- Persistent sad or empty feeling
- Difficulty sleeping (sleeping too much or too little)
- Insomnia (early morning awakening)
- Feelings of helplessness, hopelessness, and worthlessness
- Feelings of guilt
- Loss of interest or the ability to enjoy oneself
- Loss of energy or fatigue
- Difficulty concentrating, thinking or making decisions
- Changes in appetite (overeating or loss of appetite)
- Observable mental and physical sluggishness
- Persistent aches or pains, headaches, cramps, or digestive problems that do not ease even with treatment
- Thoughts of death or suicide
First, the Doctor will have to be sure that the symptoms are not due to substance abuse or a medical condition. Also, the depression and other symptoms should be causing distress in your life in order to confirm this type of depression. There is no blood, x-ray or other lab test to diagnose this depression.
Dysthymia is very serious, but it can be treated. As with anything health issue, if treated early that can increase the chances of it not being prolonged and get complicated. Doctors may use counseling, medications or a combination of both to treat chronic depression.
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