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Dysthymia is a chronic long lasting form of depression sharing many characteristic symptoms of major depressive disorder (in the form of the melancholic depression subtype). However, these symptoms tend to be less severe but do fluctuate in intensity.[3] To be diagnosed an adult must experience 2 or more of the following symptoms "for most of the day, more days than not, for at least 2 years":[4]
* Feelings of hopelessness อันนี้คือรู้สึกแย่ไม่มีความหวัง
* Insomnia or hypersomnia ง่วงนอนตลอดหรือนอนไม่หลับ
* Poor concentration or difficulty making decisions ไม่มีสมาธิ
* Low energy or fatigue ณู้สึกไม่มีแรง
* Low self-esteem รู้สึกแย่กับตัวเอง
* Poor appetite or overeating. กินจุหรือไม่ค่อยอยากทานอะไร
* Irritability[[1] อยู่ไม่สุข
จากที่เขียนๆ มาเข้าได้เลยอ่ะ
http://en.wikipedia.org/wiki/Dysthymia
http://www.webmd.com/depression/guide/chronic-depression-dysthymia
Treatment
Most people with dysthymia are undertreated. They usually see only their family doctors, who often fail to diagnose the problem. They may only complain about physical symptoms, or fail to complain at all because the disorder has become so much a part of them that they believe that is simply how life is. In older people, dysthymia may be disguised as dementia, apathy, or irritability.
A physician might ask an open question like, “How are things at home?” — follow with, “Have you been feeling down, depressed, or sad?” — then go on to ask whether the symptoms have affected a patient’s home life, work, or personal relations. There are also several brief screening questionnaires, including the Hamilton Rating Scale for Depression and the Patient Health Questionnaire. If the answers suggest dysthymia, a standard clinical interview can be used to confirm the diagnosis.
Like major depression, dysthymia is treated with psychotherapy and medications — usually the same medications and the same kinds of psychotherapy. The most common drug treatments are selective serotonin reuptake inhibitors like fluoxetine (Prozac) and sertraline (Zoloft), or one of the dual action antidepressants such as venlafaxine (Effexor). Some patients may do better with a tricyclic antidepressant like imipramine (Tofranil).
Supportive therapy provides advice, reassurance, sympathy, and education about the disorder. Cognitive therapy identifies and corrects thought patterns that promote self-defeating attitudes. Behavioral treatment improves social skills and teaches ways to manage stress and unlearn learned helplessness. Psychodynamic therapy helps patients resolve emotional conflicts, especially those derived from childhood experience. Interpersonal therapy helps patients cope with personal disputes, loss and separation, and transitions between social roles.
http://www.health.harvard.edu/newsweek/Dysthymia.htm
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