Persistent Depressive Disorder (Dysthymia) | Risk Factors, Symptoms, Diagnosis, Treatment
Persistent Depressive Disorder (Dysthymia) | Risk Factors, Symptoms, Diagnosis, Treatment
Persistent depressive disorder is a long-standing, chronic mood disorder involving depressive symptoms along with a variety of other symptoms that causes significant impairment in social and/or occupational functioning. There are certain risk factors for persistent depressive disorder including a family history of depressive mood disorders and past traumatic life experiences among others. In this lesson, we discuss the DSM-5 criteria for Persistent Depressive Disorder, including a mnemonic to help remember symptoms and how to diagnose this condition, along with treatment methods.
I hope you find this lesson helpful. If you do, please give this lesson a like and consider subscribing (and clicking the notification bell) to help support this channel!
REFERENCES:
1) Persistent Depressive Disorder (Dysthymia)
https://www.ncbi.nlm.nih.gov/books/NBK541052/
2) DSM-5 (American Psychiatric Association)
EXCLAIMER: The content used in this lesson is used in accordance with Fair Use laws and is intended for educational purposes only.
**MEDICAL DISCLAIMER**: JJ Medicine does not provide medical advice, and the information available on this channel does not offer a diagnosis or advice regarding treatment. Information presented in these lessons is for EDUCATIONAL PURPOSES ONLY, and information presented here is NOT TO BE USED as an alternative to a healthcare professional’s diagnosis and treatment of any person/animal.
Only a physician or other licensed healthcare professional are able to determine the requirement for medical assistance to be given to a patient. Please seek the advice of your physician or other licensed healthcare provider if you have any questions regarding a medical condition.
————————————————————————————————————-
Please donate to help support this channel (and get ACCESS TO EXCLUSIVE VIDEOS) ➜ https://www.patreon.com/jjmedicine
*Subscribe for more free medical lessons* https://www.youtube.com/channel/UCFPvnkCZbHfBvV8ApBBE0vA?sub_confirmation=1
————————————————————————————————————-
Try Audible and Get A Free Audiobook
https://www.amazon.com/dp/B00NB86OYE/?_encoding=UTF8&ref_=sv_adbl_subnav_ref1_1
For books and more information on these topics
https://www.amazon.com/shop/jjmedicine
Check out the best tool to help grow your YouTube channel (it’s helped me!)
https://www.tubebuddy.com/jjmedicine
Follow me on Twitter! ➜ https://twitter.com/JJ_Medicine
Come join me on Facebook! ➜ https://www.facebook.com/JJ-Medicine-100642648161192/
————————————————————————————————————-
Check out some of my other lessons.
Medical Terminology – The Basics – Lesson 1:
Infectious Disease Playlist
Dermatology Playlist
Pharmacology Playlist
Hematology Playlist
Rheumatology Playlist
Endocrinology Playlist
Nephrology Playlist
—————————————————————————————
*Although I try my best to present accurate information, there may be mistakes in this video. If you do see any mistakes with information in this lesson, please comment and let me know.*
33 Comments
Got diagnosed with Dysthymia and Asperger’s aka autism spectrum disorder in 2013 at 25. I just feel like it’s only a matter of time before I commit suicide. I don’t believe I can be cured of my dysthymia.
Worst is that there is no one to talk…
Army diagnosed me in 2006, I feel that it just keeps getting worse.
1.Physical excercises like Running,Jogging.
2.Breathing excercise Pranayama.
3.Atleast 1 hours Meditation.
You will be free from Depression.
I can't really work out if I've had it exactly or not my head is so foggy. I think I have but I've had situational stuff too and perhaps medical conditions such as thyroid and low testosterone.
We need to go back to the days when everyone cares about each other, kids hanging out with each other on the street bicycling, parents and adult hanging out with each other on the balcony having fun with neighbors. These disorders are modestly due to loneliness. How do you feel when you have people you like around you? Imagine taking a trip to the good ol days, i miss home . Where people can relate with each other, Neighbour are like family, and the streets are safe for the kids to play.
