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Dysthymic Disorder

Index

Criteria
Definition
Mood Disorder Flow Chart
Treatment ( Psychotherapy )
Treatment ( Pharmacotherapy )


Definition

Dysthymic Disorder is a mood disorder over a two year period,characterized by more days then not of feeling down or sad.These feeling or less intense then major depression but still disrupts ever-day life.

ONSET:

Insidious or chronic course.

Childhood to early adulthood.

Early: Before 21.
Late: After 21.


Diagnostic Criteria ( DSM-IV™ ) made easy.

Dysthymic Disorder.

1. At least two years of symptoms, including more days then not of depressed mood.

2. While depressed at least two of the following:

A. Feelings of hopelessness.
B. Impairment in cognitive functioning.( E.g.,Hard time concentrating, Hard time in making decisions )
C. Loss of appetite or overeating.
D. Low levels of energy or fatigue.
E. Low self-esteem.
F. Problems with sleep.( E.g.,Insomnia,Hypersomnia )

3. At no time in the two years of symptoms,has there been a symptom free period that lasted two or more months, of 1 and 2 above.

4.At no time in the two years of symptoms,has there been a Major Depressive, Manic or Mixed Episode.

5. The symptoms are not from another disorder or a substance.

6. Clinically significant distress from symptoms,or impairment in work, social,or other areas of important functioning.

NOTE: One year in children and adolescents NOT TWO.

Specify:

Atypical Features.


Treatment ( Psychotherapy )

Adlerian Therapy
Behavior Therapy
Existential Therapy
Gestalt Therapy
Person-centered Therapy
Psychoanalytic
Rational-emotive Therapy
Reality Therapy
Transactional Analysis


Treatment ( Pharmacotherapy )

Selecting the Right Antidepressant
Definition AD's

Adapin
Amitril
Anafranil
Asendin
Aventil
Celexa
Cymbalta / Yentreve
Desyrel
Effexor
Elavil
Emitrip
Endep
Enovil
Etrafon
Etrafon-A
Etrafon-Forte
Dohme
Lexapro ( Lexaprotm )
Ludiomil
Luvox
Marplan
Nardil
Norpramine
Pamelor
Parnate
Paxil
Pertofrane
PMS-Levazine
Prozac
Sharpe
Sinequan
SK-Amitriptyline
Surmontil
Tofranil
Vivactil
Wellbutrin
Zoloft
Zyban


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