“I’ve never really been happy.” This is a statement that I hear a lot in my private practice. It is often accompanied by, “people in my life always disappoint me.” These can easily be interpreted as whiny statements from people who just need to get on with their life. But, they are NOT! It can be a sign of a long-term low-grade depression called Dysthymia. Dysthymic disorder is characterized by at least two years of depressive symptoms that are present more days than not.
While the symptoms are not generally as severe as a major depressive disorder, people often live without joy in their lives. They may go along for years functioning normally, going to work or school, socializing, having relationships and participating in the daily activities of life. However, while doing all those activities there is an almost always present dark mood or sadness.
Other symptoms include: a sense of hopelessness, lack of energy, excessive tiredness or fatigue, low self-esteem, sleeping too much or inability to sleep, over-eating or lack of appetite, and difficulty focusing or concentrating.
Dysthymia often goes undiagnosed for a long time. Typically, if someone is functioning every day they don’t consider their symptoms “bad” enough to seek help. People suffering with dysthymia can also be very good at hiding their symptoms so friends and even family don’t notice an underlying depression. When asked, “how are you?” people with dysthymia will often reply something like, “I’m fine, just the usual stress but that’s life, right?”
If these symptoms sound familiar you may want to consider seeking the help of a professional for an evaluation. The good news is that dysthymic disorder is very treatable and has a good prognosis. Sometimes treatment involves psychotherapy or a combination of psychotherapy and antidepressants. The most important part is to start talking about how you really feel and recognize that life should not be painful every day.