic-depressive illness (20% of cases).

dysthymia generally occurs in young people, but sometimes it develops in middle age.It is noteworthy that the clinical picture of this disorder differs depressed mood minimal manifestation, with the predominant manifestation somatovegetativnye.

If dysthymia lasts for three years or more, it can be

connected more pronounced so-called depressive syndrome.In this case we speak of "double depression."The symptoms of dysthymia

symptoms of dysthymia, though similar to the symptoms of depression, but are not as pronounced.

for persons suffering from this disorder, characterized by such phenomena as:

  • pessimism;
  • irritability;
  • generalized anxiety;
  • melancholy;
  • fatigue and mood;
  • panic attacks;
  • depression;
  • sadness;
  • thoughts about the meaninglessness of life and the futility of the effort.

in these patients, as a rule, low self-esteem, and so-called "complex of a loser."In addition, they are extremely pessimistic about the future and negatively evaluated the past.

symptom of dysthymia is also a reduced need for communication, social phobia, and loss of enjoyment of life (both physical and moral).

In some patients, there may be somatic pathology and physical symptoms: malaise, malaise, dyspnea, insomnia, constipation, anxiety.

Basically dysthymia develops in constitutionally-depressed people.This is a device of the nervous system that causes the probability of its occurrence.

In addition, the scientists say, that people are inclined to dysthymia, is a violation of production in the brain such as serotonin hormone, which is responsible for good mood.And under adverse factors, this leads to a predisposition dysthymia.

Forms and types of dysthymia

Depending on the characteristics of the course, the disease has the form:

  • disorder with a single, but a prolonged depressive episode (double depression);
  • dysthymia with repeated episodes of depression, large (double depression);
  • disorder without major depressive episode ( "clean" dysthymia).

As for the types of the disorder, the distinction:

  • dysthymia somatization (katesteticheskuyu);
  • characterological dysthymia (harakterogennuyu).

somatisation dysthymia When a patient complains of feeling unwell, and general malaise, constipation, feeling of palpitations, shortness of breath, watery eyes, sleep disturbance with frequent awakenings.Almost ever-present anxiety and low mood.Quite often, these symptoms occur in conjunction with the growing mood disorders, feelings of depression and sadness.

The clinical picture is dominated by characterological dysthymia developing persistent disorders that persist long period of time.They manifest themselves in the form of pessimism, "blues", anhedonia (the refusal of the pleasure and enjoyment of life), the ideas about the meaninglessness of existence.These patients often manifests itself in a bad mood, there is a chronic depressive syndrome.In addition, depressive outlook and "loser complex" may be formed with the progression of the disorder.

Treatment of dysthymia

To specialist can diagnose "dysthymia" symptoms of the disorder must be celebrated no less than two years and not less than half of the days in a year.And between prolonged periods of depression may occur several weeks rather good mood, in which no suicidal thoughts.

attending physician in the treatment of diseases chooses drugs, guided by the symptoms, age and general physical condition of the patient.

preferred antidepressants - selective serotonin reuptake inhibitors (eg, Tsipramilu, Prozac) or reversible inhibitors of monoamine oxidase (eg, Auroriksu).

Along with pharmacotherapy, plays an important role and psychotherapy.Preference is given to areas such as interpersonal, cognitive-behavioral or family therapy.


This article is available exclusively in the educational purposes and is not research material or professional medical advice.

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