I've had this issue my whole life, coupled with major anxiety that is nearly life threatening, and ADD, I have found life to be difficult. It has been hard to have a family, raise kids, and hold a job or remain interested in a job. Not for a lack of wanting to work, but just being bored and finding that type of work useless to some compacity. However, kids need to eat and I do enjoy having a cup of coffee once in a while.
Can this be cured? Can someone get better from this? I suffer from this. I struggle to do anything and I can’t get up and struggle to get anything done.
My favorite is when I'm in the middle of Double Depression and I know that when I "feel better" I still won't be happy.
My first diagnosis session ever I was told to have severe mdp but I know that depression has limited period whilst I had suffered all my life, so I insisted diagnosis again. Despite the hefty fee that a part-time working student like me could afford, that clinic refused to make my next appointment because I had lied on my family contact numbers and force me to give real relative contacts, who ironically are where my issues come from. I self diagnosed myself with the unjudgemental Internet 😊
I’m a PsyD student. I’m grateful for the time you spent making your videos and sharing your knowledge. They’ve really helped me review. Thank you very much.
I dont need a medical term to explain being depressed this long. Im 35. I just feel horrible all the time. No health insurance. Lol ill be lucky to make it through my 40s lol life is a complete and total joke
I think I have this. Based on 2 comments from 2 significant friends I received today I digged deeper into this topic, ehy do they think I am depressed.
Suddenly all makes sense how I feel sometimes, that I am just not happy since years, am not my real self and how depression builds barriers around me, my thought-process self-sabotages me.
Decision-making is really hard with this condition and it makes a lot of sense how I never seize opportunities and have the feeling, that I am not living my life, just the shadow of it. The lack of concentration I always thought was Adhd, yet now I know.
Although I've been in therapy for over one year, I need medical treatment as well to cope with this.
I know this video is old but I've been depressed constantly everyday for almost a year or two after the pandemic. It happened after my medication (Klonopin) stopped working, I caught pnemonia plus covid the year after. I ended up in the hospital for pnemonia my 38th birthday so last year and have been ruined ever since. I haven't been able to get a good job after graduating college due to benzodiazepines ruining my life so I feel like since I am going to turn 40 in another year and month after this year nothing is important. My life feels like nothing is important and nothing is worth it. My life feels pointless. I don't know what to do at this point but trying to hold myself up and keep moving forward is causing me more stress and anxiety in my life.
34 y.o. – suffered with what was misdiagnosed as “just a lot of trauma” and Major depressive disorder. My therapist just recently mentioned this and it seems so spot on. Not sure what to do from here but feels like a little relief
I've been ill since I was 13/14. I'm now 35. I've tried everything but have had to come to accept that this is me. Which makes me even more depressed. I still function and take meds but I'm always sad. It's like living in a permanent torture chamber that is my own mind.
Homelessness😢
I have suffered from this (undiagnosed) most of my adult life. I am 81, tick all the boxes, and really don’t know what the point is now in going on living.
To anyone reading this who has depression, I really hope that we all find peace in our lives and can one day make sense of the madness that is depression, whatever the cause. I’m 49 and things have been rough recently to say the least
as a psychology student i really appreciate how you have explained everything and the mnemonics are really really helpful. moreover to everybody who is suffering with PMD , may you all be healthy and live happily without any of the psychotic disorders
🎯 Key Takeaways for quick navigation:
00:00 📋 Introduction to Persistent Depressive Disorder
– Overview of persistent depressive disorder (previously known as dysthymia).
– Duration and key characteristics of persistent depressive disorder.
– Epidemiology and prevalence statistics.
00:27 📊 Risk Factors for Persistent Depressive Disorder
– Family history of depressive disorders as a significant risk factor.
