Living With Dysthymia | Chronic Low Grade Depression

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Dysthymia or Dysthymic Disorder is Low-Grade Mood Depression and Anxiety

Since the time I was about 17 years old, I have been living with Dysthymia (depression), which is chronic low grade depression and anxiety. I was diagnosed with this condition in high school, but at that time, there was no treatment for dysthymia other than counseling. Because dysthymia is caused by a brain chemical inbalance, it is a real physical problem, yet back then the only drugs available were not suitable for treating the symptoms of low grade depression and anxiety.

Counseling did not really help me, because working through issues I had was not what was wrong with me. It was difficult to deal with the lack of energy or motivation that I had on a continuous basis. I often found myself going into repeating cycles of success, then failure which caused more of the mood depression. I seemed to be able to behave normally for a time, then the mood depression would set in and I wouldn't be able to get out of bed to make appointments, get to work, or go back to a regular sleep cycle.

As I got older, I started to suffer from a mixture of depression and anxiety attacks. The anxiety would come out of nowhere and made me feel really helpless.

 

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Willow Weep for Me: A Black Woman's Journey Through Depression 

Willow Weep for Me: A Black Woman's Journey Through Depression

Amazon Price: $16.24 (as of 12/30/2009)Buy Now

From Publishers Weekly
Danquah, a black single mother and Ghanian-born immigrant, who moved to the U.S. at age six in 1973, has battled melancholy and despair, culminating in episodes of overwhelming depression. A performance artist and poet who has worked as a creative writing instructor, she discusses movingly how she overcame clinical depression in this candid memoir. Addressing the special circumstances of being both depressive and an African American woman, she notes, for example, that talking about one's parents is frowned on in African as well as African American culture. Her parents divorced when she was growing up in Washington, D.C., and she carried around suppressed rage at the father who abandoned her and the mother whose lover she claims sexually abused her. After she fled to Los Angeles in 1991, her world fell apart when, as she tells it, her common-law husband threw her out along with their two-month-old daughter. With the help of therapists, Danquah ultimately confronted these traumas and the self-hatred induced partly by pervasive racism. Yet antidepressant drugs numbed her and drove her to alcohol. She kicked both habits and now overcomes the blues (the book's title is from a Billie Holiday song) through music, meditation and vigilant monitoring to avoid self-destructive situations and moods. She tells her story poignantly and affectingly.

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What is Dysthymic Disorder? 

Summarized from the Diagnostic and Statistical Manual of Mental Disorders- Fourth Edition

New England Mood

New England Mood Art Print



People with dysthymia generally experience little or no joy in their lives. Instead things are rather gloomy most of the time. If you have dysthymia you may be unable to remember a time when you felt happy, excited, or inspired. It may seem as if you have been depressed and moody all your life. You probably have a hard time enjoying things and having fun. Rather, you might tend to be inactive and withdrawn ,you worry frequently, and criticize yourself as being a failure. You may also feel guilty, irritable, sluggish, and have difficulty sleeping regularly.

Dysthymia is a milder yet more enduring type of the mood depression that affects women two to three times more often than men. The diagnosis is given when a person has had continuous depressed mood for at least two years. For children, the duration only needs to be one year, and their mood may be irritable rather than sad or depressed. People with dysthymia may appear to be chronically mildly depressed to the point that it seems to be a part of their personality. When a person finally seeks treatment for dysthymia, it is not uncommon that he/she has had this condition for a number of years. Because dysthymia may develop early in a person's life, it is not uncommon for someone with this condition to believe that it is normal to always feel depressed. They often to do realize that the quality of their mood is anything out of the ordinary. This illness often goes unnoticed and, therefore, untreated.

Dysthymia is a condition that tends to develop early in a person's life, but most people delay approximately ten years before ever seeking treatment. This is unfortunate since the sooner a person seeks help the sooner he or she can get relief and possibly avoid further distress. It is very important that children with symptoms of dysthymia receive an evaluation from a mental health professional or physician. Early treatment may help these youngsters avoid more serious mood disorders, difficulties in school and their social life, and possible substance abuse problems as they get older.

