Understanding and treating dysthymia

Fran Heller’s cover story on Peter Morgenstern-Clarren (When love is not enough, CJN, Oct. 28) was painful and enlightening to read. Certainly the pain, confusion, and chaos involved in the lives of those afflicted with a mental disorder and the family members close to them was captured in the overall tone of the piece.

One item that needs to be emphasized a bit more clearly deals with the issue of dysthymic disorder. Heller states that the medical diagnosis for Peter’s illness was complex mood disorder, including dysthymia. The key point made by Ms. Heller is that the dysthymic portion of Peter’s illness was part of a larger, more complex mood disorder.

Many folks suffering from dysthymic disorder may not be aware that they have a problem or that treatment is available. Unlike Peter’s behavior, which noticeably changed, dysthymic individuals are often characterized as feeling sad or down in the dumps. They may have suffered such low levels of depression for so long that they figure this is just the way I am.

Dysthmia is classified as a mood disorder characterized by the presence of a sad, depressed mood for the greater part of most days, for at least two years (one year in children). Additionally, at least two of the following symptoms are present:

• poor appetite or overeating;
• sleep disorder or sleeping too much;
• low energy or fatigue;
• low self-esteem;
• poor concentration or difficulty making decisions;
• feelings of hopelessness and despair.

Untreated dysthymia can have subtle yet detrimental effects on relationships, work performance, and physical and emotional health. It is often left undiagnosed until an additional, more noticeable problem, most typically clinical depression, sets in. The causes of dysthmia are complex and varied. Environmental issues, such as negative childhood experiences or high stress lifestyles, can play a role but aren’t necessarily the culprits. Biochemistry and genetic history are also thought to influence susceptibility toward dysthymia. Though dysthymia tends to affect women more often than men, men are less likely to acknowledge the problem or to seek help.

The positive news is that success rates for overcoming the negative effects of dysthymia are high. Typically treatment consists of a combination of psychotherapy and antidepressant medication. One of the most powerful lessons learned in When love is not enough is that the stigmatism associated with mental illness can be conquered. Hopefully Heller’s article in conjunction with this follow up information will give strength and hope to those who are suffering from mood disorders and to their loved ones. May Peter’s Garden continue to grow and bring peace to others.

Source: RefillPill.com Editors' Choice