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Quote of the Day

"The mind, in proportion as it is cut off from free communication with nature, with revelation, with God, with itself, loses its life, just as the body droops when debarred from the air and the cheering light from heaven."

William Ellery Channing

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Is Dysthymic Disorder a Second-Rate Depression?
 
Dysthymic Disorder, used to be called Dysthymia, is a low-grade and yet chronic depression characterized by feelings of sadness or depression associated with lack of interest to do things and some physical symptoms such as lack of energy, sleep, and concentration.

Psychological symptoms such as feelings of hopelessness, helplessness, and worthlessness can also occur. In addition, some patients harbor thoughts of death and feelings of emptiness.

This is a type of clinical depression that is supposed to be "milder" than Major Depressive Disorder (MDD - used to be called Major Depression) because the symptoms don't necessarily happen everyday. Unlike patients who suffer from MDD, Dysthymic patients are not bed-bound, still able to work, and does not appear to be sick. But most of these individuals complain that they haven't felt "normal" or "happy" for a long time.

Moreover, Dysthymic Disorder is manifested by lack of drive and motivation. Hence, relatives and friends tend to misinterpret their mood and behavior. Some patients endure the stigma of being considered "lazy" or not "motivated enough" to do worthwhile goals.

As time passes by, patients with this disorder have difficulty functioning. But because they still appear normal, the illness is not recognized and patients don't get treated early. A lot of times, they are not referred to a psychiatrist.

So is Dysthymic Disorder a second-rate psychiatric disorder? Based on my experience, patients experience considerable emotional turmoil. In fact, some dysthymic patients eventually develop a more serious depression called Major Depressive Disorder. When "double depression" (dysthymic disorder and major depression occurring together) happens, patients are so depressed that they become a threat to themselves and become functionally impaired. At this time, psychiatric hospitalization becomes necessary.

So Dysthymic Disorder is a serious health problem that should be recognized and treated promptly. It is an illness that somehow hides its existence from everyone including clinicians and patients themselves.

What is the treatment? Dysthymic disorder can be treated by antidepressants and psychotherapy. Most patients respond to treatment although some still suffer despite adequate treatment. Also, there are some individuals who only respond minimally. As such, this illness can be more challenging to treat than others.



About the Author
Dr. Michael G. Rayel - author (First Aid to Mental Illness-Finalist, Reader's Preference Choice Award 2002) psychiatrist, and inventor of Oikos Game: A Personal Development and Emotional Skills Game. For more information, please visit www.oikosgame.com.



Depression News



New study: Adolescents suffering from depression more likely to be bullied
Medical Xpress
A new study provides evidence that adolescents who suffer from depression are more likely to develop difficulty in peer relationships including being bullied at school. It's often assumed that being bullied leads to psychological problems, ...
Depression forecasts difficulties with peers in middle childhoodEurekAlert (press release)
Depressed kids can be bullying targetIrish Health
Young and Depressed: More Likely BulliedCalorieLab Calorie Counter News

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The Associated Press

Missouri teen killer had troubled family, depression
Chicago Sun-Times
(AP Photo/Kelley McCall, Pool, File) Abandoned by her mother and missing a father in prison, Alyssa Bustamante had plunged to the depths of depression before, once overdosing on a large bottle of painkillers, slicing her skin hundreds of times and ...
Sentence likely Wednesday for Missouri teen killerFox News
Mo. teen killer had troubled family, depressionThe Associated Press
Teen killer had troubled family, depressionKSPR
Washington Post
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24 Hours Vancouver

Star athletes bare souls in depression documentary
Hamilton Spectator
It's a scene from TSN broadcaster Michael Landsberg's compelling documentary Darkness and Hope: Depression, Sports and Me airing on Wednesday at 7 pm on CTV. It features Richer, Canadian Olympic legend Clara Hughes, one-time New York Mets slugging star ...
Sports stars battle depressionToronto Sun
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Globe and Mail

Clara Hughes conquers the dark weight of depression
Globe and Mail
Sometimes – we don't always know where or when – the time of light and hope gets swallowed up in the darkness of depression and tears. For two years, after she won her first pair of cycling bronze medals at the 1996 Olympics in Atlanta, she “imploded.
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Newsolio

Depression continues despite weather
WWLP 22News
But did our sunshine and warmth limit this type of depression? Last winter was rough for even the heartiest New Englander. "We had snow after snow after snow. And no sunshine is bad, you go into work and it's dark and you come home and it's dark and ...
Don't Let Winter Have You Singing the BluesEHS Today
SAD when it rainsJamaica Gleaner
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