The following is the list of symptoms you’d have to have in order to be diagnosed with Dysthymia (sometimes referred to as Melancholia or “Minor-Depression”. Most people do not know exactly what depression is, or if their symptoms are severe enough to be depression, so I wanted to give you the exact criteria therapists use (this comes straight out of the Diagnostic and Statistical Manual of Mental Disorders published by the American Psychiatric Association) to diagnose depression (see Depression criteria), and Dysthymia. This is not meant to replace assessment by a licensed and competent clinician, but only as a reference point.

-Megan Johntz, M.S., L.P.C.

 

 

 

DYSTHYMIC  DISORDER


 

 

From the Diagnostic and Statistical Manual of Mental Disorders, IV, published by the American Psychiatric Association, the following criteria must be present in order to warrant a diagnosis of Dysthymia.

 

1) Depressed mood for most of the day, for more days than not, for at least two years.

 

2) Presence, while depressed, of two or more of the following:

        poor appetite or overeating

        insomnia or hypersomnia

        low energy or fatigue

        low self-esteem

         poor concentration or difficulty in making decisions

        feelings of hopelessness

 

3) During the two year period of the disturbance, the person has never been without the symptoms in Criteria 1 and 2 for more than 2 months at a time.

 

4) No major depressive episode has been present during the first 2 years of the disturbance.

 

5) There has never been a manic episode, a mixed episode, or a hypomanic episode, and criteria have never been met for cyclothymic disorder.

 

6) The disturbance does not occur exclusively during the course of a chronic psychotic disorder.

 

7) The symptoms are not due to the direct physiological effects of a substance or a general medical condition.

 

8) The symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.

 

 

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