– Influence of past traumatic life experiences.
– Negative personality traits and history of other psychiatric disorders as contributors.
02:37 🧠 Signs, Symptoms, and Diagnostic Criteria
– Detailed examination of DSM-5 criteria for persistent depressive disorder.
– Criteria A: Duration and nature of depressed mood.
– Criteria B: Associated symptoms including appetite changes, sleep disturbances, and feelings of hopelessness.
05:22 🚫 Exclusion Criteria and Other Considerations
– Distinguishing persistent depressive disorder from other psychiatric disorders.
– Exclusion criteria including manic episodes, other medical conditions, and substance-related causes.
– Importance of clinically significant distress or impairment for diagnosis.
08:27 🧩 Mnemonic for Diagnostic Criteria
– Introduction to the mnemonic "HE'S TOO SAD" for easier recall of criteria A and B.
– Breakdown of mnemonic components: Hopelessness, Energy loss, Self-esteem, Time frame, Sleep disturbances, Appetite changes, and Decision making.
10:06 📌 Specifiers and Variants of Persistent Depressive Disorder
– Various specifiers including anxious distress, mixed features, peripartum onset, and early or late onset.
– Differentiating between pure dysthymic syndrome and persistent depressive episode.
12:24 💡 Treatment Approaches for Persistent Depressive Disorder
– Initial steps of psychoeducation for patients.
– Psychological treatments such as cognitive behavioral therapy and interpersonal therapy.
– Pharmacological therapies including SSRIs, TCAs, and combination therapies for better outcomes.
Made with HARPA AI
Is there anyone who has overcome dysthymia?
lots of depressed people around. Has anyone ever considered ayahuasca? These problems people have need extreme treatments. And from what i see ayahuasca works more than it does not.
I was diagnosed at 13 with deep depression episodes on top of dysthymia and had suffered since my first memory puberty was so bad and I didn't level off till my mid 20s but still had episodes of deep depression by my mid 30s I have learned to deal without meds but getting diagnosed with adhd inattentive at 38 and starting adderall has changed my life and my pdd and gad have diminished so much
Fun fact I have lack of appetite and overeating episodes i also have hypersomnia and insomnia both i have different meds for and I'm 38 and have never not felt depressed all day everyday even when I sleep and in my dreams however I came to terms with the fact I have a chemical deficiency in my brain a long time ago and just learned to live with it weed helps alot but for me I can never have close personal relationships with people who aren't my family and even then its difficult I don't really know what the point of this run on paragraph is but for any one out there suffering especially young people it definitely gets better
Txs
I'm 63 I was diagnosed with persistent depression at age 30. I'm now taking 3 different antidepressants. I've seen many therapist whom have helped dispel my dark sense of reality, people, social interaction. I've always been underemployed and have had trouble holding jobs. I've not been able to maintain relationships for long. I've got persistent suicidal ideation. Life has been generally sad for me.
Whatever you wanna call it, it sucks. All my life, medication , therapy, positive everything. Doesn't matter, it's ALWAYS there.
Im 33 and dont remember what joy feels like. Im just pretending. Cant wait to finally get the balls to do what i want to
Do bhramari pranayama for 15 minutes 3 times a day.
Thank you ! It really helped me to understand this subject
Dealing with narcissistic entitled individuals and gaslighting can give you depression, anxiety issues, low self esteem.
I suspect I have this as I haven't spoken to a professional and frankly don't care about any label or diagnosis that's put on me. I was searching around on the internet because I have always had this sense of melancholy follow me around my whole life. I don't know where it's come from but it has just always been there. I am never excited about anything, or particularly interested in anything. I do have hobbies that are OK but I have to force most if not all of them.. It's actually how I'd describe my general perception of life.. a shrug on the shoulders and a "I guess I can't complain".. Never anything amazing.. I have NEVER been enticed by the thought of vacations or travelling, so the times I have went was with family.