In this Article

• What causes dysthymia?
• What are the signs and symptoms of dysthymia?
• Is dysthymia common in the U.S.?
• How is dysthymia diagnosed?
• How is dysthymia treated?
• What is psychotherapy?
• How do antidepressants help ease dysthymia?
• Are there other treatments available for dysthymia?
• What else can I do to feel better?
• Can dysthymia worsen?
• Dysthymia Glossary
• Dysthymia Index

Are There Other Treatments Available for Dysthymia?

Your doctor can explain other treatments for dysthymia and major depression. Some people with seasonal depression find good relief with light therapy. Electroconvulsant therapy (ECT) is another treatment that may be used if major depression isn't responding to antidepressant medications. If you are experiencing manic (highly elated) episodes along with the chronic depression, your doctor may want to try a mood-stabilizing drug, such as lithium, or an anticonvulsant.

What Else Can I Do to Feel Better?

Getting an accurate diagnosis and effective treatment is a major step in feeling better with chronic depression. In addition, ask your doctor about the benefits of healthy lifestyle habits such as eating a well-balanced diet, getting regular exercise, avoiding alcohol and smoking, and being with close friends and family members for strong social support. These positive habits are also important in improving mood and well-being.

Can Dysthymia Worsen?

It's not uncommon for a person with dysthymia to also experience major depression at the same time -- swinging into a major depressive episode and then back to a more mild state of dysthymia. This is called double depression. That's why it's so important to seek an early and accurate medical diagnosis. Your doctor can then recommend the most effective treatment to help you feel yourself again.

Sources:

National Institute of Mental Health: "What is Depression?"

American Academy of Family Physicians: "Dysthymic Disorder: When Depression Lingers."

Fieve, R. Bipolar II, Rodale, 2006.

Diagnostic and Statistical Manual of Mental Disorders, 4^th Edition (DSM-IV).

Reviewed by Amal Chakraburtty, MD, on May 14, 2008

Edited by David H. Fram, MD, on December 1, 2006

Portions of this page © Cleveland Clinic 2008

Suggested Reading by Our Doctors

• citalopram, Celexa - Information about citalopram (Celexa) an antidepressant drug prescribed for depression, anxiety, OCD, panic disorder, PTSD, and premenstrual dysphoric syndrome.
• Psychotherapy - Mental Health: Psychotherapy To Treat Depressionin teens and adults
• Stress - Read about stress symptoms, signs, causes and treatment. Get information on stress management tips, the effects on the body and stress types (teen, job, PTSD).

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