At any point in time, 3% of the population may be affected by dysthymia. Within a lifetime it appears to affect approximately 6%. Those with immediate relatives who have had major depressive disorder have a greater likelihood of developing dysthymia. If a person develops dysthymia it usually happens early in their lives- from childhood to early adulthood. The symptoms of dysthymia tend to be chronic, yet people often do not seek treatment unless they develop major depression. Having dysthymic disorder increases the risk of developing major depressive disorder. Of those with dysthymia approximately 10% will go on to develop major depression. The presence of both conditions is sometimes known as "double depression."

Dysthymia may also be associated with the presence of personality disorders (e.g., avoidant, dependent, histrionic, borderline, narcissistic). However, it can sometimes be difficult to determine the extent to which a personality disorder is present since some of the long-term problems of dysthymia may affect interpersonal relationships as well as how a person perceives him- or herself. Dysthymia may also be related to substance use. People with this type of chronic depression may abuse drugs or alcohol in trying to relieve their despondency and other unpleasant symptoms. Dysthymia in children may sometimes be related to anxiety disorders, learning disorders, attention-deficit/hyperactivity disorder (ADHD), conduct disorder, and mental retardation. Physical illnesses that may be associated with dysthymia include acquired immunodeficiency syndrome (AIDS), hypothyroidism, and multiple sclerosis

Have You Ever Suffered From Any of These Symptoms for More Than a Few Hours? 

Are you depressed?

In a Mellow Mood

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Just Because You Are Suffering from the Mood Depression, Doesn't Mean You Stop Living Your Life 

It just isn't easy

Depending on your level of the mood depression, a person can continue to live their life, however most likely it will not follow the normal path of progression. For me, I struggled to get down the path that I had wanted for myself, with lots of obstacles caused by my condition.

I finished high school, then went to college like most kids that I knew, and that is when the depression really started affecting me. When I went to class, I did well, but I increasingly couldn't get myself out of bed to get to class. Finally after failing several classes, my parents brought me home. It wasn't until months later that I began to see a psychologist to start pulling my life back together.

My parents really did not know how to deal with my problems. But the counseling did help some, and I chose to go to secretarial school to be able to have some job skills. Then I began the cycles that repeated throughout my lifetime. I did well in school, and got a job as a secretary. And I was on an upswing. My life continued in this fashion for years. I would do well for a length of time, then I would start to go back to having problems getting up, getting things done, and a general feeling of sadness, and hopelessness. During the better times, I accomplished a lot. I worked, went back to school, got married and had children.

How You Can Survive When They're Depressed: Living and Coping with Depression Fallout 

How You Can Survive When They're Depressed: Living and Coping with Depression Fallout

Amazon Price: $10.17 (as of 12/30/2009)Buy Now

"Depression fallout" is the emotional upheaval suffered by the friends and family members of someone who's depressed. Because at any given time, 17 million Americans are suffering from depression, there's a huge number of people suffering from this, says author Anne Sheffield, the daughter of a depressive. She compassionately recalls situations discussed in her support group at New York City's esteemed Beth Israel Hospital to illustrate how "co-sufferers" can successfully cope with their grief, confusion, guilt, and reduced self-esteem.

One of the most overlooked yet thoroughly damaged lots of depression fallout victims, she says, are the toddlers and children of depressed mothers. Children with behavioral problems at home and in school may be struggling for attention they don't get from a depressed parent. She writes, "Although a depressed parent of either sex creates problems for a child, the bulk of the research on parental depression and its effects on young children has zeroed in on the mother, because she is the center of a young child's existence: the primary nurturer, teacher, and emotional and social contact. Ideally, a mother is a good listener, communicator, and problem solver; authoritative without being authoritarian; warm and consistent; and tolerant and patient. Mothers in the grip of depression are often just the opposite: harsh, critical, impatient, irritable, and unaffectionate. And because one in every four women will suffer serious depression at some time in her life--more often than not, right in the middle of her prime childbearing years of twenty-five to thirty-five--the research findings are applicable to a very substantial number of children."

