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Sometimes we have a tough day. However, if you have had a low mood and other symptoms of depression for a long time, it can be a sign of something more serious. Help is available.

What is dysthymia?

Dysthymia is a form of depression that lasts for at least two years. Feelings can fluctuate over time, with some days and weeks feeling better. However, if you experience depressive symptoms for more than half of your days, you may have dysthymia.

Dysthymia rarely has a single specific cause. It is usually a combination of genetic, psychological and environmental factors. Severe events such as loss, trauma and prolonged stress can also lead to the development of this condition. There may also be underlying biological explanations such hormonal imbalances. You do not have to struggle alone. Help is available.

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Is dysthymia chronic depression?

Symptoms of depression lasting for more than two years are considered chronic. Dysthymia is therefore seen as a form of chronic depression. If you have an undefined feeling of anxiety or depression, do not hesitate to seek out a professional therapist for support. Dysthymia is a treatable condition and at Lavendla we can help you.

Symptoms of dysthymia

Dysthymia is a persistent low mood where you experience depressive symptoms for more than half the days of a specific period of time. You should also have at least two other depressive symptoms, which is fewer than in major depressive disorder. Here are some common symptoms:

  • Decreased energy or activity
  • Difficulty sleeping
  • Reduced self-confidence or feelings of inadequacy
  • Difficulty concentrating
  • Frequent crying spells
  • Reduced interest or enjoyment in activities that usually bring pleasure
  • Feelings of hopelessness or abandonment
  • A perceived inability to cope with the usual responsibilities of everyday life
  • Pessimism about the future or focusing on past events

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Co-occurring conditions

If left untreated, other psychological conditions can turn into dysthymia or depression over time. This may be because of specific symptoms of other disorders. For example, anxiety and PTSD can cause someone to withdraw from social activities, which can in turn lead to depressive symptoms. It is important to get a thorough assessment when seeking help so that you can also get treatment for any underlying conditions.

Help is available

If you suffer from dysthymia, it is possible to get help. Treatment can vary depending on the severity of the condition and individual needs. Usually treatment includes:

  1. Psychotherapy: Cognitive behavioural therapy (CBT) helps to identify and change negative thought patterns and behaviours that may be contributing to the condition. Other forms of therapy, such as interpersonal therapy and psychodynamic therapy, can also be effective.
  2. Medications: Medications are useful in treating dysthymia. Selective serotonin reuptake inhibitors (SSRIs) and serotonin-norepinephrine reuptake inhibitors (SNRIs) are common types of antidepressants.
  3. Combination treatment: For some, a combination of psychotherapy and medication may be most effective.
  4. Lifestyle changes: A healthy lifestyle can have positive effects on mood. Regular physical activity, a balanced diet and getting enough sleep can all help.

If you or someone you know is suffering from dysthymia, it is important to seek professional help from a doctor, psychologist or other qualified therapist for a thorough assessment and treatment. It is easy to get stuck in a pattern of negative thoughts and behaviours that make it difficult to make a change on your own. At Lavendla, we are here to help you feel better.


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We all experience losses, crises or other difficulties in our lives. Talking about mental health can be difficult, but seeking help is an important step in improving your quality of life. The benefits include improved health, better work ability and improved relationships. It takes strength to seek help and therapy is a proven method for dealing with various concerns. By seeking professional help, you can make the difficult a little easier. At Lavendla, we have therapists and psychologists who can help you.

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12 frequently asked questions about dysthymia

What is dysthymia?

Dysthymia is a form of depression that lasts for at least two years with symptoms at least half the time.

What are the most common symptoms of dysthymia?

Dysthymia is characterized by persistent low mood. You also need at least two symptoms of depression such as persistent sadness, lack of energy, sleep problems and a reduced appetite. Consultation with a psychologist or therapist can help make a diagnosis.

What causes chronic depression?

Usually a combination of genetic, psychological and environmental factors causes dysthymia.

How is dysthymia treated?

Treatment options often include a combination of medication, therapy and lifestyle changes. Cognitive behavioural therapy (CBT) is a common form of psychological treatment but other methods can also be helpful.

What is the difference between regular depression and dysthymia?

Dysthymia is a condition that resembles depression but does not meet all the criteria for major depression. Dysthymia also lasts for a longer period of time and is considered more mild and chronic, but it is treatable.

How long is a treatment for dysthymia?

The length of treatment can vary depending on the severity and individual needs.

Can children have dysthymia?

Children, like adults, can suffer from low mood and even depression. It is important to seek help quickly if you feel that your child has symptoms of depression.

Can exercise help?

Yes, regular physical activity has been shown to improve mood and mental health. However, it should not replace professional care and medication.

What are the risk factors for dysthymia?

Stress, trauma, and personal adversity are common risk factors. There can be other causes such as underlying neuropsychiatric problems, genetic factors or biological causes.

Is depression more common in men or women?

Depression is diagnosed in women twice as much as it is in men. Symptoms may differ between the sexes.

How does dysthymia affect relationships?

Dysthymia can make it difficult to maintain healthy relationships and can lead to social isolation. Therefore, it is important to seek help to break the pattern.

Where can I get help?

If you experience symptoms of dysthymia, it is important to seek professional help. Our psychologists and therapists are available for online sessions and can help you make the difficult easier.

What help is available for dysthymia?

Seeking help is a big step towards better health. It is a positive thing to decide to take control of how you feel. Here is an overview of the steps usually involved in therapy.

Step 1: An initial assessment session

The first meeting with your psychologist or therapist is usually an assessment to review your mental and physical health. Prepare for questions about your life situation, feelings, thoughts and behaviours. You may also complete assessment forms.

Step 2: Goal setting

This is where you and your therapist set concrete goals for the therapy, both short and long term.
It can define which areas of your life are most affected by your depression and how you would like to change them.

Step 4: Treatment for depression

This is the actual treatment phase, which may include treatment such as cognitive behavioural therapy (CBT). Talk therapy, exercises, and homework assignments aim to give you tools to overcome your depression.

Step 5: Monitoring and evaluation

Your therapist will regularly monitor treatment to see how well the therapy is working. If necessary, the treatment plan can be adjusted or renewed.

Step 6: Ending and looking ahead

As the therapy comes to an end, it is time to reflect on the progress made. You will also receive a plan on how to use the tools and strategies you have learned in the future.

If you or someone close to you is seeking professional help for dysthymia, don’t hesitate to book a session with one of our qualified psychologists or therapists.


Written by Sophia Coulter

Sophia is a registered nurse with experience in inpatient, emergency and community mental health care. She has a passion for providing emergency support for those experiencing mental health crises.