Dysthymia

Dear Dr. LeCrone:

My 37 year old brother has recently been diagnosed with an emotional disorder called dysthymia. He has been unhappy and sad for many years, is very overweight, overly pessimistic, oftentimes irritable and frankly not much fun to be with. He has always been down on himself and has never had many friends. We, his family, did not know he was depressed and want to be supportive and helpful. Could you write about this problem?

A reader in Florida

Dear Reader:

The Greek word dysthymia means “bad state of mind” or “ill humor”. The individual suffering from a form of depression called dysthymia experiences a depressed mood for at least two years and is never without symptoms for more than two months at a time. The depression persists most of the day and for more days than not. While in this depressed mood the individual may experience several of the following associated symptoms: lack of energy or chronic fatigue, diminished appetite or overeating, difficulties in making decisions and/or concentration, sleep difficulties including insomnia, poor self-concept, and feelings of helplessness and/or hopelessness.

Children and adolescents can also be diagnosed as dysthymic and are many times described as irritable and/or defiant for a least one year.

The individual suffering from dysthymia generally experiences the first symptoms of this disorder during childhood, adolescence, or early adulthood.

Unlike those individuals suffering from major depression, another mood disorder, the individual suffering from dysthymia is frequently able to function socially and occupationally although often with difficulty and without much pleasure.

Children and adolescents suffering from depression often experience problems in school, social relationships, and normal interest patterns.

Adult females are more often diagnosed as dysthymic than males. Children and adolescents experience the disorder in about equal numbers.

As in other mood disorders, depression is often seen from one generation to the next and / or between siblings.

The treatment of dysthymia usually includes a combination of an anti-depressant medication and psychotherapy. Psychotherapeutic techniques are chosen to assist the individual develop a healthier self-esteem and more effective coping skills.

Positive results are often seen in a matter of weeks, creating a new sense of hope, optimism, and improvement in relationships. The good news is that dysthymia is a very treatable mood disorder.

Copyright © 2006 Harold LeCrone,Jr., Ph.D.