Without being flippant, Sheffield inserts bits of humor into the book. She describes what she calls "sticky-flypaper depressives" as those who blame themselves for everything and anything that has ever gone wrong, whether it be a relationship, or, as one psychiatrist recalled from one patient's session, "the bad Broadway season of 1947." She also gives a thorough analysis of the many causes of depression, illustrates the five stages of depression fallout, and considers the benefits and downfalls of psychotherapy and how a fallout victim may be affected by it. Sheffield offers reassuring advice on how fallout victims can defuse stress and rebuild their self-esteem and social lives, abundant resources and references for support groups and informational organizations, and an extensive list of medications commonly used for the treatment of mental disorders. No matter what the age or relationship of the fallout victim, How You Can Survive When They're Depressed will prove to be a much-needed dose of sympathy.

A Real Solution 

Depression affects your entire life

Mood Swing I
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During this time, I still had down times. I started seeing a new psychologist, who after some time recommended that I see a psychiatrist. By this time, I was in my late 30's, and I had yet to find a satisfying solution to my depression. My condition was worsening because I started to have mild panic attacks which was causing problems for me at work, at home, and driving on the roads.

Seeing a psychiatrist changed my life. My psychiatrist finally explained my condition to me in in a way that made sense. Yes, she explained, there is something really wrong with you. Your dysthymia is not imaginary, it is a chemical imbalance in the brain. We now have medication that can help you.

I was very undecided about using medication. I wasn't worried so much about the cost of the medication, because my health insurance covered it. Truthfully, I didn't like the idea of having to take medicine for the rest of my life, but I decided to give it a try.

Undoing Depression 

Learning how to break the mood depression

Undoing Depression

Amazon Price: $10.20 (as of 12/30/2009)Buy Now

Product Description
For some people, depression has been a part of their experience for so long that they've begun to believe it's what they are. They become experts at "doing" depression--hiding it, working around it, even achieving great things (but at the price of great struggle, and little satisfaction). In this book, psychotherapist Richard O'Conner shows us how to "undo" depression, by replacing depressive patterns of thinking, relating, and behaving with a new and more effective set of skills. With a truly holistic approach that synthesizes the best of the many schools of thought about this painful disease, O'Conner offers new hope--and new life--for depressives.

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Acknowledgement Was a Huge Relief 

My life turned around 180 degrees

I cannot tell you in strong enough words how glad I am every single day that I decided to try the medication. Making that decision turned my life around 180 degrees. Within weeks, the panic attacks were totally gone. I have not had a panic attack since that time. My depression, for the first time in my life, was under control. To my relief, the medication did not stop me from being able to feel sad, it just smoothed out the edges of my depression. I was not incapacitated by feelings of the mood depression for no apparent cause.

I will not tell you that I no longer ever have any symptoms of depression. I do. But compared to before, they are minimal. They generally come only when I am under extreme stress either from outside sources or physically. I usually feel different the week before my menstrual cycle. However, most women do, whether they have dysthymia or not. I am in control of my life instead of my life being in control of me.

One of the biggest results of taking medication was finally having the acknowledgement that, yes, there WAS something wrong with me, and it was physical. This came as a huge relief to me, knowing that my feelings stemmed from something real, not imaginary.

What is Your Experience with the Mood Depression? 

Have you had experience with depression?

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No, I haven't.

CleanerLife says:

I've known people who have had problems with depression, but it's not something I've had to deal with in my own life, or in the lives of close friends or family.

Certainly, the more help that's available for people who do have it, the better.

Yes, I have.

nightbear says:

My husband battles depression periodically, it is very devastating when this occurs. I really hate seeing him that way. Strong faith and prayer and my love gets him through it.

Aaron_Howard says:

I have a family member that suffers from long term depression. Much worse then others - medication has also helped and we're thankfull for that!

