Persistent Depressive Disorder - Symptoms

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What are persistent depressive disorder symptoms and signs?

In order to meet criteria for the diagnosis of persistent depressive disorder, a person must experience depression, which can look like (present as) a loss of interest or general discontent (may be irritability or excessive anger in children and adolescents) most of every day, more days than not for at least two years in a row in adults, and one year for children and teens. The persistent depressive disorder sufferer will not have more than a two-month symptom-free period during the course of the illness and must experience at least two of the following signs and symptoms of this type of depression:

  • Loss of appetite or excessive hunger
  • Insomnia or excess sleepiness
  • Fatigue or other physical symptoms; slowness in activity and thought
  • Low self-esteem/feelings of inadequacy
  • Lack of concentration or making decisions
  • Hopelessness

A person with persistent depressive disorder can also have major depression but does not suffer from cyclothymia, never has the mania or hypomania of bipolar disorder, and does not have symptoms that are better explained by another mental-health problem, the effects of a medication, drug of abuse, or medical condition.

Return to Dysthymia

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Comment from: Terri, 35-44 Female (Patient) Published: February 03

I have dealt with dysthymia since about puberty. Of course, it didn't have a name at the time. I saw a psychologist who finally nailed that one after an extensive (what seemed like hundreds of questions) test that finally put a name to it. I have no reason to be depressed because I have everything I need and have always wanted. I found a great guy who became my husband, we have 3 children, and I have a job as a nurse, so I am never worried that I won't be without a job or that kind of stability. Still, I feel I am in need of additional treatment as this depression still continues. I consistently exercise, which I do think helps, but isn't enough. I hate being reliant on medications, but don't see any other alternative. Oh, I am currently on Pristiq. In the past, I have been on other meds, mostly SSRI's. This is the first SNRI. I also was on bupropion but my husband noted it made my memory terrible and me very irritable, so that was stopped.

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Comment from: Teresa, 35-44 Female Published: May 11

I began at age 39 with breast cancer, then 13 years later, I got bone cancer. The nighttime and daytimes heat flashes because of the menopause are awful. I wake up with wet hair and wet shirt.

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