Dysthymia (neurotic depression)

About Dysthymia (neurotic depression)

Dysthymia is a form of depression that is less severe than major depression but usually lasts longer. It is characterized by a depressed mood for most of the day and for at least two years in adults and one year in children. Symptoms usually begin slowly in adolescence or early adult life. Dysthymia does tend to run in families. People with dysthymia have a greater than average chance of developing major depression.

Symptoms

Symptoms vary with the severity of the disease. They may include weight loss or gain, excessive sleeping or trouble sleeping, irritability, decreased pleasure and a loss of energy. Dysthymic people also often have difficulty with interpersonal relationships, poor self esteem and a lack of personal identity.

Tests & Diagnostics

A complete history and physical will be performed. The provider may order certain lab tests to exclude other causes of depression.

Common tests: Complete blood count (CBC), TSH.

Path 3 — Prescription Options

Prescription medications

Conventional treatment summary

Treatment may vary depending on the severity of disease. A combination of psychotherapy and medications are frequently used. The most common anti-depressant medications used are fluoxetine (Prozac), sertraline (Zoloft), paroxetine (Paxil) and citalopram (Celexa). In some cases, your doctor may decide to add a mood stabilizer or anti-anxiety medication.

Medical specialties

Internal Medicine · Psychiatry · Pediatrics · Family Practice · Pediatric and Adolescent Psychiatry

This page is educational content, not medical advice. Always consult a qualified clinician for diagnosis and treatment of Dysthymia (neurotic depression).