WendyKrick says:

Yes, 5 years ago we lost our home due to toxic mold. I was going through some PTS and mild depression which caused panic attacks and anxiety. But I was able to work through it. Thank Goodness.

WhitU4ever says:

Yes, during especially stressful times in my life.

Intuitive says:

Yes. I fit the profile for dysthymia. I'm having a severe bout of it today. All of the usual methods for dealing with it haven't worked for me over the years.

mulberry says:

I've had a family member who suffered from depression but I haven't myself. Definitely something people need more education about.

 

Symptoms of Dysthymia 

Diagnosis of Dysthymic Disorder

A. A person has depressed mood for most the time almost every day for at least two years. Children and adolescents may have irritable mood, and the time frame is at least one year.

B. While depressed, a person experiences at least two of the following symptoms:

1. Either overeating or lack of appetite.
2. Sleeping to much or having difficulty sleeping.
3. Fatigue, lack of energy.
4. Poor self-esteem.
5. Difficulty with concentration or decision making.
6. Feeling hopeless.

C. A person has not been free of the symptoms during the two-year time period (one-year for children and adolescents).

D. During the two-year time period (one-year for children and adolescents) there has not been a major depressive episode.

E. A person has not had a manic, mixed, or hypomanic episode.

F. The symptoms are not present only during the presence of another chronic disorder.

G. A medical condition or the use of substances do not cause the symptoms.

H. The person's symptoms are a cause of great distress or difficulty in functioning at home, work, or other important areas.

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Unmasking Male Depression 

The mood depression affects men as well as women

Unmasking Male Depression: Recognizing the Root Cause to Many Problem Behaviors Such as Anger, Resentment, Abusiveness, Silence, Addictions, and Sexual Compulsiveness

Amazon Price: $11.10 (as of 12/30/2009)Buy Now

Product Description
Depression is a secret pain at the core of many men's lives, and one that goes largely undiagnosed and untreated. The consequences of not treating male depression are extremely serious. Studies show that suicide is more common in men than women, and tha the male suicide rate is three times higher at midlife than at any other life stage. In Unmasking Male Depression, Dr. Archibald Hart explores the many forms of depression and gives tools for coping with and healing depression in men. Hart also examines the lives of Christian leaders who struggled with depression, such as Charles Spurgeon, Martin Luther, and John Calvin, to reveal the myths surrounding this illness

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Understanding Teenage Depression: A Guide to Diagnosis, Treatment, and Management  

Understanding Teenage Depression: A Guide to Diagnosis, Treatment, and Management

Amazon Price: $12.00 (as of 12/30/2009)Buy Now

From Publishers Weekly
Psychiatrist Empfield and coauthor Bakalar present an informative summary of the causes and treatments of adolescent depression, a problem that is on the rise. Since the 1950s, the suicide rate among all teenagers has increased by almost 25% (even higher for black male adolescents); it is the third leading cause of adolescent deaths, just behind car accidents and homicides. They discuss the importance of understanding and addressing depression, a potentially devastating illness that can damage teens' developmental progress and affect their ability to attend school, maintain friendships or pursue everyday tasks. Noting that many medical disorders can cause symptoms similar to those of depression and that some depression indicators sleeping a lot, moodiness or changes in weight are common in normal teenagers, they outline the ways in which clinical depression is diagnosed. Empfield and Bakalar discuss risk factors, such as a depressed parent, as well as the issue of suicide (including a list of warning signs). The authors emphasize that depression is a treatable illness. Finding the right therapist and prescribing effective medication is crucial, since untreated depression can leave lasting emotional scars and may lead to more frequent and more severe episodes of depression in adulthood. This is a comprehensive and informative book on an urgent public health matter.

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About the Author 

Lensmaster lakeerieartists has been a member since June 5 2008, has rated 2,105 lenses, favorited 133, and has created 260 lenses from scratch. This member's top-ranked page is "Making your First Lens Mentor". See all my lenses

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