Dysthymia, also known as dysthymic disorder, is classified as a type of affective disorder (also called mood disorder) that often resembles a less severe, yet more chronic form of major (clinical) depression. However, persons with dysthymia may also experience major depressive episodes at times.
Depression is a mood disorder that involves a child's body, mood, and thoughts. It can affect and disrupt eating, sleeping, or thinking patterns, and is not the same as being unhappy or in a "blue" mood, nor is it a sign of personal weakness or a condition that can be willed or wished away. Children with a depressive illness cannot merely "pull themselves together" and get better. Treatment is often necessary and many times crucial to recovery.
There are three primary types of depression, including:
Dysthymia occurs in up to 1.7 percent of children, and in up to 8 percent of adolescents.
Although less severe, yet more chronic than major depression, the following are the most common symptoms of dysthymia. However, each adolescent may experience symptoms differently. Symptoms may include:
For a diagnosis of dysthymia to be made, a depressed or irritable mood must persist for at least one year in children or adolescents and must be accompanied by at least two other major depressive symptoms (noted above). The symptoms of dysthymia may resemble other medical problems or psychiatric conditions. Always consult your adolescent's health care provider for a diagnosis.
Because depression has shown to often coexist with other psychiatric disorders, such as substance abuse or anxiety disorders, seeking early diagnosis and treatment is crucial to the recovery of your adolescent.
A child psychiatrist or other mental health professional usually diagnoses dysthymia following a comprehensive psychiatric evaluation. An evaluation of the adolescent's family, when possible, in addition to information provided by teachers and care providers may also be helpful in making a diagnosis.
Specific treatment for dysthymia will be determined by your adolescent's health care provider based on:
Mood disorders, including dysthymic disorder, can often be effectively treated. Treatment should always be based on a comprehensive evaluation of the adolescent and family. Treatment may include one, or more, of the following:
Parents play a vital supportive role in any treatment process.
Dysthymia is associated with an increased risk for major depression if a child or adolescent does not receive appropriate treatment. Dysthymia also increases the risk for a child or adolescent to develop other mental health disorders. Appropriate treatment helps to reduce the severity of symptoms and the risk for relapse of a depressive episode.
Because episodes of dysthymia may last for longer than five years, long-term, continued treatment may help to prevent reoccurrence of the depressive symptoms.
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Online Resources of Adolescent Medicine