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Diagnosing Depressive Disorders
 

DYSTHYMIC DISORDER

Dysthymic Disorder: Diagnosis
Dysthymic patients have many of the same symptoms found in Major Depressive Disorder, but thoughts of suicide and death are typically absent and patients are not severely disabled. People with dysthymic disorder are chronically depressed but they often feel that their chronically low mood is normal, at least for them, and may not seek help. Although patients with dysthymia are less impaired than those with major depressive disorder, dysthymia can certainly compromise function and keep patients from realizing their full potential.

Criteria for Dysthymic Disorder
On the majority of days for two years or more, the patient reports depressed mood or appears depressed to others for most of the day. When depressed, the patient has two or more of the following symptoms, and symptoms are never absent for more than two consecutive months.

• Appetite decreased or increased
• Sleep decreased or increased
• Fatigue or low energy
• Poor self-image
• Reduced concentration or indecisiveness
• Hopeless feelings.

Please see:

Section III: "Managing Other Depressive Disorders"
CANMAT – Guidelines for the Diagnosis and Pharmacological Treatment of Depression
(1st Edition Rev., 1999)

P. 30

Interview: Dysthymia - Recognition and Treatment – Text

Arun V. Ravindran, MB, MRCPsy, PhD, FRCPC
Professor of Psychiatry, University of Ottawa
Director of Research, Royal Ottawa Hospital

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Over one million Canadians suffer from some form of depressive illness.