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Dysthymic disorder

Also known as Dysthymia

Dysthymia (/dɪs.ˈθaɪ.miː.ə/ dis-THEYE-mee-ə), from Ancient Greek δυσθυμία, "melancholy"}}), also known as neurotic depression, dysthymic disorder, and chronic depression, is a mood disorder consisting of the same cognitive and physical problems as in depression, with less severe but longer-lasting symptoms, which may persist for at least 2 years. The concept was coined by Dr. Robert Spitzer (an editor of the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders (DSM-III)) as a replacement for the term "depressive personality" in the late 1970s.

Source: Wikipedia

What are the symptoms?

Within all the people who go to their doctor with dysthymic disorder, 76% report having depression, 72% report having anxiety and nervousness, and 44% report having depressive or psychotic symptoms. The symptoms that are highly suggestive of dysthymic disorder are depression, anxiety and nervousness, low self-esteem, and loss of sex drive, although you may still have dysthymic disorder without those symptoms.


What might my doctor prescribe?

Common Tests and Procedures

Patients with dysthymic disorder often receive psychotherapy, mental health counseling, depression screen, lipid panel, toxicology screen, psychological and psychiatric evaluation and therapy, varicose vein stripping; lower limb and other or therapeutic procedures on nose; mouth and pharynx .

Common Medications

The most commonly prescribed drugs for patients with dysthymic disorder include escitalopram (lexapro), fluoxetine (prozac), bupropion (wellbutrin), clonazepam, citalopram (celexa), paroxetine (paxil), venlafaxine (effexor), buspirone (buspar), atomoxetine (strattera), doxepin, desvenlafaxine (pristiq), darunavir (prezista) and lopinavir .

Escitalopram (Lexapro)
$92
(28 days)
Fluoxetine (Prozac)
$13
(28 days)
Bupropion (Wellbutrin)
$51
(28 days)
Clonazepam
$9
(28 days)
Citalopram (Celexa)
$9
(28 days)
Paroxetine (Paxil)
$19
(28 days)
Venlafaxine (Effexor)
$128
(28 days)
Buspirone (Buspar)
$16
(28 days)
Atomoxetine (Strattera)
$189
(28 days)
Doxepin
$10
(28 days)
Desvenlafaxine (Pristiq)
$113
(28 days)
Darunavir (Prezista)
$893
(28 days)
Lopinavir

Who is at risk?

Groups of people at highest risk for dysthymic disorder include age 45-59 years. On the other hand, age 1-4 years and age < 1 years almost never get dysthymic disorder.

Age

< 1 years
0.0x
1-4 years
0.0x
5-14 years
0.4x
15-29 years
1.1x
30-44 years
1.5x
45-59 years
1.5x
60-74 years
0.9x
75+ years
0.4x

Sex

Male
0.9x
Female
1.1x

Race/Ethnicity

Black
0.5x
Hispanic
0.8x
White
1.2x
Other
0.8x
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