persistent depressive disorder

Clinical manifestations

• presence of symptoms >= 2 years without remission lasting > 2 months
• symptoms generally mild
• other symptoms of depression (at least 2 for diagnosis)
  • difficulty concentrating or making decisions
  • low energy, fatigue
  • sleep disorder: insomnia or hypersomnia
  • overeating
  • low self eseeem
  • increased risk of suicide

Differential diagnosis

• major depression
  • episodic, periods of remission
  • symptoms more severe

Management

• selective serotonin reuptake inhibitor plus psychotherapy
  • both are effective, but the combination is more effective than either alone

More general terms

• depression