Dysthymia-Chronic Depression

or depressed mood, as observed by others.

Note: Children and adolescents can be easily irritable. And the duration should be at least 1 year.

b. Presence of at least 2 of the following while depressed.

1. a decrease in the desire to eat or overeating.

2. insomnia or oversleeping

3. decreased energy level or exhaustion.

4. decreased self-esteem

5. Difficulty focusing or making decisions.

6. feelings of hopelessness.”

(American Psychiatric Association, Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5), from the Diagnostic Criteria Book, trans, Köroğlu E, Hekimler Publication Association, Ankara, 2014)

In the treatment of chronic depression, which we call dysthymia, as in personality disorders. Schema Therapy has been found to be more effective. Schema therapy system; It is quite an extension of the Cognitive Behavioral Therapy system, but also influenced by Psychodynamic and Gestalt therapy. By identifying the root schemas that cause chronic depression in therapy; cognitive, experiential and behavioral dimensions are studied in depth through the therapy relationship.

As for the causes of chronic depression; They are early maladaptive schemas that arise as a result of temperament structure, chaotic family history, unmet childhood needs, cognitive factors and interpersonal communication problems and deeply affect a person’s life.

Note:In this process, for the diagnosis of the person;

* Must have never had mania or hypomania.

* These symptoms must not have occurred during the abuse of a substance.

*This condition should not be better defined by schizophrenia, delusional disorder, or other defined psychotic disorders within the schizophrenia spectrum.

*Depression disorders cause a significant decrease in functionality in work and social life.

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