Dysthymia
Dysthymia denotes a chronic mood disorder, which can be categorized under the gamut of depression. It is believed to be a chronic depression; however, with lesser severity than in the case of major depressive disorders. This disorder at times takes the form of a chronic, as well as long-lasting illness. Dysthymia is often referred to a type of low-grade depression. Being one of the two major kinds of clinical depression; it generally shows fewer or lesser severe symptoms than major depression cases. It however, lasts longer.
According to a rough estimate, three out of four patients suffering from dysthymia might also suffer from a chronic physical illness, along with other psychiatric disorders like anxiety disorders, along with drug addiction, as well as turning towards alcohol, apart from a volley of other features. It has been estimated that three out of every hundred people are affected with dysthymia, which is responsible for significant functional impairment.
As far as the symptoms of dysthymia are concerned, they are quite similar to that of major depression, although they may tend to be less intense. In both the cases, a patient may show a low, as well as an irritable mood, along with lack of interest in things which most people might find enjoyable. They are also likely to suffer from a lack of energy, although this may not be experienced by all the patients. Along with that, a patient may also experience an increase or decrease in appetite, as well as weight.
The patient is also likely to suffer from insomnia or on the other sleep related disorders, such as excessive sleeping. He might also find it difficult to concentrate. The patient might be indecisive or pessimistic and may carry a negative self-image. The manifestations may grow up into a full fledged period of major depression. Such a situation is often referred to as double depression. This is because; the extreme episodes remain with the general feeling of low mood. Patients suffering from dysthymia have an above average possibility of suffering from major depression.
Medication in case of Dysthymia mostly revolves around the usage of anti-depressants which includes selective serotonin reuptake inhibitors, such as sertraline, citalopram, as well as paroxetine. As it is, selective serotonin reuptake inhibitors are easy to administer, as well as relatively safer in comparison with older forms of anti-depressants. Apart from them, several new anti-depressants like duloxetine, venlafaxine, as well as bupropion, are increasingly being used.
As it is, apart from medication, psychotherapy may also play a vital role in the recovery of the patient. The type of psychotherapy however depends on a variety of aspects. The therapy should involve education in regard to depression. Support is another essential factor. Several therapies like the Cognitive behavioral therapy have been designed to evaluate, as well as correct self-critical thought patterns, as well as cognitive distortions.
